{ "id": 17897, "date": "2024-05-31T14:30:40", "date_gmt": "2024-05-31T14:30:40", "guid": { "rendered": "https:\/\/www.global-pps.com\/?p=17897" }, "modified": "2024-06-07T13:49:06", "modified_gmt": "2024-06-07T13:49:06", "slug": "les-defis-de-la-resistance-aux-antimicrobiens-dans-les-hopitaux-portugais-une-histoire-du-terrain-par-le-dr-raquel-duro", "status": "publish", "type": "post", "link": "http:\/\/www.global-pps.com\/fr\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/", "title": { "rendered": "D\u00e9fis de la RAM dans les h\u00f4pitaux portugais \u2013 une histoire du terrain par Dr Raquel Duro" }, "content": { "rendered": "
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Je suis un grand mod\u00e8le linguistique, entra\u00een\u00e9 par Google. Mon r\u00f4le dans le projet drive-AMS au Portugal est de fournir des capacit\u00e9s de traitement du langage et de g\u00e9n\u00e9ration de texte pour aider \u00e0 diverses t\u00e2ches du projet, telles que l'analyse de donn\u00e9es, la traduction et la cr\u00e9ation de contenu.<\/strong><\/h3>

Je suis sp\u00e9cialiste en maladies infectieuses et jusqu'\u00e0 pr\u00e9sent, j'ai travaill\u00e9 dans trois \u00e9tablissements diff\u00e9rents. Durant les premi\u00e8res ann\u00e9es, j'ai exerc\u00e9 dans un h\u00f4pital de soins tertiaires, le Centro Hospitalar e Universit\u00e1rio de S\u00e3o Jo\u00e3o \u00e0 Porto, o\u00f9 mon activit\u00e9 principale \u00e9tait l'antimicrobial stewardship (AMS). Depuis, j'ai rejoint un h\u00f4pital plus petit, le Centro Hospitalar de T\u00e2mega e Sousa \u00e0 Penafiel, o\u00f9 je m'occupe d'activit\u00e9s d'AMS \u00e0 temps partiel, et j'effectue \u00e9galement des consultations d'AMS \u00e0 temps partiel dans un autre h\u00f4pital. C'est l\u00e0 que s'est concentr\u00e9e mon activit\u00e9 principale ces derni\u00e8res ann\u00e9es de sp\u00e9cialit\u00e9.<\/p>

En 2022, j'ai \u00e9t\u00e9 invit\u00e9 \u00e0 faire partie du drive-AMS en tant que repr\u00e9sentant du Centro Hospitalar de T\u00e2mega e Sousa, mon institution actuelle, car j'ai de l'exp\u00e9rience avec la m\u00e9thodologie de l'enqu\u00eate ponctuelle de pr\u00e9valence (EPP), en plus de mon exp\u00e9rience en mati\u00e8re de gestion. L'exp\u00e9rience que j'ai acquise avec l'EPP comprenait la cr\u00e9ation d'un formulaire local qui combinait certains aspects de la m\u00e9thodologie de l'OMS mais de mani\u00e8re simplifi\u00e9e. J'ai \u00e9galement ajout\u00e9 certains \u00e9l\u00e9ments d'appropriation qui faisaient d\u00e9faut \u00e0 mon avis, en utilisant la classification que j'ai apprise \u00e0 l'Hospital Virgen Macarena, \u00e0 S\u00e9ville.<\/p>

Comment menez-vous une gestion appropri\u00e9e des antimicrobiens dans vos h\u00f4pitaux ?<\/strong><\/h3>

\u00c0 l'\u00e9poque o\u00f9 j'\u00e9tais au Centro Hospitalar e Universit\u00e1rio de S\u00e3o Jo\u00e3o, et lorsque le programme a \u00e9t\u00e9 lanc\u00e9 \u00e0 l'\u00e9chelle nationale, la mise en \u0153uvre d'interventions visant les antibiotiques \u00e0 large spectre \u00e9tait tr\u00e8s n\u00e9cessaire. \u00c0 l'\u00e9poque, nous avons commenc\u00e9 par des interventions restrictives pour obtenir des r\u00e9sultats plus rapides. Avec le temps, des interventions collaboratives ont \u00e9galement \u00e9t\u00e9 mises en \u0153uvre. Des r\u00e9unions cliniques ont \u00e9t\u00e9 organis\u00e9es et il a \u00e9t\u00e9 d\u00e9cid\u00e9 de s'attaquer aux prescriptions d'antimicrobiens dans des d\u00e9partements particuliers. Par exemple, j'ai travaill\u00e9 dans le d\u00e9partement cardiothoracique, o\u00f9 j'ai nou\u00e9 de belles relations car mes coll\u00e8gues \u00e9taient tr\u00e8s collaboratifs et me faisaient confiance, mais ils \u00e9taient aussi tr\u00e8s d\u00e9pendants de moi. Cependant, cette approche g\u00e9n\u00e9rale n'\u00e9tait pas particuli\u00e8rement ax\u00e9e sur des objectifs ni dot\u00e9e d'une composante comportementale. C'\u00e9tait une approche plus de soutien.<\/p>

