{"id":34461,"date":"2024-11-26T16:33:45","date_gmt":"2024-11-26T16:33:45","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34461"},"modified":"2025-01-16T10:08:37","modified_gmt":"2025-01-16T10:08:37","slug":"air-filtration-to-reduce-respiratory-infections-in-older-peoples-care-homes-the-afri-cluster-randomised-controlled-trial-with-nested-internal-pilot-qualitative-and-economic-evaluations","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/air-filtration-to-reduce-respiratory-infections-in-older-peoples-care-homes-the-afri-cluster-randomised-controlled-trial-with-nested-internal-pilot-qualitative-and-economic-evaluations\/","title":{"rendered":"Filtrimi i ajrit p\u00ebr t\u00eb zvog\u00ebluar infeksionet respiratore n\u00eb azilet e kujdesit p\u00ebr t\u00eb moshuarit: studimi i kontrolluar i rast\u00ebsish\u00ebm i klasterit AFRI me pilot t\u00eb brendsh\u00ebm t\u00eb nd\u00ebrthurur, vler\u00ebsime cil\u00ebsore dhe ekonomike"},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
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Filtrimi i ajrit p\u00ebr t\u00eb zvog\u00ebluar infeksionet respiratore n\u00eb azilet e kujdesit p\u00ebr t\u00eb moshuarit: studimi i kontrolluar i rast\u00ebsish\u00ebm i klasterit AFRI me pilot t\u00eb brendsh\u00ebm t\u00eb nd\u00ebrthurur, vler\u00ebsime cil\u00ebsore dhe ekonomike<\/h1>\n
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Financimi<\/h2>\n<\/article>\n

Instituti Komb\u00ebtar p\u00ebr K\u00ebrkime n\u00eb Sh\u00ebndet\u00ebsi dhe Kujdes (NIHR) Vler\u00ebsimi i Teknologjis\u00eb Sh\u00ebndet\u00ebsore (HTA) Ref. NIHR129783.<\/p>\n

Cili \u00ebsht\u00eb problemi?<\/h2>\n

Infeksionet respiratore, t\u00eb tilla si kolla, ftohja dhe gripi (influenca) jan\u00eb t\u00eb zakonshme n\u00eb t\u00eb gjitha grupmoshat. T\u00eb moshuarit q\u00eb jetojn\u00eb n\u00eb azile kujdesi jan\u00eb m\u00eb t\u00eb preksh\u00ebm sepse jan\u00eb t\u00eb dob\u00ebt, kan\u00eb probleme t\u00eb shumta sh\u00ebndet\u00ebsore dhe infeksionet mund t\u00eb p\u00ebrhapen leht\u00ebsisht brenda hap\u00ebsir\u00ebs s\u00eb p\u00ebrbashk\u00ebt t\u00eb jetes\u00ebs.<\/p>\n

P\u00ebr t\u00eb nj\u00ebjtat arsye, infeksionet te banor\u00ebt e sht\u00ebpive t\u00eb kujdesit jan\u00eb gjithashtu m\u00eb serioze, ku shum\u00eb prej tyre k\u00ebrkojn\u00eb kujdes nga mjeku i familjes dhe antibiotik\u00eb, duke kontribuar n\u00eb rezistenc\u00ebn ndaj antibiotik\u00ebve. T\u00eb tjer\u00eb kan\u00eb nevoj\u00eb p\u00ebr kujdes spitalor dhe shum\u00eb t\u00eb tjer\u00eb nuk sh\u00ebrohen.<\/p>\n

Infeksionet respiratore p\u00ebrhapen kryesisht kur njer\u00ebzit thithin ose g\u00eblltisin pikat e ajrit q\u00eb p\u00ebrmbajn\u00eb mikrobe. K\u00ebto prodhohen kur t\u00eb tjer\u00ebt kolliten, teshtijn\u00eb ose vjellin. Kjo \u00ebsht\u00eb rruga m\u00eb e v\u00ebshtir\u00eb e infeksionit p\u00ebr t'u kontrolluar.<\/p>\n

