Aan de slag in de praktijk
Gebruik nascholing
Om de nascholing te volgen dient u in te loggen met uw naam en geboortedatum. Uw BIG-nummer wordt dan automatisch opgehaald. Indien dit niet lukt, vul dan het nummer handmatig in. U kunt deze nascholing op verschillende manieren gebruiken in uw praktijkvoering:
- als achtergrondinformatie op het gebied van luchtweginfecties
- ter verdieping van de NHG Standaard Acuut Hoesten (2011) (publicatie H&W nr 2 2011, link volgt)
- als voorbereiding wanneer u gaat werken met de CRP sneltest
- wanneer u meer handvatten wilt op het gebied van communicatieve vaardigheden bij patiënten met infecties
- als element in een FTO bijeenkomst
- als aanvulling op de FTO module ‘antibioticagebruik bij luchtweginfecties’ (link)
- als element in een kwaliteitsverbeterproject
- als onderdeel van een AIOS terugkomdag
Het NHG zal in het najaar van 2011 een Programma voor Individuele Nascholing (PIN) aanbieden. De PIN geeft aanvullend op deze online nascholing een verdieping op de inhoud van de gehele NHG-standaard, inclusief acuut hoestende kinderen. De PIN gaat ook in op specifieke infecties, zoals kinkhoest, Q-koorts, RSV en pseudokroep.
CRP sneltestapparatuur
Deze nascholing is onafhankelijk tot stand gekomen met subsidie van ZonMW. We geven in de module geen aanbevelingen over specifieke apparatuur. Onderstaand vindt u wel een overzicht van de in Nederland beschikbare CRP sneltestapparaten. Deze apparaten zijn bewezen robuust, valide en betrouwbaar bij gebruik in de huisartsenpraktijk, zij het in verschillende mate. Van andere CRP sneltestapparatuur en losse CRP sneltesten kan validiteit en betrouwbaarheid niet gegarandeerd worden. De uitvoering en prijzen variëren sterk per apparaat. Naast de CRP sneltest kunnen op alle apparaten tevens andere bepalingen gedaan worden. Via de links kunt u meer informatie vinden.
NycoCard II Reader CRP sneltest
Afinion CRP sneltest
Fabrikant: Axis-Shield, Noorwegen
Importeur: Alere (http://www.alere.com/nl/nl/product-details/afinion-crp.html)
QuikRead CRP sneltest
QuikRead Go CRP sneltest
Fabrikant: Orion Diagnostica, Finland
Importeur: Mediphos (http://www.mediphos.com/quikread/index.php/crp)
Eurolyser Smart CRP sneltest
Fabrikant: Eurolyser, Oostenrijk
Importeur: Zkope Healthcare (http://www.zkopehealthcare.nl)
Bovenstaande apparaten zijn onder andere getest in deze valideringsstudies:
Minnaard et al. Analytical performance, agreement and user-friendliness of five C-reactive protein point-of-care tests. Scandinavian Journal of Clinical & Laboratory Investigation 2013;73(8):627-34 (http://www.ncbi.nlm.nih.gov/pubmed/24125120)
Brouwer et al. Validation and evaluation of eight commercially available point of care CRP methods. Clinica Chimica Acta 2015(439);195-201 (http://www.sciencedirect.com/science/article/pii/S0009898114004598)
Handouts
Klik hier voor een printbaar PDF kaartje met de CRP waardes en bijbehorende interpretatie. U kunt deze als bureaureminder gebruiken.
Meer handout materiaal volgt.
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