{"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\/tr\/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":"Ya\u015fl\u0131 bak\u0131m evlerinde solunum yolu enfeksiyonlar\u0131n\u0131 azaltmak i\u00e7in hava filtrasyonu: AFRI k\u00fcme randomize kontroll\u00fc deneyi, i\u00e7 i\u00e7e ge\u00e7mi\u015f pilot \u00e7al\u0131\u015fma, nitel ve ekonomik de\u011ferlendirmeler."},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Ya\u015fl\u0131 bak\u0131m evlerinde solunum yolu enfeksiyonlar\u0131n\u0131 azaltmak i\u00e7in hava filtrasyonu: AFRI k\u00fcme randomize kontroll\u00fc deneyi, i\u00e7 i\u00e7e ge\u00e7mi\u015f pilot \u00e7al\u0131\u015fma, nitel ve ekonomik de\u011ferlendirmeler.<\/h1>\n
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Finansman<\/h2>\n<\/article>\n

Ulusal Sa\u011fl\u0131k ve Bak\u0131m Ara\u015ft\u0131rma Enstit\u00fcs\u00fc (NIHR) Sa\u011fl\u0131k Teknolojisi De\u011ferlendirmesi (HTA) Referans No: NIHR129783.<\/p>\n

Sorun nedir?<\/h2>\n

\u00d6ks\u00fcr\u00fck, nezle ve grip gibi solunum yolu enfeksiyonlar\u0131 her ya\u015f grubunda yayg\u0131nd\u0131r. Bak\u0131m evlerinde ya\u015fayan ya\u015fl\u0131lar, k\u0131r\u0131lgan yap\u0131lar\u0131, birden fazla sa\u011fl\u0131k sorunlar\u0131 ve ortak ya\u015fam alanlar\u0131nda enfeksiyonlar\u0131n kolayca yay\u0131labilmesi nedeniyle daha savunmas\u0131zd\u0131r.<\/p>\n

Ayn\u0131 nedenlerden dolay\u0131, huzurevi sakinlerinde g\u00f6r\u00fclen enfeksiyonlar da daha ciddidir; bir\u00e7o\u011fu aile hekimi bak\u0131m\u0131 ve antibiyotik tedavisi gerektirir ve bu da antibiyotik direncine katk\u0131da bulunur. Di\u011ferleri hastane bak\u0131m\u0131na ihtiya\u00e7 duyar ve bir\u00e7o\u011fu iyile\u015femez.<\/p>\n

Solunum yolu enfeksiyonlar\u0131 esas olarak insanlar\u0131n havada bulunan ve mikrop i\u00e7eren damlac\u0131klar\u0131 solumas\u0131 veya yutmas\u0131yla yay\u0131l\u0131r. Bu damlac\u0131klar ba\u015fkalar\u0131n\u0131n \u00f6ks\u00fcrmesi, hap\u015f\u0131rmas\u0131 veya kusmas\u0131 sonucu olu\u015fur. Bu, kontrol edilmesi en zor enfeksiyon yoludur.<\/p>\n

Bak\u0131mevlerinin NHS'nin 'Enfeksiyonlar\u0131n \u00d6nlenmesi ve Kontrol\u00fcne \u0130li\u015fkin Uygulama Kodu'na uymas\u0131 gerekmektedir, ancak bu kod esas olarak kirlenmi\u015f eller veya v\u00fccut s\u0131v\u0131lar\u0131 yoluyla ve dolayl\u0131 olarak mobilyalardaki veya t\u0131bbi ekipmanlardaki mikroplarla yay\u0131lan enfeksiyonlar\u0131n \u00f6nlenmesine odaklanmaktad\u0131r.<\/p>\n

\u015eu anda \u0130ngiltere'de 65 ya\u015f \u00fcst\u00fc 220.000 ki\u015fi bak\u0131m evlerinde ya\u015f\u0131yor. Bu say\u0131n\u0131n 2040 y\u0131l\u0131na kadar iki kat\u0131na \u00e7\u0131kaca\u011f\u0131 tahmin ediliyor; bu nedenle bak\u0131m evlerinde enfeksiyonlar\u0131n yay\u0131lmas\u0131n\u0131 azaltmak \u00f6ncelikli bir ara\u015ft\u0131rma konusudur.<\/p>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/h2>\n

Hava filtreleme, y\u00fcksek verimli partik\u00fcl hava (HEPA) filtrelerinin havadaki mikroplar\u0131 h\u0131zla uzakla\u015ft\u0131rmas\u0131 ve art\u0131k ev kullan\u0131m\u0131na y\u00f6nelik baz\u0131 ta\u015f\u0131nabilir \u00fcnitelerin i\u00e7inde bulunmas\u0131 nedeniyle a\u00e7\u0131k bir \u00e7\u00f6z\u00fcm gibi g\u00f6r\u00fcn\u00fcyor.<\/p>\n

Y\u0131llard\u0131r, enfeksiyonlar\u0131 \u00f6nlemek i\u00e7in hastane ameliyathanelerine ve kemik ili\u011fi nakli servislerine HEPA filtreleri yerle\u015ftiriliyor. Ayr\u0131ca ultraviyole \u0131\u015f\u0131nlar\u0131yla yap\u0131lan i\u015flemlerin havadaki mikroplar\u0131 ve hastane servislerindeki enfeksiyonlar\u0131 azaltt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir.<\/p>\n

