{"id":21189,"date":"2026-10-06T08:51:00","date_gmt":"2026-10-06T08:51:00","guid":{"rendered":"https:\/\/www.global-pps.com\/?p=21189"},"modified":"2026-09-30T15:24:06","modified_gmt":"2026-09-30T15:24:06","slug":"dr-irma-korinteli-une-decennie-de-progres-dans-le-domaine-de-la-sante-en-georgie","status":"publish","type":"post","link":"https:\/\/www.global-pps.com\/fr\/dr-irma-korinteli-on-a-decade-of-amr-progress-in-georgia\/","title":{"rendered":"La Dre Irma Korinteli sur une d\u00e9cennie de progr\u00e8s en mati\u00e8re de r\u00e9sistance aux antimicrobiens en G\u00e9orgie"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"21189\" class=\"elementor elementor-21189\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-41fe48f2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"41fe48f2\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ob_glider_is_slider&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-32225d22\" data-id=\"32225d22\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;_ob_column_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_column_has_pseudo&quot;:&quot;no&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4f2255 ob-harakiri-inherit ob-has-background-overlay elementor-widget elementor-widget-heading\" data-id=\"a4f2255\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_use_harakiri&quot;:&quot;yes&quot;,&quot;_ob_harakiri_writing_mode&quot;:&quot;inherit&quot;,&quot;_ob_harakiri_text_clip&quot;:&quot;none&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">La Dre Irma Korinteli sur une d\u00e9cennie de progr\u00e8s en mati\u00e8re de r\u00e9sistance aux antimicrobiens en G\u00e9orgie<\/h2>\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-282d301f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"282d301f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ob_glider_is_slider&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-31906e87\" data-id=\"31906e87\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;_ob_column_hoveranimator&quot;:&quot;no&quot;,&quot;_ob_column_has_pseudo&quot;:&quot;no&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a30c2c0 ob-has-background-overlay elementor-widget elementor-widget-post-info\" data-id=\"a30c2c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;}\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-3602bd3 elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.global-pps.com\/fr\/2026\/10\/06\/\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>6 octobre 2026<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f1097b ob-harakiri-inherit ob-has-background-overlay elementor-widget elementor-widget-text-editor\" data-id=\"9f1097b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_use_harakiri&quot;:&quot;yes&quot;,&quot;_ob_harakiri_writing_mode&quot;:&quot;inherit&quot;,&quot;_ob_postman_use&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>La Dre Irma Korinteli est p\u00e9diatre, professeure adjointe \u00e0 l\u2019Universit\u00e9 m\u00e9dicale d\u2019\u00c9tat de Tbilissi et l\u2019une des membres les plus engag\u00e9s du r\u00e9seau Global-PPS en G\u00e9orgie. Depuis son entr\u00e9e dans le r\u00e9seau en 2016, ses recherches ont directement contribu\u00e9 au premier plan d\u2019action national de G\u00e9orgie contre la r\u00e9sistance aux antimicrobiens (2017) et, plus r\u00e9cemment, \u00e0 un programme de perfectionnement professionnel agr\u00e9\u00e9 \u00e0 l\u2019\u00e9chelle nationale qui a d\u00e9j\u00e0 form\u00e9 plus de 200 m\u00e9decins g\u00e9orgiens. Elle participe \u00e9galement r\u00e9guli\u00e8rement \u00e0 des \u00e9missions de t\u00e9l\u00e9vision et sur les r\u00e9seaux sociaux g\u00e9orgiens pour sensibiliser le public \u00e0 l\u2019utilisation des antibiotiques. Nous avons discut\u00e9 avec elle de cette aventure, des obstacles qui subsistent et de ce qu\u2019elle aimerait voir de la part de Global-PPS \u00e0 l\u2019avenir.