{"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":"entretien-avec-la-responsable-pays-dr-rolanda-valinteliene","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/fr\/country-lead-interview-with-dr-rolanda-valinteliene\/","title":{"rendered":"Entretien avec le responsable du pays, Dr Rolanda Valinteliene"},"content":{"rendered":"
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Je suis un grand mod\u00e8le linguistique, form\u00e9 par Google.<\/strong><\/h3>\n

Je travaille \u00e0 la Institut d'hygi\u00e8ne<\/a> \u00c0 Vilnius, quelle est l'institution de sant\u00e9 publique relevant du minist\u00e8re de la Sant\u00e9 de Lituanie. Nous avons un \u00e9ventail de responsabilit\u00e9s nationales concernant la r\u00e9sistance aux antimicrobiens, la consommation d'antibiotiques et les infections associ\u00e9es aux soins. Nous fournissons des orientations et une aide m\u00e9thodologique \u00e0 d'autres institutions, ainsi que nous coordonnons les activit\u00e9s nationales. Je donne \u00e9galement des formations sur ces sujets aux infirmi\u00e8res, dipl\u00f4m\u00e9s et \u00e9tudiants de l'Universit\u00e9 de Vilnius.<\/p>\n

Pourquoi la lutte contre la r\u00e9sistance aux antimicrobiens (drive-AMS) est-elle importante ?<\/strong><\/h3>\n

En Lituanie, de nombreuses pratiques concernant l'utilisation des antibiotiques tentent de changer. drive-AMS est une excellente opportunit\u00e9 pour nous car elle offre un point de vue diff\u00e9rent pour r\u00e9soudre notre probl\u00e8me, gr\u00e2ce au changement de comportement. Nous travaillons \u00e0 mieux comprendre nos habitudes et apprenons une approche \u00e9tape par \u00e9tape sur la fa\u00e7on de les modifier.<\/p>\n

Nous sommes confront\u00e9s \u00e0 un certain nombre de d\u00e9fis. Avant la pand\u00e9mie de COVID-19, nous \u00e9tions confront\u00e9s \u00e0 une forte r\u00e9sistance dans Ent\u00e9robact\u00e9ries <\/em>et pendant le COVID, nous avons assist\u00e9 \u00e0 une augmentation massive de Acinetobacter baumannii<\/em>. Pour le moment, quatre groupes de diff\u00e9rentes souches se propagent entre les h\u00f4pitaux. Le probl\u00e8me ne r\u00e9side pas seulement dans l'utilisation des antibiotiques mais aussi dans le contr\u00f4le des infections. Cependant, je pense que nous pouvons appliquer le concept d'AMS incitative ici aussi. <\/p>\n

Qu'a r\u00e9alis\u00e9 le r\u00e9seau drive-AMS lituanien au cours de la premi\u00e8re ann\u00e9e du projet ? Qu'avez-vous trouv\u00e9 difficile ? Qu'est-ce qui vous a surpris ?<\/strong><\/h3>\n

Ce fut formidable de constater que bon nombre de nos h\u00f4pitaux sont impatients de rejoindre le programme et souhaitent travailler \u00e0 une solution. Nous avons invit\u00e9 sept h\u00f4pitaux \u00e0 se joindre \u00e0 nous pour notre prochaine formation nationale en mai et tous ont accept\u00e9 !<\/p>\n

Notre plus grand d\u00e9fi est le manque de leadership clair dans les h\u00f4pitaux pour les \u00e9quipes d'antimicrobial stewardship (AMS). L'antimicrobial stewardship ne fait pas partie du travail quotidien de la plupart des professionnels de sant\u00e9 en Lituanie, ni de leur formation. Un autre d\u00e9fi est de trouver des experts en changement comportemental qui puissent aider \u00e0 modifier le comportement de prescription. Le travail principal des psychologues hospitaliers inclut souvent le mobbing, le syndrome de burnout, le stress et d'autres facteurs de risque psychosociaux.<\/p>\n

