{"id":18473,"date":"2024-10-09T08:56:07","date_gmt":"2024-10-09T08:56:07","guid":{"rendered":"https:\/\/www.global-pps.com\/?p=18473"},"modified":"2024-10-09T08:56:09","modified_gmt":"2024-10-09T08:56:09","slug":"driving-change-dr-birute-zablockienes-role-in-antimicrobial-stewardship-in-lithuania","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/es\/driving-change-dr-birute-zablockienes-role-in-antimicrobial-stewardship-in-lithuania\/","title":{"rendered":"Impulsar el cambio: El papel de la Dra. Birut\u0117 Zablockien\u0117 en la administraci\u00f3n de antimicrobianos en Lituania"},"content":{"rendered":"
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Can you introduce yourself and your role within the drive-AMS project in Lithuania?<\/strong><\/h3>

I\u2019m an infectious diseases physician and work in the Santaros Klinikos hospital<\/a> in Vilnius where I\u2019m the Chief of the Infectious Diseases Department. Next to that, I teach at the Vilnius University and am a trainer in the drive-AMS programme. I work in a big hospital with over 30 different departments and centres, so there also is a higher rate of resistant infections. Therefore, a well carried out antimicrobial stewardship (AMS) programme is essential. I also did the ESCMID AMS course<\/a> 2022-2024 to further my knowledge on this topic.<\/p>

\u00bfC\u00f3mo est\u00e1n implementando la gesti\u00f3n antimicrobiana en sus hospitales?<\/strong><\/h3>

We started our AMS programme at our Infectious Diseases centre. We held regular meetings with the physicians and went through the treatment of patients who got administered antimicrobials. We looked at various aspects such as IV versus oral treatments, duration, the indications and cultural teachings. We measured the results and gave feedback to improve the appropriate use of antimicrobials, which did get better.<\/p>

We are expanding AMS outside of our centre to other specialties, we have already worked with abdominal surgeons, for example. We assisted them with making sure that the antimicrobial treatments were correctly indicated in the medical records or in improving an appropriate surgical prophylaxis.\u00a0\u00a0<\/p>

Claro, aqu\u00ed tienes algunos ejemplos concretos de actividades de AMS:\n\n* **Monitoreo de sistemas:** Supervisar la disponibilidad, el rendimiento y la seguridad de servidores, bases de datos, redes y aplicaciones. Esto puede incluir la configuraci\u00f3n de alertas para notificar al personal de TI sobre problemas potenciales.\n* **Gesti\u00f3n de parches y actualizaciones:** Implementar y gestionar parches de seguridad y actualizaciones de software para sistemas operativos, aplicaciones y firmware para proteger contra vulnerabilidades y mejorar la funcionalidad.\n* **Gesti\u00f3n de copias de seguridad y recuperaci\u00f3n ante desastres:** Establecer y mantener soluciones de copia de seguridad para proteger los datos y desarrollar planes de recuperaci\u00f3n ante desastres para garantizar la continuidad del negocio en caso de fallos del sistema o incidentes graves.\n* **Gesti\u00f3n del rendimiento:** Analizar datos de rendimiento para identificar cuellos de botella, optimizar la configuraci\u00f3n y garantizar que los sistemas funcionen de manera eficiente para satisfacer las demandas de los usuarios.\n* **Gesti\u00f3n de la seguridad:** Implementar y mantener medidas de seguridad, como firewalls, sistemas de detecci\u00f3n de intrusiones y controles de acceso, para proteger los sistemas y los datos contra acceso no autorizado y amenazas.\n* **Gesti\u00f3n de la configuraci\u00f3n:** Documentar y mantener la configuraci\u00f3n de los activos de TI, asegurando la coherencia y la trazabilidad de los cambios en el entorno.\n* **Gesti\u00f3n de la capacidad:** Planificar y pronosticar las necesidades futuras de recursos (CPU, memoria, almacenamiento, red) para garantizar que los sistemas puedan manejar el crecimiento y las cargas de trabajo esperadas.\n* **Resoluci\u00f3n de problemas y soporte t\u00e9cnico:** Diagnosticar y resolver problemas t\u00e9cnicos que surjan en los sistemas, proporcionando soporte a los usuarios finales.\n* **Automatizaci\u00f3n de tareas:** Desarrollar y desplegar scripts o herramientas para automatizar tareas repetitivas de gesti\u00f3n de sistemas, como reinicios de servidores, despliegue de software o limpieza de registros.\n* **Monitoreo y gesti\u00f3n de la infraestructura en la nube:** Si aplica, supervisar y gestionar los recursos de la nube (AWS, Azure, GCP) para garantizar su rendimiento, seguridad y optimizaci\u00f3n de costos.<\/strong><\/h3>