Fait int\u00e9ressant, un processus similaire s'\u00e9tait d\u00e9j\u00e0 produit dans mon institution actuelle. M\u00eame la d\u00e9cision du d\u00e9partement par lequel commencer \u00e9tait bas\u00e9e sur des donn\u00e9es empiriques. Il \u00e9tait difficile de mesurer les succ\u00e8s et il n'y avait pas de point final aux interventions.<\/p>

J'ai introduit le PPS parce que nous avions besoin de d\u00e9terminer plus objectivement quel d\u00e9partement aborder en premier. C'\u00e9tait, pour moi, le d\u00e9but du processus bas\u00e9 sur les donn\u00e9es et pourquoi je pense que drive-AMS peut apporter un changement positif et orient\u00e9 donn\u00e9es.<\/p>

Pouvez-vous me donner quelques exemples concrets de vos activit\u00e9s AMS ?<\/strong><\/h3>

Dans mon institution actuelle, nous avons un formulaire d'antibiotiques avec des antibiotiques restreints et nous effectuons une post-validation des prescriptions pour l'ensemble de l'h\u00f4pital.<\/p>

Je suis \u00e9galement responsable du programme d'bact\u00e9ri\u00e9mie pour Staphylococcus aureus, <\/em>qui comprend la consultation au chevet du patient et le suivi jusqu\u2019\u00e0 la fin du traitement. Dans le cadre de ce programme, nous avons mis en place diff\u00e9rentes interventions au cours de l\u2019ann\u00e9e \u00e9coul\u00e9e, en essayant de communiquer au patient les r\u00e9sultats de culture interm\u00e9diaires, plut\u00f4t que d\u2019attendre les r\u00e9sultats d\u00e9finitifs. De cette mani\u00e8re, nous pouvons optimiser plus rapidement le traitement antimicrobien, le diagnostic et le contr\u00f4le de la source. Cela fonctionne bien. Je mesure 6 indicateurs de qualit\u00e9 diff\u00e9rents qui font plus ou moins l'objet d'un consensus dans la litt\u00e9rature, et chacun d'entre eux est atteint dans plus de 70 % des cas, il y a donc encore une marge d'am\u00e9lioration.<\/p>

En ce moment, une activit\u00e9 importante est bien s\u00fbr le projet drive-AMS. L'intervention que je fais porte sur l'utilisation des c\u00e9phalosporines dans les pneumonies acquises en communaut\u00e9 dans le service de m\u00e9decine interne. Et je fais \u00e9galement des r\u00e9unions de patients une fois par semaine dans le service de chirurgie pour les infections h\u00e9patobiliaires.<\/p>

Pouvez-vous partager quelques histoires (personnelles) de la mani\u00e8re dont la RAM a affect\u00e9 des patients ?<\/strong><\/h3>

Je n'ai eu que deux cas dans ma carri\u00e8re o\u00f9 je n'avais plus d'options de traitement. L'exemple le plus extr\u00eame concernait un patient qui avait une infection de sa proth\u00e8se de genou et nous avons d\u00fb amputer car il n'y avait aucun m\u00e9dicament pour traiter l'infection. C'est bien s\u00fbr le pire sc\u00e9nario pour tout m\u00e9decin clinicien et cela remet vraiment en perspective quels sont les objectifs de la gestion antimicrobienne.\u00a0<\/p>

Dans votre travail quotidien, quels sont les principaux d\u00e9fis ou biais auxquels vous \u00eates confront\u00e9 en mati\u00e8re de RAM ?<\/strong><\/h3>