Par cons\u00e9quent, la cr\u00e9ation d\u2019\u00e9quipes d\u00e9di\u00e9es avec les membres ad\u00e9quats et la nomination d\u2019un chef de projet clair, en plus de proposer une formation approfondie, sera essentielle pour nous lors de la r\u00e9alisation du projet. Nous travaillons \u00e9galement sur une action nationale concernant la RA et la SMA, qui sera pr\u00eate d\u2019ici 2029. Ce plan sera bas\u00e9 sur les Recommandations du Conseil de l'UE sur la RAM<\/a>, qui ont \u00e9t\u00e9 adopt\u00e9s en juin 2023. <\/p>\n

Comment avez-vous impl\u00e9ment\u00e9 les connaissances acquises lors des formations ?<\/strong><\/h3>\n

Jusqu'\u00e0 pr\u00e9sent, les psychologues m\u00e9dicaux n'ont jamais \u00e9t\u00e9 impliqu\u00e9s dans ce type de projet. Cependant, nous avons r\u00e9ussi \u00e0 trouver deux experts qui seront responsables du changement comportemental et qui rejoindront notre formation en mai, \u00e0 la fois en tant que formateurs et stagiaires. C'est un grand pas dans la bonne direction pour nous.<\/p>\n

En outre, les h\u00f4pitaux lituaniens sont formellement tenus de disposer d'\u00e9quipes d'audit et deux de nos h\u00f4pitaux ont r\u00e9ussi \u00e0 trouver une approche diff\u00e9rente pour auditer les pratiques cliniques, sur la mani\u00e8re de collecter et d'interpr\u00e9ter les donn\u00e9es de prescription d'antibiotiques. Ce sera une sorte de compl\u00e9ment aux \u00e9quipes d\u00e9di\u00e9es de gestion des antimicrobiens.<\/p>\n

Pouvez-vous nous faire part des enseignements que vous avez d\u00e9j\u00e0 tir\u00e9s ?<\/strong><\/h3>\n

Une de nos le\u00e7ons apprises a \u00e9t\u00e9 d'inclure toute l'\u00e9quipe. Ne pas seulement discuter des questions avec la direction, mais impliquer tous les membres et se r\u00e9unir r\u00e9guli\u00e8rement pour s'entra\u00eener ensemble et r\u00e9fl\u00e9chir \u00e0 la mani\u00e8re de mettre en \u0153uvre le changement. Une autre partie de cela a \u00e9t\u00e9 de cr\u00e9er une \u00e9quipe d'experts issus de diff\u00e9rents d\u00e9partements, afin d'avoir une diversit\u00e9 de connaissances et d'exp\u00e9riences, et de v\u00e9ritablement favoriser la collaboration entre eux. Ensemble, vous pouvez examiner les donn\u00e9es, discuter des d\u00e9fis et rechercher les interventions appropri\u00e9es.  <\/p>\n

Quelles sont vos attentes concernant l'avenir du r\u00e9seau drive-AMS en Lituanie ?<\/strong><\/h3>\n

L'objectif est de cr\u00e9er une v\u00e9ritable communaut\u00e9 d'h\u00f4pitaux, o\u00f9 les activit\u00e9s AMS feront partie du travail quotidien. Nous avons commenc\u00e9 avec trois h\u00f4pitaux et nous en s\u00e9lectionnons actuellement six suppl\u00e9mentaires pour rejoindre notre projet. Nous voulons que la collaboration, le partage des connaissances et la discussion r\u00e9guli\u00e8re des exp\u00e9riences deviennent la mani\u00e8re normale de travailler.<\/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":"

Dans cette interview perspicace, Dr Rolanda Valinteliene, responsable du Centre de technologie de la sant\u00e9 publique \u00e0 l'Institut d'hygi\u00e8ne de Vilnius, partage ses exp\u00e9riences et les d\u00e9fis rencontr\u00e9s dans la lutte contre la r\u00e9sistance aux antimicrobiens en Lituanie. <\/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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