Of course, we have put some restrictions in place but we mainly try to focus on persuading doctors instead of solely restricting them. We provide a lot of feedback and give good examples such as switching to oral treatments.<\/p>

En tu trabajo diario, \u00bfcu\u00e1les son los principales desaf\u00edos o sesgos con los que te enfrentas en lo que respecta a la RAM?<\/strong><\/h3>

In certain departments there is more resistance, for example, in the intensive care unit, haematology and where immunosuppressed patients are being treated with prolonged courses of antibiotics. There we see a lot of cases of Acinetobacter baumannii<\/em> and gram-negative bacteria resistance. Consequently, this creates other challenges such as selecting the right antibiotic that will still work and the best infection control measures.<\/p>

Is there also some resistance from the doctors to adhere to these measures and guidelines when it comes to AMS? <\/strong><\/h3>

I think it\u2019s important to recognise that doctors have habits and routines. We know that certain practices have been around for a long time, so changing behaviours takes time. We are persistent however, we show them our results and help them understand that investing time to improve AMS is essential. And after a while, we see that their habits adapt and they become part of their new routine.<\/p>

Can you share some (personal) stories of how AMR affected patients?<\/strong><\/h3>

I remember a case during COVID, where a patient got operated for a cardiological problem and afterwards developed mediastinitis with resistant bacteria. He unfortunately also got COVID and was transported to our department. He had a large open wound on his sternum which was treated with sponges doused in antimicrobials. He luckily eventually recovered from COVID but he had to remain in the hospital for a year before the several resistant infections finally cleared. That is sometimes the case with such patients, a prolonged hospitalisation is necessary and there are often other complications.<\/p>

Interested to know more about the Lithuanian drive-AMS network? Read our interview with the country lead Prof. Rolanda Valinteliene <\/strong>aqu\u00ed<\/strong><\/a>. <\/strong><\/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":"

La Dra. Birut\u0117 Zablockien\u0117 forma parte del equipo central de drive-AMS que aplica la administraci\u00f3n antimicrobiana en Lituania. En esta entrevista, nos habla de su trabajo en la lucha contra la resistencia a los antimicrobianos (RAM) y de los retos a los que se enfrenta su equipo para garantizar un uso adecuado de los antimicrobianos en los distintos departamentos del hospital.<\/p>","protected":false},"author":7,"featured_media":18479,"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-18473","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ams","entry","has-media"],"yoast_head":"\nDriving Change: Dr. Birut\u0117 Zablockien\u0117\u2019s Role in Antimicrobial Stewardship in Lithuania - Global PPS<\/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:\/\/www.global-pps.com\/es\/driving-change-dr-birute-zablockienes-role-in-antimicrobial-stewardship-in-lithuania\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Driving Change: Dr. Birut\u0117 Zablockien\u0117\u2019s Role in Antimicrobial Stewardship in Lithuania - Global PPS\" \/>\n<meta property=\"og:description\" content=\"Dr. Birut\u0117 Zablockien\u0117 is part of the core drive-AMS team implementing antimicrobial stewardship (AMS) in Lithuania. 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