{"id":19691,"date":"2025-06-10T13:56:13","date_gmt":"2025-06-10T13:56:13","guid":{"rendered":"https:\/\/www.global-pps.com\/?p=19691"},"modified":"2025-06-10T13:57:13","modified_gmt":"2025-06-10T13:57:13","slug":"interview-with-dr-markella-marcou-and-dr-linos-hadjihannas-on-behalf-of-the-cyprus-ministry-of-health","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/fr\/interview-with-dr-markella-marcou-and-dr-linos-hadjihannas-on-behalf-of-the-cyprus-ministry-of-health\/","title":{"rendered":"Interview with Dr. Markella Marcou and Dr. Linos Hadjihannas on behalf of the Cyprus Ministry of Health"},"content":{"rendered":"
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Can you briefly introduce yourselves and your roles in Cyprus’ AMR strategy?<\/strong><\/p>

Markella Marcou<\/strong>: I\u2019m head of the Microbiology Department at Archbishop Makarios III Hospital, which is the Paediatrics and Obstetrics and Gynaecology Hospital in Nicosia, and also serve as coordinator of our newly formed AMS Committee. One day a week, I work at the Ministry of Health where I collaborate with Linos on national AMR and infection prevention programmes.<\/p>

Linos Hadjihannas<\/strong>: I head the Infectious Diseases Unit at Nicosia General Hospital and I work with Markella at the Ministry of Health. We\u2019re both focal points for AMR and nosocomial infections.<\/p>

What motivated your interest in AMR and stewardship?<\/strong><\/p>

Linos<\/strong>: AMR and nosocomial infections are central to our fields. We see firsthand the risks to patient safety, so contributing to national AMR efforts is a natural extension of our work. Cyprus has high antibiotic consumption and AMR rates, similar to other Southern European countries. It\u2019s not just a national issue\u2014it\u2019s cultural.<\/p>

Markella<\/strong>: Exactly. It\u2019s about habits\u2014how antibiotics are prescribed and how infection prevention is practiced. We don\u2019t lack guidelines, but monitoring and adherence are the real hurdles. Until recently, most hospitals didn\u2019t even have AMS committees. That changed last year, when a circular from the Ministry made them mandatory.<\/p>

Why was it necessary to make AMS committees compulsory in hospitals?<\/strong><\/p>

Markella<\/strong>: Without stewardship structures, there\u2019s no coordinated approach to prescribing. Multidisciplinary AMS teams are essential to developing realistic, context-specific interventions. We recommended to the Ministry that hospitals be required to form them\u2014and the MoH agreed. By the end of 2024, a directive went out to all hospitals\u2014public and private. That\u2019s a major shift.<\/p>

How did you first get involved in drive-AMS? Was it through the Greek drive-AMS team?<\/strong><\/p>

Markella<\/strong>: No. It started with Rosa Perran from the Netherlands\u2019 Ministry of Health, Welfare and Sports. At an EU-JAMRAI meeting, she suggested we join the drive-AMS training course. From there, we were introduced to Jeroen Schouten and later to Prof. Roilides in Greece.<\/p>

Linos:<\/strong> We realised the course was a perfect fit for Cyprus. We had just mandated AMS committees, and this was a timely opportunity to train them.<\/p>

What did the February 2025 training achieve?<\/strong><\/p>

Linos: <\/strong>The first training brought together AMS teams<\/a> from the eight largest hospitals in Cyprus: four public, four private. Each team designed a small-scale, realistic project to kickstart their AMS programme. It was a great way to combine policy with practice.<\/p>

Markella:<\/strong> The course also introduced us to new concepts like identifying behavioural barriers and facilitators. A major take-home message, however, was that change takes time. It starts with small, realistic goals. In the course, the trainers used the Chinese bamboo metaphor: you water and water and see nothing for a long time, but suddenly, it grows strong and tall. That\u2019s how change in AMS will take root.<\/p>

What\u2019s the follow-up plan after the February course?<\/strong><\/p>

Linos<\/strong>: Each hospital designed a realistic AMS project during the course. We\u2019re now holding follow-up teleconferences every few months where each team presents their progress. Trainers from Greece join to advise and support.<\/p>

Markella:<\/strong> Most of the hospitals also carried out a Global-PPS<\/a> measurement before the course, and many plan to repeat it in a year to track improvements. We found the Global-PPS very user-friendly and not too time-consuming. That makes it a great tool to measure progress over time.<\/p>

What outcomes do you hope to see?<\/strong><\/p>

Markella<\/strong>: We\u2019re not expecting Cyprus to become Sweden overnight. But we do hope to stabilize the situation, and create small wins in each hospital. It’s about starting a cultural shift, about raising awareness and fostering change from within. The roots are in place. Now we water the bamboo.<\/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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Antimicrobial resistance knows no borders, and neither does drive-AMS. Following its successful implementation in Greece, Portugal, Romania and Lithuania, the drive-AMS approach is now taking root in Cyprus. With the enthusiastic leadership of Dr. Elisavet Constantinou, Dr. Markella Marcou and Dr. Linos Hadjihannas, the country has taken major steps in implementing antimicrobial stewardship (AMS) at the hospital level. In a first major milestone, eight newly established AMS teams were trained in February 2025 as part of a tailor-made drive-AMS training. In this interview, Dr. Marcou and Dr. Hadjihannas reflect on their motivation, the AMR situation in Cyprus, and their expectations for the future.<\/p>","protected":false},"author":8,"featured_media":19692,"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-19691","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ams","entry","has-media"],"yoast_head":"\nInterview with Dr. Markella Marcou and Dr. Linos Hadjihannas on behalf of the Cyprus Ministry of Health - 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\/interview-with-dr-markella-marcou-and-dr-linos-hadjihannas-on-behalf-of-the-cyprus-ministry-of-health\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Interview with Dr. Markella Marcou and Dr. Linos Hadjihannas on behalf of the Cyprus Ministry of Health - Global PPS\" \/>\n<meta property=\"og:description\" content=\"Antimicrobial resistance knows no borders, and neither does drive-AMS. 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