Sht\u00ebpit\u00eb e kujdesit duhet t\u00eb ndjekin 'Kodin e Praktik\u00ebs p\u00ebr Parandalimin dhe Kontrollin e Infeksioneve' t\u00eb NHS-s\u00eb, por ky p\u00ebrqendrohet kryesisht n\u00eb parandalimin e p\u00ebrhapjes s\u00eb infeksioneve nga duart e kontaminuara ose l\u00ebngjet trupore dhe indirekt me mikrobe n\u00eb mobilje ose pajisje mjek\u00ebsore.<\/p>\n

Aktualisht, n\u00eb Mbret\u00ebrin\u00eb e Bashkuar jetojn\u00eb 220,000 persona mbi 65 vje\u00e7 n\u00eb azile kujdesi. Ky num\u00ebr parashikohet t\u00eb dyfishohet deri n\u00eb vitin 2040, prandaj zvog\u00eblimi i p\u00ebrhapjes s\u00eb infeksioneve n\u00eb azilet e kujdesit \u00ebsht\u00eb nj\u00eb p\u00ebrpar\u00ebsi k\u00ebrkimore.<\/p>\n

Cili \u00ebsht\u00eb q\u00ebllimi i hulumtimit?<\/h2>\n

Filtrimi i ajrit duket nj\u00eb zgjidhje e qart\u00eb, pasi filtrat e ajrit t\u00eb grimcave me efikasitet t\u00eb lart\u00eb (HEPA) largojn\u00eb shpejt mikrobet nga ajri dhe tani ndodhen brenda disa nj\u00ebsive portative t\u00eb disponueshme p\u00ebr p\u00ebrdorim sht\u00ebpiak.<\/p>\n

P\u00ebr vite me radh\u00eb, filtrat HEPA jan\u00eb integruar n\u00eb sallat e operacionit t\u00eb spitaleve dhe n\u00eb repartet e transplantimit t\u00eb palc\u00ebs s\u00eb kockave p\u00ebr t\u00eb parandaluar infeksionet. Dhe trajtimi me rreze ultravjollc\u00eb ka treguar se zvog\u00eblon mikrobet n\u00eb aj\u00ebr dhe infeksionet n\u00eb repartet e spitaleve.<\/p>\n

Megjithat\u00eb, efektet e filtrimit t\u00eb ajrit nuk jan\u00eb testuar m\u00eb par\u00eb n\u00eb repartet standarde t\u00eb spitaleve ose n\u00eb azilet e kujdesit.<\/p>\n

Si do t\u00eb arrihet kjo?<\/h2>\n

Ne biseduam me banor\u00ebt, kujdestar\u00ebt dhe stafin n\u00eb tre azile kujdesi rreth aspekteve praktike t\u00eb vendosjes s\u00eb filtrave t\u00eb ajrit n\u00eb zonat e p\u00ebrbashk\u00ebta dhe dhomat e banor\u00ebve. Ata na than\u00eb se plakja dhe ruajtja e sh\u00ebndetit \u00ebsht\u00eb nj\u00eb p\u00ebrpar\u00ebsi, se studimi AFRI \u00ebsht\u00eb nj\u00eb "vendim i qart\u00eb" dhe se filtrat e ajrit do t\u00eb duhet t\u00eb instalohen me kujdes p\u00ebr t\u00eb minimizuar rrezikun e rr\u00ebzimeve.<\/p>\n

Stafit i p\u00eblqente q\u00eb filtrat e ajrit do t'u shtonin masave ekzistuese t\u00eb kontrollit t\u00eb infeksionit pa nd\u00ebrprer\u00eb "rrjedh\u00ebn e kujdesit". Nj\u00eb model (i prodhuar nga Philips) preferohej ndaj atij t\u00eb nj\u00eb prodhuesi tjet\u00ebr sepse ishte m\u00eb i fort\u00eb, kishte nj\u00eb modalitet qet\u00ebsie nat\u00ebn dhe nj\u00eb tregues t\u00eb duksh\u00ebm t\u00eb past\u00ebrtis\u00eb s\u00eb ajrit. Asnj\u00eb nga stafi nuk ishte n\u00eb dijeni t\u00eb banor\u00ebve q\u00eb p\u00ebrdornin tashm\u00eb filtra ajri.<\/p>\n

