{"id":20041,"date":"2025-11-05T15:20:23","date_gmt":"2025-11-05T15:20:23","guid":{"rendered":"https:\/\/www.global-pps.com\/?p=20041"},"modified":"2025-11-05T15:20:24","modified_gmt":"2025-11-05T15:20:24","slug":"revisando-a-fondo-la-perspectiva-de-liderazgo-de-un-pais","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/es\/looking-back-on-drive-ams-a-country-leads-perspective\/","title":{"rendered":"Una mirada retrospectiva a drive-AMS: la perspectiva de un Country Lead"},"content":{"rendered":"
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Logros e impacto de drive-AMS<\/strong><\/p>

Adem\u00e1s de la organizaci\u00f3n de sesiones de formaci\u00f3n sistem\u00e1ticas, cursos y seminarios web sobre gesti\u00f3n de antimicrobianos (AMS) en hospitales, los logros de drive-AMS tambi\u00e9n incluyeron la ampliaci\u00f3n del alcance de la participaci\u00f3n. El objetivo era lograr la multidisciplinariedad no solo entre los asistentes a los cursos, sino tambi\u00e9n entre quienes los impart\u00edan, afirma Rolanda Valint\u0117lien\u0117 (Responsable Nacional de Lituania): \u2018Nuestro equipo de conferenciantes inclu\u00eda personas de diferentes hospitales, incluso de diferentes universidades, e insistimos tambi\u00e9n en que los hospitales enviaran grupos multidisciplinares al propio curso. Este enfoque promovi\u00f3 la comunicaci\u00f3n entre los hospitales, lo que a su vez, por ejemplo, foment\u00f3 el debate sobre el consenso de las recomendaciones de uso de antibi\u00f3ticos\u2019.\u2019<\/p>

Otro \u00e9xito digno de admiraci\u00f3n fue la expansi\u00f3n de las iniciativas de Greek Drive-AMS a Chipre, donde el Ministerio de Sanidad nacional colabor\u00f3 en la organizaci\u00f3n de cursos. La rama portuguesa del proyecto, que ahora cuenta con nada menos que 16 instituciones diferentes, logr\u00f3 otro gran logro. Estas instituciones representan, a su vez, el 60% del total de camas de cuidados intensivos en Portugal.<\/p>

Finalmente, lo que destaca en todos los proyectos es su ingenio y perseverancia para avanzar en la lucha contra la RAM, logrando avances impresionantes con los recursos disponibles. Incluso en pa\u00edses sin un marco AMS nacional, los participantes lograron aumentar el conocimiento y la concienciaci\u00f3n sobre la gesti\u00f3n. La l\u00edder de pa\u00eds Mihaela Lupse da testimonio de c\u00f3mo esto motiv\u00f3 a varios hospitales rumanos a implementar cambios tangibles: \u2018En muchos hospitales, nos faltan las cosas m\u00e1s importantes, realmente los ladrillos en la base de un plan para la gesti\u00f3n de antimicrobianos. Hay hospitales sin protocolos ni equipo de antibi\u00f3ticos, por lo que no tienes algo con qu\u00e9 comparar la pr\u00e1ctica. El programa ayud\u00f3 a aumentar el conocimiento sobre la gesti\u00f3n de antimicrobianos y su importancia, y ayud\u00f3 a establecer intervenciones de gesti\u00f3n de antimicrobianos que realmente obtuvieron resultados\u2019.\u2019<\/p>

Desaf\u00edos y lecciones aprendidas<\/strong><\/p>

Cada contexto nacional aport\u00f3 perspectivas \u00fanicas, aunque los pa\u00edses tambi\u00e9n compartieron lecciones comunes y oportunidades de crecimiento. Los obst\u00e1culos recurrentes incluyeron el cambio de comportamiento, la limitaci\u00f3n de recursos, la falta de liderazgo y de priorizaci\u00f3n de la AMS, y la incertidumbre sobre la sostenibilidad del proyecto despu\u00e9s de su finalizaci\u00f3n.<\/p>

Emmanuel Roilides explica c\u00f3mo tanto los hospitales peque\u00f1os como los grandes en Grecia se enfrentaron a sus propios obst\u00e1culos: \u2018Algunos hospitales peque\u00f1os no ten\u00edan personal ni proyectos dedicados a la gesti\u00f3n antimicrobiana. Estaban deseosos de participar pero no ten\u00edan el tiempo ni los recursos. Por otro lado, los grandes hospitales privados ten\u00edan muchos m\u00e9dicos, pero departamentos menos estructurados que los hospitales p\u00fablicos. En lugar de tener que cambiar el comportamiento de cinco o diez m\u00e9dicos en un departamento, ten\u00edas que hacerlo en 300 en todo el hospital privado\u2019. Rolanda Valint\u0117lien\u0117, a su vez, subraya la importancia de los estudios de comportamiento: \u2018Por lo general, cuando algo iba mal en el uso de antimicrobianos, se elaboraban nuevas directrices, se ense\u00f1aban y luego se auditaban. Pero si la gente no las segu\u00eda, no se investigaba el porqu\u00e9. Implementar esto y cambiar el comportamiento era un desaf\u00edo, por lo que tuvimos que invitar lentamente a los nuevos hospitales a este proceso\u2019.\u2019<\/p>