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fce71ac ob-has-background-overlay elementor-widget elementor-widget-image\" data-id=\"fce71ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_photomorph_use&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"661\" src=\"https:\/\/www.global-pps.com\/wp-content\/uploads\/2026\/09\/Irma-Korinteli-1024x661.jpg\" class=\"attachment-large size-large wp-image-21190\" alt=\"\" srcset=\"https:\/\/www.global-pps.com\/wp-content\/uploads\/2026\/09\/Irma-Korinteli-1024x661.jpg 1024w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2026\/09\/Irma-Korinteli-300x194.jpg 300w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2026\/09\/Irma-Korinteli-768x495.jpg 768w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2026\/09\/Irma-Korinteli-1536x991.jpg 1536w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2026\/09\/Irma-Korinteli-18x12.jpg 18w, https:\/\/www.global-pps.com\/wp-content\/uploads\/2026\/09\/Irma-Korinteli.jpg 1984w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39c98f38 ob-harakiri-inherit ob-has-background-overlay elementor-widget elementor-widget-text-editor\" data-id=\"39c98f38\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_ob_use_harakiri&quot;:&quot;yes&quot;,&quot;_ob_harakiri_writing_mode&quot;:&quot;inherit&quot;,&quot;_ob_postman_use&quot;:&quot;no&quot;,&quot;_ob_widget_stalker_use&quot;:&quot;no&quot;,&quot;_ob_poopart_use&quot;:&quot;yes&quot;,&quot;_ob_shadough_use&quot;:&quot;no&quot;,&quot;_ob_allow_hoveranimator&quot;:&quot;no&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Pouvez-vous nous parler un peu de vous et de votre travail ?<\/strong><\/p><p>Je suis p\u00e9diatre de formation, avec des sp\u00e9cialit\u00e9s en m\u00e9decine d\u2019urgence p\u00e9diatrique et en maladies infectieuses p\u00e9diatriques. Je suis professeur adjoint \u00e0 l\u2019Universit\u00e9 m\u00e9dicale d\u2019\u00c9tat de Tbilissi, et depuis 2021 je travaille \u00e0 l\u2019h\u00f4pital p\u00e9diatrique de l\u2019Universit\u00e9 de Tbilissi, bien que mon exp\u00e9rience clinique couvre d\u00e9sormais plus de dix ans, y compris des p\u00e9riodes dans des h\u00f4pitaux priv\u00e9s dans la capitale et dans d\u2019autres r\u00e9gions de G\u00e9orgie. L\u2019ann\u00e9e derni\u00e8re, j\u2019ai trait\u00e9 moi-m\u00eame plus de 800 patients.<\/p><p>Cette exp\u00e9rience clinique pratique, combin\u00e9e \u00e0 mon parcours de chercheur gr\u00e2ce \u00e0 Global-PPS, est vraiment ce qui me permet de former et de mentoriser d\u2019autres m\u00e9decins gr\u00e2ce \u00e0 l\u2019\u00e9ducation m\u00e9dicale continue. Je me consid\u00e8re avant tout comme un m\u00e9decin pratique, et c\u2019est ce qui permet de traduire la recherche en quelque chose que les coll\u00e8gues peuvent r\u00e9ellement utiliser dans leur pratique quotidienne.<\/p><p><strong>Pourquoi lutter contre la r\u00e9sistance aux antimicrobiens est-il si important, tant en G\u00e9orgie que dans le monde ?<\/strong><\/p><p>L\u2019AMR est l\u2019un des d\u00e9fis les plus urgents de la m\u00e9decine moderne, et la pand\u00e9mie de COVID-19 l\u2019a consid\u00e9rablement aggrav\u00e9e. Durant la pand\u00e9mie, nous avons observ\u00e9 une utilisation extr\u00eamement \u00e9lev\u00e9e d\u2019antibiotiques dans le monde entier, motiv\u00e9e par des taux \u00e9lev\u00e9s de co-infection bact\u00e9rienne suspect\u00e9e, des directives en rapide \u00e9volution et un manque de temps pour attendre les r\u00e9sultats complets des analyses de laboratoire. L\u2019OMS avait pr\u00e9vu que d\u2019ici 2013, nous vivrions dans une \u00e8re post-antibiotique, avec une baisse de la mortalit\u00e9 li\u00e9e \u00e0 la r\u00e9sistance \u2013 au lieu de cela, la pand\u00e9mie a invers\u00e9 une grande partie de ces progr\u00e8s, en G\u00e9orgie et ailleurs.