{"id":12842,"date":"2022-11-23T09:17:27","date_gmt":"2022-11-23T09:17:27","guid":{"rendered":"https:\/\/nhs-icb.bisongrid.dev\/?p=12842"},"modified":"2022-11-23T09:17:27","modified_gmt":"2022-11-23T09:17:27","slug":"new-trial-to-assess-whether-rapid-tests-reduce-antibiotic-prescribing-for-respiratory-infections-in-primary-care","status":"publish","type":"post","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/news\/new-trial-to-assess-whether-rapid-tests-reduce-antibiotic-prescribing-for-respiratory-infections-in-primary-care\/","title":{"rendered":"A e zvog\u00eblojn\u00eb testet e shpejta p\u00ebrshkrimin e antibiotik\u00ebve n\u00eb kujdesin par\u00ebsor?"},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
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A e zvog\u00eblojn\u00eb testet e shpejta p\u00ebrshkrimin e antibiotik\u00ebve n\u00eb kujdesin par\u00ebsor?<\/h1>\n

23 n\u00ebntor 2022<\/p>\n

Studiuesit e mb\u00ebshtetur nga Bordi i Kujdesit t\u00eb Integruar do t\u00eb hetojn\u00eb n\u00ebse testet e shpejta mikrobiologjike 'n\u00eb pik\u00ebn e kujdesit' p\u00ebr infeksionet e frym\u00ebmarrjes mund t\u00eb zvog\u00eblojn\u00eb p\u00ebrshkrimin e antibiotik\u00ebve n\u00eb kujdesin par\u00ebsor, fal\u00eb financimit prej 1.6 milion \u00a3 nga Instituti Komb\u00ebtar p\u00ebr K\u00ebrkime Sh\u00ebndet\u00ebsore dhe t\u00eb Kujdesit (NIHR). Testet, t\u00eb cilat kryhen n\u00eb klinikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm n\u00eb vend q\u00eb t\u00eb d\u00ebrgohen n\u00eb laborator, zbulojn\u00eb pranin\u00eb e nj\u00eb virusi ose bakteri, me rezultate t\u00eb disponueshme n\u00eb t\u00eb nj\u00ebjt\u00ebn dit\u00eb. Testet, t\u00eb cilat kryhen n\u00eb klinikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm n\u00eb vend q\u00eb t\u00eb d\u00ebrgohen n\u00eb laborator, zbulojn\u00eb pranin\u00eb e viruseve dhe disa baktereve, me rezultate t\u00eb disponueshme n\u00eb t\u00eb nj\u00ebjt\u00ebn dit\u00eb.<\/p>\n

\u00c7do vit, miliona njer\u00ebz n\u00eb Mbret\u00ebrin\u00eb e Bashkuar k\u00ebrkojn\u00eb ndihm\u00eb p\u00ebr infeksione t\u00eb frym\u00ebmarrjes, t\u00eb tilla si kolla, ftohjet, infeksionet e kraharorit, dhimbjet e fytit dhe dhimbjet e veshit. Mesatarisht, mjek\u00ebt e p\u00ebrgjithsh\u00ebm dhe infermier\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 sepse shumica e infeksioneve t\u00eb frym\u00ebmarrjes shkaktohen nga viruset, p\u00ebrfshir\u00eb COVID-19, por antibiotik\u00ebt funksionojn\u00eb vet\u00ebm kund\u00ebr baktereve. Kjo po kontribuon pa nevoj\u00eb n\u00eb rezistenc\u00ebn antimikrobike (AMR), por meqen\u00ebse mjek\u00ebt nuk e din\u00eb gjithmon\u00eb se kush ka nevoj\u00eb p\u00ebr to, ato shpesh u jepen 'p\u00ebr \u00e7do rast'.<\/p>\n

Prodhuesit po zhvillojn\u00eb teste me tampon n\u00eb t\u00eb nj\u00ebjt\u00ebn dit\u00eb q\u00eb mund t\u00eb zbulojn\u00eb viruse t\u00eb shumta t\u00eb lidhura me infeksionet e frym\u00ebmarrjes n\u00eb vet\u00ebm 45 minuta - mjaftuesh\u00ebm shpejt q\u00eb mjek\u00ebt t\u00eb marrin vendime n\u00eb t\u00eb nj\u00ebjt\u00ebn dit\u00eb n\u00ebse do t\u00eb p\u00ebrshkruajn\u00eb antibiotik\u00eb. Nj\u00eb rishikim i qeveris\u00eb s\u00eb Mbret\u00ebris\u00eb s\u00eb Bashkuar i botuar n\u00eb vitin 2016 mb\u00ebshtet p\u00ebrdorimin e tyre, duke i par\u00eb ato si kritike p\u00ebr p\u00ebrmir\u00ebsimin e p\u00ebrdorimit t\u00eb antibiotik\u00ebve.<\/p>\n