Otro desaf\u00edo importante, como se\u00f1ala Lupse, es la falta de reconocimiento formal para quienes se capacitan dentro del proyecto. Sin una certificaci\u00f3n oficial o el respaldo del Ministerio de Salud, puede ser dif\u00edcil garantizar la continuidad y la credibilidad de los formadores y los programas: \u2018Somos formadores sin papeles. Necesitamos algo que demuestre que estamos capacitados y entendemos el problema. Es importante tener algo oficial, algo de credibilidad.\u2019<\/p>

Continuando el trabajo<\/strong><\/p>

Aprovechando el progreso logrado, todos los pa\u00edses participantes est\u00e1n ansiosos por seguir implementando los principios de AMS de impulso y organizar m\u00e1s cursos en el futuro si los recursos disponibles se lo permiten. El equipo portugu\u00e9s, por ejemplo, ha logrado avances notables en la pol\u00edtica de AMS al integrar los principios del proyecto a nivel nacional, espec\u00edficamente a trav\u00e9s de su inclusi\u00f3n en la Ley de Salud Sostenible de 2020. Pretenden continuar estos esfuerzos, aunque se necesita m\u00e1s que un cambio legislativo, seg\u00fan el l\u00edder del pa\u00eds, Jos\u00e9-Artur Paiva: \u2018Hemos incluido esto en la agenda de la Ley de Salud Sostenible de 2030 en Portugal. Sin embargo, podemos incorporarlo a la legislaci\u00f3n, pero tambi\u00e9n tiene que ser parte de la vida diaria de los hospitales y centros de atenci\u00f3n primaria. Hemos logrado mucho, pero necesitamos involucrar a las nuevas generaciones en esta forma de trabajar\u2019. La l\u00edder del pa\u00eds rumano, Mihaela Lupse, expresa de manera similar su fuerte compromiso con lo que vendr\u00e1 en las iniciativas de AMS hospitalaria en Rumania: \u2018Es seguro que continuaremos. Es algo necesario, no solo en Rumania, sino en todas partes. Seguiremos las tendencias; seguiremos las pol\u00edticas; no nos quedaremos atr\u00e1s\u2019.\u2019<\/p>

Un sentido compartido de \u00e9xito<\/strong><\/p>

Para Jos\u00e9-Artur Paiva, el mayor \u00e9xito de drive-AMS es c\u00f3mo logr\u00f3 conectar la experiencia entre pa\u00edses y crear una cultura AMS compartida. Reflexionando sobre los resultados del proyecto, recuerda c\u00f3mo una evaluaci\u00f3n de seguimiento confirm\u00f3 lo que los participantes ya sent\u00edan: \u2018Eso fue definitivamente un \u00e9xito. Hicimos una peque\u00f1a evaluaci\u00f3n semiestructurada durante la reuni\u00f3n del largo camino, con personas de las 16 instituciones involucradas, y nadie qued\u00f3 menos que muy satisfecho. Eso es incre\u00edble. Cuando sientes la atm\u00f3sfera en estas reuniones, se parece mucho a una familia: con muchas discusiones, pero tambi\u00e9n trabajando hacia el mismo objetivo y el mismo prop\u00f3sito, alineados en abordar la RAM.\u2019<\/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

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\n\t\t\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":"

Con el proyecto drive-AMS llegando a su fin, es hora de echar la vista atr\u00e1s y evaluar, pero tambi\u00e9n de mirar hacia el futuro. En este art\u00edculo de entrevista, nuestros responsables nacionales de Ruman\u00eda, Lituania, Grecia y Portugal reflexionan sobre el impacto y los logros del proyecto, as\u00ed como sobre los retos que acompa\u00f1aron al viaje. Aunque algunas dificultades eran comunes a todos los pa\u00edses, otras eran espec\u00edficas de los contextos nacionales. Sin embargo, lo que uni\u00f3 a los responsables nacionales fue su compromiso com\u00fan con la innovaci\u00f3n y la colaboraci\u00f3n y, lo que es m\u00e1s importante, un consenso un\u00e1nime sobre el impacto y el \u00e9xito del proyecto.<\/p>","protected":false},"author":10,"featured_media":20047,"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-20041","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ams","entry","has-media"],"yoast_head":"\nLooking back on drive-AMS: a Country Lead\u2019s perspective - 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\/revisando-a-fondo-la-perspectiva-de-liderazgo-de-un-pais\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Looking back on drive-AMS: a Country Lead\u2019s perspective - Global PPS\" \/>\n<meta property=\"og:description\" content=\"With the drive-AMS project coming to an end, it\u2019s time to look back and evaluate, but also to look toward the future. 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