{"id":34533,"date":"2024-11-26T16:44:33","date_gmt":"2024-11-26T16:44:33","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34533"},"modified":"2025-01-16T22:29:49","modified_gmt":"2025-01-16T22:29:49","slug":"rapid-respiratory-microbiological-point-of-care-testing-in-primary-care-a-randomised-controlled-trial-with-internal-pilot-and-qualitative-and-quantitative-investigation-of-microbial-behavioural-and","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/rapid-respiratory-microbiological-point-of-care-testing-in-primary-care-a-randomised-controlled-trial-with-internal-pilot-and-qualitative-and-quantitative-investigation-of-microbial-behavioural-and\/","title":{"rendered":"Testimi i shpejt\u00eb mikrobiologjik i frym\u00ebmarrjes n\u00eb kujdesin par\u00ebsor: nj\u00eb prov\u00eb e kontrolluar e rast\u00ebsishme me pilot t\u00eb brendsh\u00ebm dhe hetim cil\u00ebsor dhe sasior t\u00eb mekanizmave mikrobik\u00eb, sjelljeje dhe antibiotik\u00ebsh (RCT RAPID-TEST)"},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
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Testimi i shpejt\u00eb mikrobiologjik i frym\u00ebmarrjes n\u00eb kujdesin par\u00ebsor: nj\u00eb prov\u00eb e kontrolluar e rast\u00ebsishme me pilot t\u00eb brendsh\u00ebm dhe hetim cil\u00ebsor dhe sasior t\u00eb mekanizmave mikrobik\u00eb, sjelljeje dhe antibiotik\u00ebsh (RCT RAPID-TEST)<\/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) Programi i Vler\u00ebsimit t\u00eb Efikasitetit dhe Mekanizmit t\u00eb Udh\u00ebhequr nga Hulumtuesit (EME) Ref. NIHR131758.<\/p>\n

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

\u00c7do vit, miliona njer\u00ebz k\u00ebrkojn\u00eb ndihm\u00eb p\u00ebr koll\u00ebn, ftohjet, infeksionet e kraharorit, dhimbjet e fytit dhe dhimbjet e veshit ('infeksione t\u00eb frym\u00ebmarrjes'). Mesatarisht, mjek\u00ebt e p\u00ebrgjithsh\u00ebm dhe infermier\u00ebt ('klinicist\u00ebt') u japin antibiotik\u00eb gjysm\u00ebs s\u00eb k\u00ebtyre pacient\u00ebve. Kjo \u00ebsht\u00eb m\u00eb shum\u00eb sesa \u00ebsht\u00eb e nevojshme dhe \u00e7on n\u00eb rezistenc\u00eb ndaj antibiotik\u00ebve, por ata nuk e din\u00eb gjithmon\u00eb se kujt i duhen, k\u00ebshtu q\u00eb shpesh i japin 'p\u00ebr \u00e7do rast'.<\/p>\n

Ne e dim\u00eb q\u00eb shumica e infeksioneve t\u00eb frym\u00ebmarrjes shkaktohen nga viruset dhe se antibiotik\u00ebt funksionojn\u00eb vet\u00ebm kund\u00ebr baktereve. N\u00ebse mjek\u00ebt do t\u00eb dinin se cilat jan\u00eb cilat, ata do t\u00eb mund t'i targetonin m\u00eb mir\u00eb antibiotik\u00ebt.<\/p>\n

Klinicist\u00ebt mund t\u00eb d\u00ebrgojn\u00eb tampona n\u00eb spitale, por testimi laboratorik zgjat 3 dit\u00eb, koh\u00eb n\u00eb t\u00eb cil\u00ebn shumica e pacient\u00ebve po p\u00ebrmir\u00ebsohen dhe \u00ebsht\u00eb e qart\u00eb se antibiotik\u00ebt nuk jan\u00eb t\u00eb nevojsh\u00ebm.<\/p>\n