RAPID-TEST \u00ebsht\u00eb nj\u00eb prov\u00eb klinike e madhe e kontrolluar dhe e rast\u00ebsishme, e udh\u00ebhequr nga Universiteti i Bristolit, e cila do t\u00eb hetoj\u00eb n\u00ebse testet n\u00eb pikat e kujdesit sh\u00ebndet\u00ebsor e zvog\u00eblojn\u00eb v\u00ebrtet p\u00ebrshkrimin e antibiotik\u00ebve n\u00eb praktik\u00ebn e p\u00ebrgjithshme dhe si. Projekti \u00ebsht\u00eb pjes\u00eb e nj\u00eb bashk\u00ebpunimi afatgjat\u00eb midis Universitetit t\u00eb Bristolit dhe Bordit t\u00eb Kujdesit t\u00eb Integruar t\u00eb NHS-s\u00eb t\u00eb Bristolit, North Somerset dhe South Gloucestershire.<\/p>\n

Profesor Alastair Hay<\/a>, nj\u00eb mjek i p\u00ebrgjithsh\u00ebm dhe hetues kryesor i studimit t\u00eb bazuar n\u00eb Qendra p\u00ebr Kujdesin Par\u00ebsor Akademik<\/a> dhe Qendra e Provave t\u00eb Bristolit<\/a> n\u00eb Universitetin e Bristolit, tha:<\/p>\n

\u201c"Industria po investon shum\u00eb para n\u00eb zhvillimin e k\u00ebtyre testeve dhe kostoja e mundshme n\u00eb t\u00eb ardhmen p\u00ebr NHS-n\u00eb \u00ebsht\u00eb e lart\u00eb. Prandaj, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme t\u00eb jemi t\u00eb sigurt se ato jan\u00eb nj\u00eb p\u00ebrdorim i mir\u00eb i fondeve t\u00eb pakta t\u00eb NHS-s\u00eb p\u00ebrpara se t\u00eb futen n\u00eb kujdesin rutin\u00eb. Nj\u00eb prov\u00eb klinike e kryer mir\u00eb, si RAPID-TEST, \u00ebsht\u00eb m\u00ebnyra m\u00eb e mir\u00eb p\u00ebr ta zbuluar k\u00ebt\u00eb.".<\/p>\n

\u201c"Edhe pse n\u00eb fillim mund t\u00eb duket e qart\u00eb se ato duhet t\u00eb p\u00ebrdoren, ka faktor\u00eb t\u00eb tjer\u00eb q\u00eb duhen marr\u00eb n\u00eb konsiderat\u00eb p\u00ebrve\u00e7 kostos. P\u00ebr shembull, kur zbulohet nj\u00eb virus, kjo nuk do t\u00eb thot\u00eb se ai po e shkakton infeksionin. Disa viruse mund t\u00eb jetojn\u00eb pa u d\u00ebmtuar n\u00eb hund\u00ebt dhe fytin ton\u00eb. Pra, infermier\u00ebt dhe mjek\u00ebt e p\u00ebrgjithsh\u00ebm duhet t\u00eb p\u00ebrdorin gjykimin e tyre n\u00ebse \u00ebsht\u00eb i pranish\u00ebm edhe nj\u00eb infeksion bakterial.".<\/p>\n

\u201cS\u00eb dyti, asnj\u00eb test nuk \u00ebsht\u00eb i sakt\u00eb si ai 100%. Mund t\u00eb thot\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 jepet k\u00ebshilla ose trajtim i gabuar. S\u00eb fundmi, vendimi p\u00ebr t\u00eb p\u00ebrshkruar antibiotik\u00eb mund t\u00eb ndikohet nga faktor\u00eb jasht\u00eb rezultateve t\u00eb testit, si\u00e7 jan\u00eb bashk\u00ebveprimi pacient-mjek dhe pritjet e pacient\u00ebve p\u00ebr antibiotik\u00ebt.\u2018.<\/p>\n