Pasi t\u00eb japim p\u00eblqimin e azileve t\u00eb kujdesit p\u00ebr t\u00eb instaluar filtra ajri n\u00eb zonat e p\u00ebrbashk\u00ebta p\u00ebr nj\u00eb dim\u00ebr (shtator deri n\u00eb prill), ne do t'i ftojm\u00eb banor\u00ebt t\u00eb japin p\u00eblqimin p\u00ebr vendosjen e filtrave t\u00eb ajrit n\u00eb dhomat e tyre dhe t\u00eb na tregojn\u00eb se sa infeksione p\u00ebrjetojn\u00eb.<\/p>\n

Do t\u2019i ndajm\u00eb sht\u00ebpit\u00eb e kujdesit n\u00eb dy grupe rast\u00ebsisht (n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb jen\u00eb sa m\u00eb t\u00eb ngjashme), ku nj\u00ebri grup do t\u00eb marr\u00eb filtrat e ajrit dhe tjetri do t\u00eb vazhdoj\u00eb me kujdesin e zakonsh\u00ebm. Ekipi i studimit do t\u00eb vizitoj\u00eb t\u00eb gjitha sht\u00ebpit\u00eb e kujdesit \u00e7do jav\u00eb p\u00ebr t\u00eb matur infeksionet (sepse stafi na tha se nuk do t\u00eb kishin koh\u00eb ta b\u00ebnin k\u00ebt\u00eb).<\/p>\n

P\u00ebrvoja jon\u00eb sugjeron se rreth 1 n\u00eb 3 sht\u00ebpi kujdesi dhe 1 n\u00eb 3 banor\u00eb do t\u00eb duan t\u00eb ndihmojn\u00eb. Komisioner\u00ebt e Bristolit jan\u00eb p\u00ebrgjegj\u00ebs p\u00ebr 186 sht\u00ebpi kujdesi dhe do t\u00eb mb\u00ebshtesin AFRI-n p\u00ebr k\u00ebto sht\u00ebpi.<\/p>\n

Ne kemi l\u00ebn\u00eb disa muaj koh\u00eb p\u00ebr t\u00eb folur me t\u00eb af\u00ebrmit dhe miqt\u00eb e banor\u00ebve q\u00eb nuk kan\u00eb kapacitet, p.sh. njer\u00ebz me demenc\u00eb, n\u00eb m\u00ebnyr\u00eb q\u00eb ata t\u00eb mund t\u00eb marrin pjes\u00eb. Plani yn\u00eb merr gjithashtu parasysh 40% t\u00eb banor\u00ebve q\u00eb pritet t\u00eb braktisin studimin p\u00ebr shkak t\u00eb largimit, s\u00ebmundjes ose vdekjes.<\/p>\n

Kush po e udh\u00ebheq hulumtimin?<\/h2>\n

Profesor Alastair D Hay<\/a>, Profesor i Kujdesit Par\u00ebsor<\/span>, Shkolla Mjek\u00ebsore e Bristolit.<\/p>\n

Informacione t\u00eb m\u00ebtejshme:<\/h2>\n

P\u00ebr m\u00eb shum\u00eb informacion ose p\u00ebr t'u p\u00ebrfshir\u00eb n\u00eb k\u00ebt\u00eb projekt, d\u00ebrgoni email bnssg.research@nhs.net<\/a>.<\/p>\n

Pik\u00ebpamjet e shprehura jan\u00eb ato t\u00eb autorit\/autor\u00ebve dhe jo domosdoshm\u00ebrisht ato t\u00eb NIHR ose t\u00eb Departamentit t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Kujdesit Social.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Section titled module-1 Air Filtration to reduce Respiratory Infections in older people\u2019s care homes: the AFRI cluster randomised controlled trial with nested internal pilot, qualitative and economic evaluations Funding National Institute for Health and Care Research (NIHR) Health Technology Assessment (HTA) Ref. NIHR129783. What is the problem? Respiratory infections, such as coughs, colds and \u2018flu […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34461","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34461","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=34461"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34461\/revisions"}],"predecessor-version":[{"id":36100,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34461\/revisions\/36100"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=34461"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=34461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}