{"id":17608,"date":"2024-02-28T14:04:06","date_gmt":"2024-02-28T14:04:06","guid":{"rendered":"https:\/\/www.global-pps.com\/?p=17608"},"modified":"2024-03-04T11:02:03","modified_gmt":"2024-03-04T11:02:03","slug":"entrevista-con-la-doctora-rolanda-valinteliene","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/es\/country-lead-interview-with-dr-rolanda-valinteliene\/","title":{"rendered":"Entrevista principal con la Dra. Rolanda Valinteliene"},"content":{"rendered":"
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\u00bfPuede presentarse y explicar en detalle su trabajo diario?<\/strong><\/h3>\n

Estoy trabajando en el Instituto de Higiene<\/a> en Vilna, que es la instituci\u00f3n sanitaria p\u00fablica dependiente del Ministerio de Sanidad lituano. Tenemos una serie de responsabilidades nacionales en relaci\u00f3n con la resistencia a los antimicrobianos, el consumo de antibi\u00f3ticos y las infecciones relacionadas con la asistencia sanitaria. Ofrecemos orientaci\u00f3n y ayuda metodol\u00f3gica a otras instituciones, adem\u00e1s de coordinar las actividades nacionales. Tambi\u00e9n imparto formaci\u00f3n sobre estos temas a enfermeros, posgraduados y estudiantes de la Universidad de Vilna.<\/p>\n

\u00bfPor qu\u00e9 son importantes el drive-AMS y la lucha contra la resistencia a los antimicrobianos?<\/strong><\/h3>\n

En Lituania, hay muchas pr\u00e1cticas en relaci\u00f3n con el uso de antibi\u00f3ticos que estamos intentando cambiar. drive-AMS es una gran oportunidad para nosotros, ya que ofrece un punto de vista diferente para resolver nuestro problema, a trav\u00e9s del cambio de comportamiento. Estamos trabajando para comprender mejor nuestros h\u00e1bitos y aprender paso a paso c\u00f3mo cambiarlos.<\/p>\n

Estamos luchando contra varios retos. Antes de la pandemia de COVID-19, nos enfrent\u00e1bamos a una gran resistencia en Enterobacteriaceae <\/em>y durante COVID, fuimos testigos de un enorme aumento de Acinetobacter baumannii<\/em>. Por el momento, hay cuatro grupos de cepas diferentes que se propagan entre los hospitales. El problema no radica s\u00f3lo en el uso de antibi\u00f3ticos, sino tambi\u00e9n en el control de las infecciones, aunque creo que tambi\u00e9n podemos aplicar aqu\u00ed el concepto drive-AMS. <\/p>\n

\u00bfQu\u00e9 ha conseguido la red drive-AMS lituana en el primer a\u00f1o del proyecto? \u00bfQu\u00e9 le ha supuesto un reto? \u00bfQu\u00e9 le ha sorprendido?<\/strong><\/h3>\n

Ha sido estupendo ver que muchos de nuestros hospitales est\u00e1n deseosos de unirse al programa y quieren trabajar para encontrar una soluci\u00f3n. Hemos invitado a siete hospitales a participar en nuestra pr\u00f3xima formaci\u00f3n en el pa\u00eds, en mayo, y todos han aceptado.<\/p>\n

Nuestro mayor reto es la falta de un liderazgo claro en los hospitales para los equipos de AMS. La administraci\u00f3n antimicrobiana no forma parte del trabajo diario de la mayor\u00eda de los profesionales sanitarios de Lituania, ni est\u00e1 incluida en su formaci\u00f3n. Otro reto es encontrar expertos en cambio de comportamiento que puedan ayudar a modificar la conducta de prescripci\u00f3n. El trabajo principal de los psic\u00f3logos hospitalarios suele incluir el mobbing, el s\u00edndrome de burnout, el estr\u00e9s y otros factores de riesgo psicosocial.<\/p>\n

Por lo tanto, la creaci\u00f3n de equipos dedicados con los miembros adecuados y el nombramiento de un l\u00edder claro, junto con la oferta de una amplia formaci\u00f3n, ser\u00e1n claves para nosotros durante la realizaci\u00f3n del proyecto. Tambi\u00e9n estamos trabajando en una acci\u00f3n nacional con requisitos en materia de AMR y AMS, que estar\u00e1 lista para 2029. Este plan se basar\u00e1 en las Recomendaciones del Consejo de la UE sobre la RAM<\/a>, que se adoptaron en junio de 2023. <\/p>\n

\u00bfC\u00f3mo puso en pr\u00e1ctica los conocimientos adquiridos durante la formaci\u00f3n?<\/strong><\/h3>\n

Hasta ahora, los psic\u00f3logos m\u00e9dicos nunca hab\u00edan participado en este tipo de proyectos. Sin embargo, hemos conseguido encontrar a dos expertos que se encargar\u00e1n del cambio de comportamiento y se unir\u00e1n a nuestra formaci\u00f3n en mayo, tanto en calidad de formadores como de alumnos. Para nosotros es un gran paso en la direcci\u00f3n correcta.<\/p>\n

Adem\u00e1s, los hospitales lituanos est\u00e1n obligados formalmente a contar con equipos de auditor\u00eda y dos de nuestros hospitales consiguieron encontrar un enfoque diferente para auditar las pr\u00e1cticas cl\u00ednicas, sobre c\u00f3mo recopilar e interpretar los datos de prescripci\u00f3n de antibi\u00f3ticos. Ser\u00e1 una especie de complemento a los equipos dedicados a la MGA.<\/p>\n

\u00bfPuede compartir alguna de las lecciones aprendidas?<\/strong><\/h3>\n

Una de las lecciones que aprendimos fue la de incluir a todo el equipo. No s\u00f3lo discutir los asuntos con la direcci\u00f3n, sino implicar a todos los miembros y reunirse peri\u00f3dicamente para formarse juntos y hacer una lluvia de ideas sobre c\u00f3mo aplicar el cambio. Otra parte de esto fue crear un equipo de expertos de distintos departamentos, para que haya variedad de conocimientos y experiencia, y fomentar realmente la colaboraci\u00f3n entre ellos. Juntos pueden examinar los datos, debatir los retos y buscar las intervenciones correctas.  <\/p>\n

\u00bfCu\u00e1les son sus expectativas para el futuro de la red drive-AMS en Lituania?<\/strong><\/h3>\n

El objetivo es crear una verdadera comunidad de hospitales, en la que las actividades de AMS pasen a formar parte del trabajo diario. Empezamos con tres hospitales y ahora estamos seleccionando otros seis para que se unan a nuestro proyecto. Queremos conseguir que la colaboraci\u00f3n, el intercambio de conocimientos y la discusi\u00f3n peri\u00f3dica de experiencias se conviertan en la forma habitual de trabajar.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

En esta perspicaz entrevista, la Dra. Rolanda Valinteliene, Jefa del Centro de Tecnolog\u00eda de Salud P\u00fablica del Instituto de Higiene de Vilna, comparte sus experiencias y retos a la hora de liderar los esfuerzos contra la resistencia a los antimicrobianos en Lituania. <\/p>","protected":false},"author":7,"featured_media":17613,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"off","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"on","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"off","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[35],"tags":[],"class_list":["post-17608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ams","entry","has-media"],"yoast_head":"\nCountry lead interview with Dr. Rolanda Valinteliene - 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