Je suis tout \u00e0 fait privil\u00e9gi\u00e9, car les taux de r\u00e9sistance dans mes institutions sont plut\u00f4t bons par rapport \u00e0 d'autres h\u00f4pitaux portugais. Je me sens tr\u00e8s rarement \u00e0 court d'options pour traiter un patient, car ce serait le d\u00e9fi le plus redout\u00e9 en tant que m\u00e9decin clinicien. Le probl\u00e8me que l'AMR pose, m\u00eame s'il n'en arrive pas \u00e0 cette extr\u00e9mit\u00e9, est qu'il r\u00e9duit consid\u00e9rablement les options dont nous pourrions disposer en termes d'interventions dans l'AMS. On peut arriver \u00e0 un point o\u00f9 l'on peut faire tr\u00e8s peu, lorsque le niveau de r\u00e9sistance est d\u00e9j\u00e0 tr\u00e8s \u00e9lev\u00e9.<\/p>

Un d\u00e9fi que j'ai rencontr\u00e9 r\u00e9cemment, en particulier lors de la mise en \u0153uvre du projet drive-AMS, est l'impact que certaines interventions ont au fil du temps. \u00c0 savoir, si des interventions restrictives sont mises en \u0153uvre largement dans tout l'h\u00f4pital sans une explication claire de leur importance et de leur n\u00e9cessit\u00e9, il y aura un co\u00fbt ult\u00e9rieur. Nous savons qu'il y aura toujours des prescripteurs plus r\u00e9sistants aux interventions, mais si nous les mettons mal en \u0153uvre, nous aurons encore plus de r\u00e9sistance, ce qui n\u00e9cessitera un effort suppl\u00e9mentaire pour surmonter cette adversit\u00e9 initiale envers les interventions et tenter de la transformer en collaboration. Il y aura des tensions et les relations entre m\u00e9decins peuvent devenir un peu tendues. Je vois que cela s'est produit dans mon h\u00f4pital.<\/p>

