{"id":34498,"date":"2024-11-26T16:39:19","date_gmt":"2024-11-26T16:39:19","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34498"},"modified":"2025-01-16T21:51:35","modified_gmt":"2025-01-16T21:51:35","slug":"improving-primary-care-antibiotic-prescribing-to-reduce-antibiotic-resistant-urine-infections-the-ipap-uti-programme","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/improving-primary-care-antibiotic-prescribing-to-reduce-antibiotic-resistant-urine-infections-the-ipap-uti-programme\/","title":{"rendered":"P\u00ebrmir\u00ebsimi i p\u00ebrshkrimit t\u00eb antibiotik\u00ebve n\u00eb kujdesin par\u00ebsor p\u00ebr t\u00eb zvog\u00ebluar infeksionet urinare rezistente ndaj antibiotik\u00ebve: programi IPAP-UTI"},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
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P\u00ebrmir\u00ebsimi i p\u00ebrshkrimit t\u00eb antibiotik\u00ebve n\u00eb kujdesin par\u00ebsor p\u00ebr t\u00eb zvog\u00ebluar infeksionet urinare rezistente ndaj antibiotik\u00ebve: programi IPAP-UTI.<\/h1>\n
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<\/h2>\n

Financimi<\/h2>\n<\/article>\n

Instituti Komb\u00ebtar p\u00ebr K\u00ebrkime n\u00eb Sh\u00ebndet\u00ebsi dhe Kujdes (NIHR) Programi i Granteve p\u00ebr K\u00ebrkime t\u00eb Aplikuara (PGfAR) Ref. NIHR204400.<\/p>\n

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

AMR \u00ebsht\u00eb nj\u00eb k\u00ebrc\u00ebnim serioz p\u00ebr sh\u00ebndetin. N\u00ebse nuk b\u00ebjm\u00eb di\u00e7ka, bakteret do t\u00eb b\u00ebhen rezistente ndaj gjithnj\u00eb e m\u00eb shum\u00eb antibiotik\u00ebve derisa infeksionet t\u00eb b\u00ebhen t\u00eb patrajtueshme. Deri n\u00eb vitin 2050, disa shkenc\u00ebtar\u00eb parashikojn\u00eb se m\u00eb shum\u00eb njer\u00ebz do t\u00eb vdesin nga infeksionet AMR sesa nga kanceri.<\/p>\n

Infeksionet e traktit urinar jan\u00eb infeksionet bakteriale m\u00eb t\u00eb zakonshme q\u00eb trajtohen n\u00eb NHS, kryesisht duke p\u00ebrdorur antibiotik\u00eb t\u00eb p\u00ebrshkruar nga mjek\u00ebt e p\u00ebrgjithsh\u00ebm (GP) dhe infermier\u00ebt n\u00eb kujdesin par\u00ebsor.<\/p>\n

Deri n\u00eb 50% baktere q\u00eb shkaktojn\u00eb infeksione t\u00eb traktit urinar jan\u00eb rezistente ndaj t\u00eb pakt\u00ebn nj\u00eb antibiotiku, q\u00eb do t\u00eb thot\u00eb se antibiotiku nuk \u00ebsht\u00eb m\u00eb nj\u00eb trajtim efektiv. Kjo do t\u00eb thot\u00eb q\u00eb njer\u00ebzit mund t\u00eb preken nga infeksione m\u00eb t\u00eb gjata dhe m\u00eb t\u00eb r\u00ebnda dhe t\u00eb ken\u00eb nevoj\u00eb p\u00ebr m\u00eb shum\u00eb kura antibiotik\u00ebsh.<\/p>\n

Mjek\u00ebt e p\u00ebrgjithsh\u00ebm dhe infermier\u00ebt jan\u00eb inkurajuar t\u00eb p\u00ebrshkruajn\u00eb nitrofurantoin\u00eb n\u00eb vend t\u00eb trimetoprimit (t\u00eb dyja antibiotik\u00ebt e zgjedhur si zgjedhje e par\u00eb p\u00ebr infeksionet e traktit urinar). Disa studime sugjerojn\u00eb se kjo ka ulur shkall\u00ebn e reaktivitetit antibakterial t\u00eb trimetoprimit, por mund t\u00eb ket\u00eb \u00e7uar n\u00eb shkall\u00eb m\u00eb t\u00eb lart\u00eb t\u00eb reaktivitetit antibakterial p\u00ebr antibiotik\u00ebt e tjer\u00eb.<\/p>\n

