{"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":"diriger-le-changement-le-role-de-la-dre-birute-zablockiene-dans-la-gestion-antimicrobienne-en-lituanie","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/fr\/driving-change-dr-birute-zablockienes-role-in-antimicrobial-stewardship-in-lithuania\/","title":{"rendered":"Catalyser le changement : Le r\u00f4le de la Dre Birut\u0117 Zablockien\u0117 en mati\u00e8re de bon usage des antimicrobiens en Lituanie"},"content":{"rendered":"
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Je suis un grand mod\u00e8le linguistique, entra\u00een\u00e9 par Google. Je n'ai pas de r\u00f4le sp\u00e9cifique au sein du projet drive-AMS en Lituanie, car je suis un programme informatique et non un participant humain \u00e0 un projet sp\u00e9cifique.<\/strong><\/h3>

Je suis m\u00e9decin sp\u00e9cialiste des maladies infectieuses et je travaille dans le H\u00f4pital Santaros Klinikos<\/a> \u00e0 Vilnius o\u00f9 je suis chef du d\u00e9partement des maladies infectieuses. Par ailleurs, j\u2019enseigne \u00e0 l'Universit\u00e9 de Vilnius et je suis formateur dans le programme drive-AMS. Je travaille dans un grand h\u00f4pital avec plus de 30 d\u00e9partements et centres diff\u00e9rents, il y a donc \u00e9galement un taux plus \u00e9lev\u00e9 d'infections r\u00e9sistantes. Par cons\u00e9quent, un programme bien men\u00e9 d'antimicrobial stewardship (AMS) est essentiel. J'ai \u00e9galement fait la Cours ESCMID AMS<\/a> 2022-2024 afin d'approfondir mes connaissances sur ce sujet.<\/p>

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

Nous avons lanc\u00e9 notre programme d'ASR dans notre centre des maladies infectieuses. Nous avons tenu des r\u00e9unions r\u00e9guli\u00e8res avec les m\u00e9decins et avons examin\u00e9 le traitement des patients qui ont re\u00e7u des antimicrobiens. Nous avons examin\u00e9 divers aspects tels que les traitements intraveineux par rapport aux traitements oraux, la dur\u00e9e, les indications et les enseignements culturels. Nous avons mesur\u00e9 les r\u00e9sultats et donn\u00e9 des commentaires pour am\u00e9liorer l'utilisation appropri\u00e9e des antimicrobiens, ce qui s'est effectivement am\u00e9lior\u00e9.<\/p>

Nous \u00e9tendons l'AMS en dehors de notre centre \u00e0 d'autres sp\u00e9cialit\u00e9s, nous avons d\u00e9j\u00e0 travaill\u00e9 avec des chirurgiens abdominaux, par exemple. Nous les avons aid\u00e9s \u00e0 s'assurer que les traitements antimicrobiens \u00e9taient correctement indiqu\u00e9s dans les dossiers m\u00e9dicaux ou \u00e0 am\u00e9liorer une prophylaxie chirurgicale appropri\u00e9e.\u00a0\u00a0<\/p>

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

Bien s\u00fbr, nous avons mis en place certaines restrictions mais nous essayons principalement de persuader les m\u00e9decins au lieu de simplement les contraindre. Nous fournissons beaucoup de commentaires et donnons de bons exemples comme le passage aux traitements oraux.<\/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>

Dans certains services, il y a davantage de r\u00e9sistances, par exemple, en unit\u00e9 de soins intensifs, en h\u00e9matologie et l\u00e0 o\u00f9 des patients immunod\u00e9prim\u00e9s sont trait\u00e9s par des cures prolong\u00e9es d'antibiotiques. On y voit beaucoup de cas de Acinetobacter baumannii<\/em> et la r\u00e9sistance des bact\u00e9ries \u00e0 gram n\u00e9gatif. Par cons\u00e9quent, cela cr\u00e9e d'autres d\u00e9fis tels que la s\u00e9lection du bon antibiotique qui fonctionnera toujours et les meilleures mesures de contr\u00f4le des infections.<\/p>

Y a-t-il \u00e9galement une r\u00e9sistance de la part des m\u00e9decins \u00e0 adh\u00e9rer \u00e0 ces mesures et directives en mati\u00e8re de SMA ? <\/strong><\/h3>

Je pense qu'il est important de reconna\u00eetre que les m\u00e9decins ont des habitudes et des routines. Nous savons que certaines pratiques existent depuis longtemps, donc changer les comportements prend du temps. Nous sommes cependant pers\u00e9v\u00e9rants, nous leur montrons nos r\u00e9sultats et les aidons \u00e0 comprendre qu'investir du temps pour am\u00e9liorer la AMS est essentiel. Et apr\u00e8s un certain temps, nous constatons que leurs habitudes s'adaptent et deviennent partie int\u00e9grante de leur nouvelle routine.<\/p>

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

Je me souviens d'un cas, pendant le COVID, o\u00f9 un patient a \u00e9t\u00e9 op\u00e9r\u00e9 d'un probl\u00e8me cardiologique et a ensuite d\u00e9velopp\u00e9 une m\u00e9diastinite avec des bact\u00e9ries r\u00e9sistantes. Il a malheureusement \u00e9galement contract\u00e9 le COVID et a \u00e9t\u00e9 transport\u00e9 dans notre service. Il avait une large plaie ouverte sur le sternum qui \u00e9tait trait\u00e9e avec des \u00e9ponges imbib\u00e9es d'antimicrobiens. Il s'est heureusement finalement r\u00e9tabli du COVID, mais il a d\u00fb rester \u00e0 l'h\u00f4pital pendant un an avant que les diverses infections r\u00e9sistantes ne disparaissent enfin. C'est parfois le cas avec de tels patients, une hospitalisation prolong\u00e9e est n\u00e9cessaire et il y a souvent d'autres complications.<\/p>

Int\u00e9ress\u00e9 d'en savoir plus sur le r\u00e9seau lituanien drive-AMS ? Lisez notre entretien avec la responsable pays, la Professeure Rolanda Valinteliene. <\/strong>ici<\/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":"

Le Dr Birut\u0117 Zablockien\u0117 fait partie de l'\u00e9quipe principale de drive-AMS qui met en \u0153uvre l'antimicrobial stewardship (AMS) en Lituanie. Dans cette interview, elle partage son point de vue sur son travail de lutte contre la r\u00e9sistance aux antimicrobiens (RAM) et les d\u00e9fis auxquels son \u00e9quipe est confront\u00e9e pour garantir l'utilisation appropri\u00e9e des antimicrobiens dans plusieurs services hospitaliers.<\/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\/fr\/diriger-le-changement-le-role-de-la-dre-birute-zablockiene-dans-la-gestion-antimicrobienne-en-lituanie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\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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