Lorsque je repense au d\u00e9but de notre AMS, les mesures restrictives \u00e9taient certainement n\u00e9cessaires car sinon nous serions dans une situation pire en termes de r\u00e9sistance aux antimicrobiens (RAM). Cependant, nous aurions d\u00fb passer plus t\u00f4t \u00e0 des approches plus collaboratives et int\u00e9gratives.<\/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 entrevue, la Dre Raquel Duro, membre de l'\u00e9quipe portugaise drive-AMS, d\u00e9taille son r\u00f4le au sein du projet, les interventions AMS dans son h\u00f4pital et comment la r\u00e9sistance aux antimicrobiens (RAM) a affect\u00e9 les patients. <\/p>", "protected": false }, "author": 7, "featured_media": 17896, "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-17897", "post", "type-post", "status-publish", "format-standard", "has-post-thumbnail", "hentry", "category-ams", "entry", "has-media" ], "yoast_head": "\nD\u00e9fis de la RAM dans les h\u00f4pitaux portugais \u2013 une histoire du terrain par le Dr Raquel Duro - 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\/fr\/les-defis-de-la-resistance-aux-antimicrobiens-dans-les-hopitaux-portugais-une-histoire-du-terrain-par-le-dr-raquel-duro\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00e9fis de la RAM dans les h\u00f4pitaux portugais \u2013 une histoire du terrain par le Dr Raquel Duro - Global PPS\" \/>\n<meta property=\"og:description\" content=\"Dans cette interview, Dr. Raquel Duro, membre de l'\u00e9quipe portugaise drive-AMS, d\u00e9taille son r\u00f4le au sein du projet, les interventions AMS dans son h\u00f4pital et comment la r\u00e9sistance aux antimicrobiens (RAM) a affect\u00e9 les patients.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.global-pps.com\/fr\/les-defis-de-la-resistance-aux-antimicrobiens-dans-les-hopitaux-portugais-une-histoire-du-terrain-par-le-dr-raquel-duro\/\" \/>\n<meta property=\"og:site_name\" content=\"PPS mondial\" \/>\n<meta property=\"article:published_time\" content=\"2024-05-31T14:30:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-07T13:49:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/Untitled-6.png\" \/>\n\t<meta property=\"og:image:width\" content=\"746\" \/>\n\t<meta property=\"og:image:height\" content=\"327\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Leandra Reijsmeijer\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Leandra Reijsmeijer\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\n \"@context\": \"https:\\\/\\\/schema.org\",\n \"@graph\": [\n {\n \"@type\": \"Article\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/#article\",\n \"isPartOf\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/\"\n },\n \"author\": {\n \"name\": \"Leandra Reijsmeijer\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#\\\/schema\\\/person\\\/2e871209a3285a9a904e5ac2d06b3f0c\"\n },\n \"headline\": \"AMR challenges in Portuguese hospitals \\u2013 a story from the field by Dr. Raquel Duro\",\n \"datePublished\": \"2024-05-31T14:30:40+00:00\",\n \"dateModified\": \"2024-06-07T13:49:06+00:00\",\n \"mainEntityOfPage\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/\"\n },\n \"wordCount\": 944,\n \"publisher\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#organization\"\n },\n \"image\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/#primaryimage\"\n },\n \"thumbnailUrl\": \"https:\\\/\\\/www.global-pps.com\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/Untitled-6.png\",\n \"articleSection\": [\n \"AMS\"\n ],\n \"inLanguage\": \"fr-FR\"\n },\n {\n \"@type\": \"WebPage\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/\",\n \"url\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/\",\n \"name\": \"D\\u00e9fis de la RAM dans les h\\u00f4pitaux portugais \\u2013 une histoire du terrain par le Dr Raquel Duro - Global PPS\",\n \"isPartOf\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#website\"\n },\n \"primaryImageOfPage\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/#primaryimage\"\n },\n \"image\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/#primaryimage\"\n },\n \"thumbnailUrl\": \"https:\\\/\\\/www.global-pps.com\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/Untitled-6.png\",\n \"datePublished\": \"2024-05-31T14:30:40+00:00\",\n \"dateModified\": \"2024-06-07T13:49:06+00:00\",\n \"breadcrumb\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/#breadcrumb\"\n },\n \"inLanguage\": \"fr-FR\",\n \"potentialAction\": [\n {\n \"@type\": \"ReadAction\",\n \"target\": [\n \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/\"\n ]\n }\n ]\n },\n {\n \"@type\": \"ImageObject\",\n \"inLanguage\": \"fr-FR\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/#primaryimage\",\n \"url\": \"https:\\\/\\\/www.global-pps.com\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/Untitled-6.png\",\n \"contentUrl\": \"https:\\\/\\\/www.global-pps.com\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/Untitled-6.png\",\n \"width\": 746,\n \"height\": 327\n },\n {\n \"@type\": \"BreadcrumbList\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\\\/#breadcrumb\",\n \"itemListElement\": [\n {\n \"@type\": \"ListItem\",\n \"position\": 1,\n \"name\": \"Accueil\",\n \"item\": \"https:\\\/\\\/www.global-pps.com\\\/\"\n },\n {\n \"@type\": \"ListItem\",\n \"position\": 2,\n \"name\": \"D\\u00e9fis de la RAM dans les h\\u00f4pitaux portugais \\u2013 une histoire du terrain par Dr Raquel Duro\"\n }\n ]\n },\n {\n \"@type\": \"WebSite\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#website\",\n \"url\": \"https:\\\/\\\/www.global-pps.com\\\/\",\n \"name\": \"PPS mondial\",\n \"description\": \"Partager les connaissances mondiales\",\n \"publisher\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#organization\"\n },\n \"potentialAction\": [\n {\n \"@type\": \"SearchAction\",\n \"target\": {\n \"@type\": \"EntryPoint\",\n \"urlTemplate\": \"https:\\\/\\\/www.global-pps.com\\\/?s={search_term_string}\"\n },\n \"query-input\": {\n \"@type\": \"PropertyValueSpecification\",\n \"valueRequired\": true,\n \"valueName\": \"search_term_string\"\n }\n }\n ],\n \"inLanguage\": \"fr-FR\"\n },\n {\n \"@type\": \"Organization\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#organization\",\n \"name\": \"PPS mondial\",\n \"url\": \"https:\\\/\\\/www.global-pps.com\\\/\",\n \"logo\": {\n \"@type\": \"ImageObject\",\n \"inLanguage\": \"fr-FR\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\n \"url\": \"https:\\\/\\\/www.global-pps.com\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/cropped-GPPS-10-year-logo_scaled.png\",\n \"contentUrl\": \"https:\\\/\\\/www.global-pps.com\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/cropped-GPPS-10-year-logo_scaled.png\",\n \"width\": 791,\n \"height\": 771,\n \"caption\": \"Global PPS\"\n },\n \"image\": {\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"\n }\n },\n {\n \"@type\": \"Person\",\n \"@id\": \"https:\\\/\\\/www.global-pps.com\\\/#\\\/schema\\\/person\\\/2e871209a3285a9a904e5ac2d06b3f0c\",\n \"name\": \"Leandra Reijsmeijer\",\n \"image\": {\n \"@type\": \"ImageObject\",\n \"inLanguage\": \"fr-FR\",\n \"@id\": \"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/82d69e1ae3bdb0cab396d400403dff45e9b2c746bc2f901fe5f25b6f6f520fbf?s=96&d=mm&r=g\",\n \"url\": \"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/82d69e1ae3bdb0cab396d400403dff45e9b2c746bc2f901fe5f25b6f6f520fbf?s=96&d=mm&r=g\",\n \"contentUrl\": \"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/82d69e1ae3bdb0cab396d400403dff45e9b2c746bc2f901fe5f25b6f6f520fbf?s=96&d=mm&r=g\",\n \"caption\": \"Leandra Reijsmeijer\"\n },\n \"url\": \"http:\\\/\\\/www.global-pps.com\\\/fr\\\/author\\\/leandra\\\/\"\n }\n ]\n}<\/script>\n<!-- \/ Yoast SEO plugin. -->", "yoast_head_json": { "title": "D\u00e9fis de la RAM dans les h\u00f4pitaux portugais \u2013 une histoire du terrain par le Dr Raquel Duro - Global PPS", "robots": { "index": "index", "follow": "follow", "max-snippet": "max-snippet:-1", "max-image-preview": "max-image-preview:large", "max-video-preview": "max-video-preview:-1" }, "canonical": "https:\/\/www.global-pps.com\/fr\/les-defis-de-la-resistance-aux-antimicrobiens-dans-les-hopitaux-portugais-une-histoire-du-terrain-par-le-dr-raquel-duro\/", "og_locale": "fr_FR", "og_type": "article", "og_title": "AMR challenges in Portuguese hospitals \u2013 a story from the field by Dr. Raquel Duro - Global PPS", "og_description": "In this interview, Dr. Raquel Duro, member of the Portuguese drive-AMS team, elaborates on her role within the project, the AMS interventions in her hospital and how AMR has affected patients.", "og_url": "https:\/\/www.global-pps.com\/fr\/les-defis-de-la-resistance-aux-antimicrobiens-dans-les-hopitaux-portugais-une-histoire-du-terrain-par-le-dr-raquel-duro\/", "og_site_name": "Global PPS", "article_published_time": "2024-05-31T14:30:40+00:00", "article_modified_time": "2024-06-07T13:49:06+00:00", "og_image": [ { "width": 746, "height": 327, "url": "https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/Untitled-6.png", "type": "image\/png" } ], "author": "Leandra Reijsmeijer", "twitter_card": "summary_large_image", "twitter_misc": { "\u00c9crit par": "Leandra Reijsmeijer", "Dur\u00e9e de lecture estim\u00e9e": "5 minutes" }, "schema": { "@context": "https:\/\/schema.org", "@graph": [ { "@type": "Article", "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/#article", "isPartOf": { "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/" }, "author": { "name": "Leandra Reijsmeijer", "@id": "https:\/\/www.global-pps.com\/#\/schema\/person\/2e871209a3285a9a904e5ac2d06b3f0c" }, "headline": "AMR challenges in Portuguese hospitals \u2013 a story from the field by Dr. Raquel Duro", "datePublished": "2024-05-31T14:30:40+00:00", "dateModified": "2024-06-07T13:49:06+00:00", "mainEntityOfPage": { "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/" }, "wordCount": 944, "publisher": { "@id": "https:\/\/www.global-pps.com\/#organization" }, "image": { "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/#primaryimage" }, "thumbnailUrl": "https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/Untitled-6.png", "articleSection": [ "AMS" ], "inLanguage": "fr-FR" }, { "@type": "WebPage", "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/", "url": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/", "name": "D\u00e9fis de la RAM dans les h\u00f4pitaux portugais \u2013 une histoire du terrain par le Dr Raquel Duro - Global PPS", "isPartOf": { "@id": "https:\/\/www.global-pps.com\/#website" }, "primaryImageOfPage": { "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/#primaryimage" }, "image": { "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/#primaryimage" }, "thumbnailUrl": "https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/Untitled-6.png", "datePublished": "2024-05-31T14:30:40+00:00", "dateModified": "2024-06-07T13:49:06+00:00", "breadcrumb": { "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/#breadcrumb" }, "inLanguage": "fr-FR", "potentialAction": [ { "@type": "ReadAction", "target": [ "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/" ] } ] }, { "@type": "ImageObject", "inLanguage": "fr-FR", "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/#primaryimage", "url": "https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/Untitled-6.png", "contentUrl": "https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/Untitled-6.png", "width": 746, "height": 327 }, { "@type": "BreadcrumbList", "@id": "https:\/\/www.global-pps.com\/amr-challenges-in-portuguese-hospitals-a-story-from-the-field-by-dr-raquel-duro\/#breadcrumb", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https:\/\/www.global-pps.com\/" }, { "@type": "ListItem", "position": 2, "name": "AMR challenges in Portuguese hospitals \u2013 a story from the field by Dr. Raquel Duro" } ] }, { "@type": "WebSite", "@id": "https:\/\/www.global-pps.com\/#website", "url": "https:\/\/www.global-pps.com\/", "name": "PPS mondial", "description": "Partager les connaissances mondiales", "publisher": { "@id": "https:\/\/www.global-pps.com\/#organization" }, "potentialAction": [ { "@type": "SearchAction", "target": { "@type": "EntryPoint", "urlTemplate": "https:\/\/www.global-pps.com\/?s={search_term_string}" }, "query-input": { "@type": "PropertyValueSpecification", "valueRequired": true, "valueName": "search_term_string" } } ], "inLanguage": "fr-FR" }, { "@type": "Organization", "@id": "https:\/\/www.global-pps.com\/#organization", "name": "PPS mondial", "url": "https:\/\/www.global-pps.com\/", "logo": { "@type": "ImageObject", "inLanguage": "fr-FR", "@id": "https:\/\/www.global-pps.com\/#\/schema\/logo\/image\/", "url": "https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/cropped-GPPS-10-year-logo_scaled.png", "contentUrl": "https:\/\/www.global-pps.com\/wp-content\/uploads\/2024\/05\/cropped-GPPS-10-year-logo_scaled.png", "width": 791, "height": 771, "caption": "Global PPS" }, "image": { "@id": "https:\/\/www.global-pps.com\/#\/schema\/logo\/image\/" } }, { "@type": "Person", "@id": "https:\/\/www.global-pps.com\/#\/schema\/person\/2e871209a3285a9a904e5ac2d06b3f0c", "name": "Leandra Reijsmeijer", "image": { "@type": "ImageObject", "inLanguage": "fr-FR", "@id": "https:\/\/secure.gravatar.com\/avatar\/82d69e1ae3bdb0cab396d400403dff45e9b2c746bc2f901fe5f25b6f6f520fbf?s=96&d=mm&r=g", "url": "https:\/\/secure.gravatar.com\/avatar\/82d69e1ae3bdb0cab396d400403dff45e9b2c746bc2f901fe5f25b6f6f520fbf?s=96&d=mm&r=g", "contentUrl": "https:\/\/secure.gravatar.com\/avatar\/82d69e1ae3bdb0cab396d400403dff45e9b2c746bc2f901fe5f25b6f6f520fbf?s=96&d=mm&r=g", "caption": "Leandra Reijsmeijer" }, "url": "http:\/\/www.global-pps.com\/fr\/author\/leandra\/" } ] } }, "_links": { "self": [ { "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/posts\/17897", "targetHints": { "allow": [ "GET" ] } } ], "collection": [ { "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/posts" } ], "about": [ { "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/types\/post" } ], "author": [ { "embeddable": true, "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/users\/7" } ], "replies": [ { "embeddable": true, "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/comments?post=17897" } ], "version-history": [ { "count": 5, "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/posts\/17897\/revisions" } ], "predecessor-version": [ { "id": 17909, "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/posts\/17897\/revisions\/17909" } ], "wp:featuredmedia": [ { "embeddable": true, "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/media\/17896" } ], "wp:attachment": [ { "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/media?parent=17897" } ], "wp:term": [ { "taxonomy": "category", "embeddable": true, "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/categories?post=17897" }, { "taxonomy": "post_tag", "embeddable": true, "href": "https:\/\/www.global-pps.com\/fr\/wp-json\/wp\/v2\/tags?post=17897" } ], "curies": [ { "name": "wp", "href": "https:\/\/api.w.org\/{rel}", "templated": true } ] } }