Ancak, hava filtrelemenin etkileri daha \u00f6nce standart hastane ko\u011fu\u015flar\u0131nda veya bak\u0131m evlerinde test edilmemi\u015ftir.<\/p>\n

Bu nas\u0131l ba\u015far\u0131lacak?<\/h2>\n

\u00dc\u00e7 huzurevindeki sakinler, bak\u0131c\u0131lar ve personelle ortak alanlara ve sakinlerin odalar\u0131na hava filtreleri yerle\u015ftirmenin pratik y\u00f6nleri hakk\u0131nda konu\u015ftuk. Ya\u015flanman\u0131n ve sa\u011fl\u0131kl\u0131 kalman\u0131n \u00f6ncelik oldu\u011funu, AFRI \u00e7al\u0131\u015fmas\u0131n\u0131n 'tart\u0131\u015fmas\u0131z' oldu\u011funu ve d\u00fc\u015fme riskini en aza indirmek i\u00e7in hava filtrelerinin dikkatlice monte edilmesi gerekti\u011fini s\u00f6ylediler.<\/p>\n

Personel, hava filtrelerinin "bak\u0131m ak\u0131\u015f\u0131n\u0131" aksatmadan mevcut enfeksiyon kontrol \u00f6nlemlerine katk\u0131da bulunacak olmas\u0131ndan memnundu. Bir model (Philips taraf\u0131ndan \u00fcretilen), daha sa\u011flam olmas\u0131, gece sessiz modu bulunmas\u0131 ve hava temizli\u011finin g\u00f6r\u00fcn\u00fcr bir g\u00f6stergesine sahip olmas\u0131 nedeniyle di\u011fer bir \u00fcreticinin modeline tercih edildi. Personelin hi\u00e7biri, sakinlerin zaten hava filtreleri kulland\u0131\u011f\u0131ndan haberdar de\u011fildi.<\/p>\n

Bak\u0131m evlerinin ortak alanlara bir k\u0131\u015f boyunca (Eyl\u00fcl-Nisan) hava filtresi takmalar\u0131na onay verdikten sonra, sakinlerden odalar\u0131na da hava filtresi tak\u0131lmas\u0131na onay vermelerini ve ka\u00e7 enfeksiyon ge\u00e7irdiklerini bize bildirmelerini isteyece\u011fiz.<\/p>\n

Bak\u0131mevlerini rastgele iki gruba ay\u0131raca\u011f\u0131z (b\u00f6ylece m\u00fcmk\u00fcn oldu\u011funca benzer olacaklar), bir gruba hava filtreleri tak\u0131lacak, di\u011fer grup ise normal bak\u0131ma devam edecek. \u00c7al\u0131\u015fma ekibi, enfeksiyonlar\u0131 \u00f6l\u00e7mek i\u00e7in haftal\u0131k olarak t\u00fcm bak\u0131mevlerini ziyaret edecek (\u00e7\u00fcnk\u00fc personel bunun i\u00e7in zamanlar\u0131n\u0131n olmad\u0131\u011f\u0131n\u0131 s\u00f6yledi).<\/p>\n

Deneyimlerimiz, bak\u0131m evlerinin yakla\u015f\u0131k \u00fc\u00e7te birinin ve sakinlerin \u00fc\u00e7te birinin yard\u0131m etmek isteyece\u011fini g\u00f6steriyor. Bristol Komisyonu 186 bak\u0131m evinden sorumludur ve AFRI'yi bu evlere tavsiye edecektir.<\/p>\n

\u00c7al\u0131\u015fmaya kat\u0131labilmeleri i\u00e7in, \u00f6rne\u011fin demans hastas\u0131 olan ve karar verme yetene\u011fi bulunmayan sakinlerin akrabalar\u0131 ve arkada\u015flar\u0131yla g\u00f6r\u00fc\u015fmek \u00fczere birka\u00e7 ay s\u00fcre tan\u0131d\u0131k. Tasar\u0131m\u0131m\u0131z ayr\u0131ca, ta\u015f\u0131nma, hastal\u0131k veya \u00f6l\u00fcm nedeniyle \u00e7al\u0131\u015fmadan ayr\u0131lmas\u0131 beklenen sakinlerin 40% oran\u0131n\u0131 da dikkate almaktad\u0131r.<\/p>\n

Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/h2>\n

Profes\u00f6r Alastair D Hay<\/a>, Birinci Basamak Sa\u011fl\u0131k Hizmetleri Profes\u00f6r\u00fc<\/span>,Bristol T\u0131p Fak\u00fcltesi.<\/p>\n

Daha fazla bilgi:<\/h2>\n

Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen e-posta g\u00f6nderin. bnssg.research@nhs.net<\/a>.<\/p>\n

Burada ifade edilen g\u00f6r\u00fc\u015fler yazar(lar)a aittir ve NIHR veya Sa\u011fl\u0131k ve Sosyal Bak\u0131m Bakanl\u0131\u011f\u0131'n\u0131n g\u00f6r\u00fc\u015flerini yans\u0131tmayabilir.<\/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\/tr\/wp-json\/wp\/v2\/pages\/34461","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=34461"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34461\/revisions"}],"predecessor-version":[{"id":36100,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34461\/revisions\/36100"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34461"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}