Qeveria e Mbret\u00ebris\u00eb s\u00eb Bashkuar mendon se marrja e rezultateve t\u00eb tamponeve m\u00eb shpejt \u00ebsht\u00eb thelb\u00ebsore p\u00ebr p\u00ebrmir\u00ebsimin e p\u00ebrdorimit t\u00eb antibiotik\u00ebve. Prodhuesit po zhvillojn\u00eb 'teste n\u00eb pik\u00ebn e kujdesit' (POCT) q\u00eb mund t\u00eb zbulojn\u00eb viruse t\u00eb shumta n\u00eb tampon n\u00eb 45 minuta - mjaftuesh\u00ebm shpejt p\u00ebr t\u00eb marr\u00eb vendime n\u00eb t\u00eb nj\u00ebjt\u00ebn dit\u00eb.<\/p>\n

Mund t\u00eb duket e qart\u00eb se POCT-t\u00eb duhet t\u00eb p\u00ebrdoren p\u00ebr kat\u00ebr arsye. S\u00eb pari, teknologjia po zhvillohet dhe \u00e7mimi i makinave dhe testeve \u00ebsht\u00eb i lart\u00eb, p\u00ebrkat\u00ebsisht 40,000 dhe 100 paund p\u00ebr nj\u00eb sistem, plus koha e NHS-s\u00eb p\u00ebr t'i v\u00ebn\u00eb n\u00eb pun\u00eb dhe p\u00ebr t'i interpretuar ato.<\/p>\n

S\u00eb dyti, makinat aktuale testojn\u00eb kryesisht p\u00ebr viruse, si ato q\u00eb shkaktojn\u00eb ftohjet e zakonshme, gripin dhe COVID-in. Por kur zbulohet nj\u00eb virus, kjo nuk do t\u00eb thot\u00eb se po e shkakton infeksionin, sepse viruset mund t\u00eb jetojn\u00eb pa u d\u00ebmtuar n\u00eb hund\u00ebt dhe fytin ton\u00eb. Pra, mjeku duhet t\u00eb p\u00ebrdor\u00eb gjykimin e tij n\u00ebse \u00ebsht\u00eb i pranish\u00ebm nj\u00eb infeksion bakterial.<\/p>\n

S\u00eb treti, asnj\u00eb test nuk \u00ebsht\u00eb i sakt\u00eb si 100%. Mund t\u00eb tregoj\u00eb 'pa virus' kur \u00ebsht\u00eb i pranish\u00ebm nj\u00eb virus i r\u00ebnd\u00ebsish\u00ebm. Kjo do t\u00eb thot\u00eb q\u00eb pacient\u00ebve mund t'u jepen k\u00ebshilla ose trajtime t\u00eb d\u00ebmshme.<\/p>\n

S\u00eb fundmi, ne e dim\u00eb q\u00eb vendimi i mjekut p\u00ebr t\u00eb p\u00ebrshkruar dhe vendimi i pacientit p\u00ebr t\u00eb marr\u00eb nj\u00eb antibiotik ndikohen nga bashk\u00ebveprimi pacient-mjek dhe pritjet e pacientit p\u00ebr antibiotik\u00ebt. Pra, t\u00eb dish se si funksionon nj\u00eb POCT nuk \u00ebsht\u00eb aq e thjesht\u00eb sa 'prania e virusit = antibiotiku nuk \u00ebsht\u00eb i nevojsh\u00ebm'.<\/p>\n

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

\u00c7mimet e POCT do t\u00eb bien, por ne prap\u00ebseprap\u00eb do t\u00eb duhet t\u00eb dim\u00eb n\u00ebse shpenzimi i burimeve t\u00eb NHS p\u00ebr to \u00ebsht\u00eb i arsyesh\u00ebm.<\/p>\n

N\u00ebse POCT-t\u00eb do t\u00eb p\u00ebrmir\u00ebsonin m\u00ebnyr\u00ebn se si ndihen pacient\u00ebt dhe do t\u00eb zvog\u00eblonin p\u00ebrshkrimin e antibiotik\u00ebve me nj\u00eb \u00e7mim t\u00eb arsyesh\u00ebm n\u00eb kujdesin rutin\u00eb, do t\u00eb thoshim se ato ishin 'kosto-efektive'.<\/p>\n

