{"id":95614,"date":"2021-12-03T20:20:56","date_gmt":"2021-12-03T19:20:56","guid":{"rendered":"https:\/\/radioljubuski.ba\/?p=95614"},"modified":"2021-12-03T20:22:26","modified_gmt":"2021-12-03T19:22:26","slug":"95614","status":"publish","type":"post","link":"https:\/\/radioljubuski.ba\/index.php\/2021\/12\/03\/95614\/","title":{"rendered":"Koliko su pouzdani brzi antigenski testovi?"},"content":{"rendered":"\n

Kada je provjeravana pouzdanost brzih antigenskih testova, svaki peti je bio negativan, \u010dak i uz veliku koncentraciju virusa. No proizvo\u0111a\u010di smiju sami certificirati svoje testove i pu\u0161tati ih na tr\u017ei\u0161te bez provjere, pi\u0161e DW<\/a>.<\/p>\n\n\n\n

U globalnoj borbi protiv koronavirusa brzi antigenski testovi sada imaju glavnu ulogu, ne samo za one koji nisu cijepljeni, ve\u0107 i sve vi\u0161e za one koji su cijepljeni. Testiranje \u0107e se sve vi\u0161e provoditi na poslu, u javnom prostoru i u privatnom okru\u017eenju – ako bude vrijedilo pravilo 2GPlus, to zna\u010di da \u0107e oni koji su cijepljeni i oni koji su preboljeli covid tako\u0111er morati pokazati negativan test.<\/p>\n\n\n\n

Mnogi vjeruju u brze testove koji su odobreni za privatnu upotrebu od po\u010detka 2021., jer oni poma\u017eu u otkrivanju zaraze u ranoj fazi i prekidaju lanac \u0161irenja. Mnogi radije naprave test prije nego \u0161to posjete svoje najmilije u stara\u010dkim domovima, prije nego se sastanu na manjim privatnim proslavama ili sada – pred bo\u017ei\u0107ne obiteljske proslave i posjete.<\/p>\n\n\n\n

Me\u0111utim, tako dobiveni osje\u0107aj sigurnosti mogao bi se pokazati varljivim. Znanstvenici Instituta Paul Ehrlich, Instituta Robert Koch i berlinskog Charit\u00e9a bacili su pogled na ve\u0107i broj dostupnih brzih antigenskih testova i oko 20 posto ih je palo na ispitu jer nisu pokazali pozitivan rezultat \u010dak ni kod osoba s visokom koncentracijom virusa.<\/p>\n\n\n\n

Osjetljivost na virus od 75 posto<\/strong><\/p>\n\n\n\n

Prema objavljenoj \u201epreprint-studiji”, 26 od 122 pregledana brza antigenska testa nije zadovoljilo ni minimalne zahtjeve za testiranje, a to je osjetljivost na prisustvo virusa od 75 posto. To zna\u010di da brzi antigenski testovi moraju djelovati u najmanje 75 posto slu\u010dajeva ako uzorak sadr\u017ei definiranu koli\u010dinu virusa. \u201eCt”-vrijednost odre\u0111uje koliko je velika koli\u010dina virusa. Ova \u201eCt”-vrijednost zapravo pokazuje koliko \u010desto se uzorak mora reproducirati u laboratoriju, dok se u njemu ne otkrije genom SARS-CoV-2. \u0160to je ni\u017ea vrijednost, to je ve\u0107e optere\u0107enje virusom. Ako je vrijednost Ct 25 ili ni\u017ea, onda je optere\u0107enje virusom jako visoko, drugim rije\u010dima: osoba je jako zarazna. Ako je vrijednost izme\u0111u 25 i 30, virusno optere\u0107enje je visoko, a ako je izme\u0111u 30 i 36, virusno optere\u0107enje je umjereno.<\/p>\n\n\n\n

Ako je optere\u0107enje virusom odnosno njegova koncentracija bila jako velika, onda je oko 80 posto brzih testova bilo u\u010dinkovito. A u 60 posto testova \u010dak su otkriveni veoma zarazni uzorci. Ali svaki peti test nije bio uspje\u0161an.<\/p>\n\n\n\n

Za\u0161to su PCR testovi pouzdaniji?<\/p>\n\n\n\n

Bilo da se radi o brzom antigenskom ili o PCR testu \u2013 kod obje metode prikupljaju se sekreti iz di\u0161nih puteva, primjerice putem brisa iz nosa i\/ili grla.<\/p>\n\n\n\n

Brzi testovi tra\u017ee antigene u tim sekretima, tj. odre\u0111ene proteine \u200b\u200bu ovojnici virusa. Me\u0111utim, ako uzorak sadr\u017ei samo malu koli\u010dinu virusa, primjerice zato \u0161to je osoba tek na samom po\u010detku ili na kraju infekcije ili zato \u0161to je uzimala puno teku\u0107ine prije testiranja, onda brzi testovi nisu ba\u0161 pouzdani. Ako je brzi test pozitivan, odmah bi trebao uslijediti znatno pouzdaniji PCR test.<\/p>\n\n\n\n