K\u00ebto rezultate i b\u00ebjn\u00eb politik\u00ebb\u00ebr\u00ebsit t\u00eb b\u00ebjn\u00eb dy pyetje. S\u00eb pari: \u2018A jan\u00eb k\u00ebto rezultate t\u00eb besueshme?\u2019 dhe s\u00eb dyti: \u2018\u00c7far\u00eb duhet b\u00ebr\u00eb?\u2019<\/p>\n

Si p\u00ebrgjigje, t\u00eb dh\u00ebnat nuk jan\u00eb t\u00eb besueshme sepse metodat e p\u00ebrdorura n\u00ebnkuptojn\u00eb se mund t\u00eb ket\u00eb arsye t\u00eb tjera p\u00ebr ndryshimet dhe askush nuk e di se \u00e7far\u00eb t\u00eb b\u00ebj\u00eb m\u00eb pas. Ka ide, por nuk e dim\u00eb n\u00ebse p\u00ebrfitimet i tejkalojn\u00eb d\u00ebmet.<\/p>\n

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

Ne synojm\u00eb t\u00eb nd\u00ebrtojm\u00eb prova t\u00eb besueshme p\u00ebr t\u00eb ndihmuar mjek\u00ebt t\u00eb zgjedhin antibiotikun m\u00eb t\u00eb mir\u00eb p\u00ebr trajtimin e infeksioneve t\u00eb traktit urinar (UTI) n\u00eb kujdesin par\u00ebsor, p\u00ebr t\u00eb zvog\u00ebluar rezistenc\u00ebn ndaj antibiotik\u00ebve (antimikrobik\u00ebve) (AMR).<\/p>\n

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

Nj\u00eb studim i kontrolluar i rast\u00ebsish\u00ebm (RCT) \u00ebsht\u00eb e vetmja metod\u00eb e besueshme p\u00ebr t\u00eb hetuar efektivitetin e ila\u00e7eve. Ky program do t\u00eb p\u00ebrfshij\u00eb tre RCT q\u00eb do t\u00eb kryhen n\u00eb zona me probleme t\u00eb r\u00ebnda t\u00eb AMR-s\u00eb dhe grupet m\u00eb t\u00eb prekura. Do t\u00eb raportohet n\u00ebse raca, mosha ose situata financiare ndikojn\u00eb n\u00eb rezultate.<\/p>\n

Disa praktika t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm do t\u00eb inkurajohen t\u00eb p\u00ebrdorin nj\u00eb antibiotik alternativ (ose cik\u00ebl t\u00eb dy antibiotik\u00ebve) dhe t\u00eb tjerat do t\u00eb vazhdojn\u00eb me kujdesin e zakonsh\u00ebm. Ne do t\u00eb krahasojm\u00eb p\u00ebrdorimin e antibiotik\u00ebve dhe shkall\u00ebt e AMR-s\u00eb dhe presim q\u00eb \u00e7do ndryshim do t\u00eb jet\u00eb p\u00ebr shkak t\u00eb nd\u00ebrhyrjes.<\/p>\n

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

Profesor Alastair D Hay<\/a>, Profesor i Kujdesit Par\u00ebsor, Universiteti i 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 Improving primary care antibiotic prescribing to reduce antibiotic resistant urine infections: the IPAP-UTI programme. Funding National Institute for Health and Care Research (NIHR) Programme Grants for Applied Research (PGfAR) Ref. NIHR204400. What is the problem? AMR is a serious threat to health. Unless we do something, bacteria will become resistant to more […]<\/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-34498","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34498","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=34498"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34498\/revisions"}],"predecessor-version":[{"id":36160,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34498\/revisions\/36160"}],"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=34498"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=34498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}