\u201c"Ne do t'i marrim n\u00eb konsiderat\u00eb t\u00eb gjith\u00eb k\u00ebta faktor\u00eb n\u00eb k\u00ebt\u00eb prov\u00eb dhe do t\u00eb shqyrtojm\u00eb gjithashtu n\u00ebse p\u00ebrdorimi i testeve t\u00eb shpejta n\u00eb pikat e kujdesit sh\u00ebndet\u00ebsor i ndihmon pacient\u00ebt t\u00eb ndihen m\u00eb mir\u00eb m\u00eb shpejt. N\u00ebse testet tregohen efektive n\u00eb uljen e p\u00ebrshkrimit t\u00eb antibiotik\u00ebve, ne do t\u00eb b\u00ebjm\u00eb k\u00ebrkime t\u00eb m\u00ebtejshme mbi efektivitetin e tyre t\u00eb kostos."\u201d<\/p><\/blockquote>\n

Lord Jim O'Neill, i cili kryesoi qeverin\u00eb e Mbret\u00ebris\u00eb s\u00eb Bashkuar, porositi AMR-n\u00eb rishikim<\/a> botuar n\u00eb maj 2016, tha:<\/p>\n

\u201cShum\u00eb njer\u00ebz do ta kujtojn\u00eb se rishikimi i AMR rekomandoi p\u00ebrdorimin e diagnostikimit t\u00eb shpejt\u00eb p\u00ebr t\u00eb zvog\u00ebluar p\u00ebrdorimin e panevojsh\u00ebm t\u00eb antibiotik\u00ebve, k\u00ebshtu q\u00eb jam i k\u00ebnaqur q\u00eb NIHR ka zgjedhur t\u00eb financoj\u00eb k\u00ebt\u00eb prov\u00eb t\u00eb r\u00ebnd\u00ebsishme klinike. Ne e dim\u00eb nga hulumtimet e m\u00ebparshme t\u00eb Profesor Hay se testet jan\u00eb t\u00eb njohura tek mjek\u00ebt e p\u00ebrgjithsh\u00ebm dhe infermier\u00ebt. Me k\u00ebt\u00eb prov\u00eb ekziston mund\u00ebsia p\u00ebr t\u00eb zbuluar se sa efektive mund t\u00eb jen\u00eb ato.\u201d<\/p><\/blockquote>\n

P\u00ebr m\u00eb shum\u00eb informacion rreth gjyqit, vizitoni faqja e internetit e studimit<\/a>. Lexoni deklarat\u00ebn e plot\u00eb nga Qendra p\u00ebr Kujdesin Par\u00ebsor Akademik e Universitetit t\u00eb Bristolit k\u00ebtu<\/a>.<\/p>\n

Klinikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm n\u00eb Anglin\u00eb Jugper\u00ebndimore q\u00eb d\u00ebshirojn\u00eb t\u00eb marrin pjes\u00eb duhet t\u00eb kontaktojn\u00eb ekipin e studimit n\u00eb adres\u00ebn rapidtest-study@bristol.ac.uk<\/a>.<\/p>\n

Kjo jav\u00eb \u00ebsht\u00eb Java Bot\u00ebrore e Nd\u00ebrgjegj\u00ebsimit p\u00ebr Antimikrobet<\/a> (18-24 n\u00ebntor).<\/p>\n <\/div>\r\n

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Ndani:<\/p>

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Studiuesit e mb\u00ebshtetur nga Bordi i Kujdesit t\u00eb Integruar do t\u00eb hetojn\u00eb n\u00ebse testet e shpejta mikrobiologjike 'n\u00eb pik\u00ebn e kujdesit' p\u00ebr infeksionet e frym\u00ebmarrjes mund t\u00eb zvog\u00eblojn\u00eb p\u00ebrshkrimin e antibiotik\u00ebve n\u00eb kujdesin par\u00ebsor.<\/p>","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[293],"tags":[],"class_list":["post-12842","post","type-post","status-publish","format-standard","hentry","category-research-and-evidence"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/posts\/12842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=12842"}],"version-history":[{"count":0,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/posts\/12842\/revisions"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=12842"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/categories?post=12842"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=12842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}