Kod PCR testa se u laboratoriju polimeraznom lan\u010danom reakcijom tra\u017ei genetski materijal virusa SARS CoV-2, a \u010dak su i male koli\u010dine virusa dovoljne za pozitivan rezultat testa.<\/p>\n\n\n\n

Zar nitko ne provjerava pouzdanost brzih testova?<\/p>\n\n\n\n

Odgovor bi mogao predstavljati iznena\u0111enje: proizvo\u0111a\u010dima je jo\u0161 uvijek dopu\u0161teno da svoje brze antigenske testove puste na tr\u017ei\u0161te bez ispitivanja kvalitete i da sami izdaju potrebnu CE izjavu o uskla\u0111enosti s tra\u017eenim kriterijima. Ova CE izjava navodi da proizvod zadovoljava temeljne zahtjeve sigurnosti i u\u010dinkovitosti.<\/p>\n\n\n\n

Na internetskoj stranici za to odgovornog Instituta Paul Ehrlich pi\u0161e: Prema aktualnoj EU-direktivi za \u201eIn vitro dijagnostiku” (IVD), kojom se trenutno regulira tr\u017ei\u0161no odobrenje za IVD u Europi, proizvo\u0111a\u010di smiju sami certificirati testove na COVID-19 kao vid “niskorizi\u010dne in vitro dijagnostike” i \u201eodustati od kontrole testova koju bi provela neovisna ustanova prije nego \u0161to se brzi testovi iznesu na tr\u017ei\u0161te”.<\/p>\n\n\n\n

Proizvo\u0111a\u010di zato uvijek potvr\u0111uju da njihovi brzi testovi pouzdano identificiraju antigene. To je neodr\u017eivo stanje, koje \u0107e se promijeniti tek od svibnja 2022., pi\u0161e Institut Paul Ehrlich: “Tada, prema IVD-propisu, referentni laboratorij EU-a i prijavljeno tijelo moraju biti pozvani na certifikaciju i provjeru antigenih testova, budu\u0107i da testovi na COVID-19 predstavljaju najve\u0107i stupanj rizika. U budu\u0107nosti \u0107e se zahtijevati laboratorijska ispitivanja ovih testova i kontrola podataka od strane neovisnih institucija.”<\/p>\n\n\n\n

Dakle, od svibnja 2022. svi brzi testovi na koronu moraju pro\u0107i vanjsku kontrolu kvalitete, na primjer od strane T\u00dcV-a.<\/p>\n\n\n\n

Treba li zato odustati od brzih testova?<\/p>\n\n\n\n

Ne! Brzi antigenski testovi ostaju korisni i poma\u017eu u suzbijanju pandemije, jer \u010desto vrlo brzo otkrivaju zarazu i tako prekidaju lance infekcije u ranoj fazi. Pogotovo kada netko ima veliku koli\u010dinu virusa, tj. kada je jako zarazan.<\/p>\n\n\n\n

Ali, \u010dak i uz negativan rezultat testa jo\u0161 uvijek mo\u017eete biti zara\u017eeni i zaraziti druge. Zapravo ste zarazni dva dana prije pojave prvih simptoma. A tada ili kod zaraze bez simptoma, dogodi se da brzi testovi ne daju pravi rezultat. Zato se ne bi trebalo previ\u0161e oslanjati na njih niti uljuljkivati u varljivu sigurnost.<\/p>\n\n\n\n

Autor: Deutsche Welle<\/p>\n","protected":false},"excerpt":{"rendered":"

Kada je provjeravana pouzdanost brzih antigenskih testova, svaki peti je bio negativan, \u010dak i uz veliku koncentraciju virusa. No proizvo\u0111a\u010di smiju sami certificirati svoje testove i pu\u0161tati ih na tr\u017ei\u0161te bez provjere, pi\u0161e DW. U globalnoj borbi protiv koronavirusa brzi antigenski testovi sada imaju glavnu ulogu, ne samo za one koji nisu cijepljeni, ve\u0107 i sve […]<\/p>\n","protected":false},"author":2,"featured_media":10405,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"h5ap_radio_sources":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-95614","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bihiregija"],"yoast_head":"\nKoliko su pouzdani brzi antigenski testovi? - RADIO LJUBU\u0160KI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/radioljubuski.ba\/index.php\/2021\/12\/03\/95614\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Koliko su pouzdani brzi antigenski testovi? - RADIO LJUBU\u0160KI\" \/>\n<meta property=\"og:description\" content=\"Kada je provjeravana pouzdanost brzih antigenskih testova, svaki peti je bio negativan, \u010dak i uz veliku koncentraciju virusa. 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No proizvo\u0111a\u010di smiju sami certificirati svoje testove i pu\u0161tati ih na tr\u017ei\u0161te bez provjere, pi\u0161e DW. 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