Megjithat\u00eb, nuk ka kuptim t\u00eb kontrollohet efektiviteti i kostos n\u00ebse POCT nuk e zvog\u00eblojn\u00eb p\u00ebrshkrimin e antibiotik\u00ebve ose nuk i ndihmojn\u00eb pacient\u00ebt t\u00eb ndihen m\u00eb mir\u00eb. Nuk \u00ebsht\u00eb b\u00ebr\u00eb asnj\u00eb studim i till\u00eb. Deri m\u00eb sot, dy studime t\u00eb vogla kan\u00eb treguar se mjek\u00ebt i p\u00eblqejn\u00eb dhe do t'i p\u00ebrdorin POCT-t\u00eb.<\/p>\n

Ne b\u00ebm\u00eb nj\u00eb nga k\u00ebto, dhe rezultatet na ndihmuan t\u00eb hartojm\u00eb studimin e tanish\u00ebm, i cili synon t\u00eb shoh\u00eb n\u00ebse POCT-t\u00eb mund t\u00eb zvog\u00eblojn\u00eb p\u00ebrshkrimin e antibiotik\u00ebve dhe, n\u00ebse po, si. Do t\u00eb shihet gjithashtu n\u00ebse POCT-t\u00eb i ndihmojn\u00eb pacient\u00ebt t\u00eb ndihen m\u00eb mir\u00eb m\u00eb shpejt. N\u00ebse marrim p\u00ebrgjigje pozitive p\u00ebr k\u00ebto pyetje, nj\u00eb studim i ardhsh\u00ebm do t\u00eb kontrolloj\u00eb kosto-efektivitetin.<\/p>\n

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

Do t\u00eb ftojm\u00eb njer\u00ebz me infeksione t\u00eb frym\u00ebmarrjes q\u00eb k\u00ebrkojn\u00eb ndihm\u00eb nga mjeku i tyre i familjes. Do t'i ndajm\u00eb n\u00eb dy grupe rast\u00ebsisht (n\u00eb m\u00ebnyr\u00eb q\u00eb t\u00eb jen\u00eb t\u00eb ngjash\u00ebm), ku mjek\u00ebt e nj\u00ebrit grup do t\u00eb marrin rezultatet e POCT dhe grupi tjet\u00ebr do t\u00eb vazhdoj\u00eb me kujdesin e zakonsh\u00ebm. Mjek\u00ebt do t\u00eb p\u00ebrshkruajn\u00eb antibiotik\u00eb sipas gjykimit t\u00eb tyre dhe pjes\u00ebmarr\u00ebsit do t\u00eb ndiqen nga mjeku p\u00ebr t\u00eb par\u00eb se sa zgjasin simptomat.<\/p>\n

Grupi yn\u00eb k\u00ebshillues i PPI tha se ofrimi i antibiotik\u00ebve p\u00ebr njer\u00ebzit q\u00eb kan\u00eb m\u00eb shum\u00eb nevoj\u00eb p\u00ebr to \u00ebsht\u00eb i r\u00ebnd\u00ebsish\u00ebm dhe ofroi konsiderata praktike p\u00ebr rekrutimin dhe ndjekjen gjat\u00eb COVID-it. Nj\u00eb an\u00ebtar \u00ebsht\u00eb bashkuar si bashk\u00eb-aplikant dhe ka qen\u00eb thelb\u00ebsor n\u00eb hartimin dhe hartimin e k\u00ebtij aplikimi.<\/p>\n

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

Profesor Alastair D Hay<\/a>,\u00a0Profesor 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 Rapid respiratory microbiological point-of-care-testing in primary care: a randomised controlled trial with internal pilot and qualitative and quantitative investigation of microbial, behavioural and antibiotic mechanisms (the RAPID-TEST RCT) Funding National Institute for Health and Care Research (NIHR) Researcher Led Efficacy and Mechanism Evaluation Programme (EME) Ref. NIHR131758. What is the problem? Every […]<\/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-34533","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34533","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=34533"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34533\/revisions"}],"predecessor-version":[{"id":36173,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34533\/revisions\/36173"}],"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=34533"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=34533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}