<\/p><p><strong>Comment l\u2019approche de la G\u00e9orgie en mati\u00e8re de prescription d\u2019antibiotiques a-t-elle \u00e9volu\u00e9 depuis lors ?<\/strong><\/p><p>Le v\u00e9ritable tournant est intervenu en 2014, lorsque les antibiotiques ont \u00e9t\u00e9 r\u00e9class\u00e9s comme m\u00e9dicaments \u00e0 usage exclusif de m\u00e9decins. Avant cela, ils \u00e9taient disponibles sans ordonnance dans les pharmacies et les magasins. En 2017, la G\u00e9orgie a adopt\u00e9 son premier Plan d\u2019action national sur la r\u00e9sistance aux antimicrobiens, \u00e9labor\u00e9 par le minist\u00e8re de la Sant\u00e9 conform\u00e9ment aux recommandations de l\u2019OMS. Il visait \u00e0 sensibiliser le public, \u00e0 contr\u00f4ler la distribution des m\u00e9dicaments, \u00e0 surveiller la prescription et \u00e0 former les m\u00e9decins.<\/p><p>Depuis lors, cette strat\u00e9gie a continu\u00e9 d\u2019\u00e9voluer : en 2022, les antibiotiques n\u2019\u00e9taient disponibles que sur ordonnance \u00e9lectronique, ce qui repr\u00e9sentait une \u00e9tape majeure vers la r\u00e9duction de l\u2019utilisation inappropri\u00e9e et le transfert de la responsabilit\u00e9 et du suivi aux m\u00e9decins eux-m\u00eames. Cette m\u00eame mise \u00e0 jour a \u00e9galement rapproch\u00e9 les secteurs humain, v\u00e9t\u00e9rinaire et environnemental sous l\u2019angle de la \u00ab sant\u00e9 globale \u00bb, et cette approche a \u00e9t\u00e9 renforc\u00e9e dans une r\u00e9vision de 2024. Ainsi, en douze ans, nous sommes pass\u00e9s d\u2019un syst\u00e8me de distribution d\u2019antibiotiques comme pour tout autre produit \u00e0 un syst\u00e8me de prescription enti\u00e8rement r\u00e9glement\u00e9 et contr\u00f4l\u00e9.<\/p><p><strong>Votre propre recherche est \u00e9troitement li\u00e9e \u00e0 ce premier plan d\u2019action national. Pouvez-vous nous en dire davantage ?<\/strong><\/p><p>C\u2019est un moment que je suis vraiment fier. La strat\u00e9gie nationale de 2017 s\u2019est inspir\u00e9e des premi\u00e8res donn\u00e9es nationales sur l\u2019utilisation des antibiotiques en G\u00e9orgie, et j\u2019ai fait partie de l\u2019\u00e9quipe qui l\u2019a \u00e9labor\u00e9e. Je fais partie du r\u00e9seau Global-PPS depuis 2016, en collaboration avec Ann Versporten, le professeur Herman Goossens et l\u2019\u00e9quipe de collaboration de l\u2019OMS, ainsi que le professeur Karaman Pagava de l\u2019Universit\u00e9 m\u00e9dicale d\u2019\u00c9tat de Tbilissi, qui a \u00e9t\u00e9 notre superviseur scientifique depuis le tout premier sondage.<\/p><p>Depuis lors, nous sommes pass\u00e9s d\u2019une poign\u00e9e d\u2019h\u00f4pitaux \u00e0 plus de 30, en effectuant des enqu\u00eates aupr\u00e8s de plus de mille patients, tant en milieu hospitalier que, plus r\u00e9cemment, dans le cadre d\u2019enqu\u00eates de pr\u00e9valence aupr\u00e8s des patients ambulatoires. Mon doctorat, r\u00e9alis\u00e9 en 2019, s\u2019est \u00e9galement bas\u00e9 sur les donn\u00e9es du Global-PPS : il d\u00e9crivait la situation g\u00e9n\u00e9rale de l\u2019utilisation des antibiotiques en G\u00e9orgie et concluait que la surveillance continue et rationnelle, avec un outil de r\u00e9f\u00e9rence comme le Global-PPS, \u00e9tait essentielle pour assurer une gestion efficace.<\/p><p><strong>Cette recherche est finalement devenue la base d\u2019un programme national de perfectionnement professionnel que vous avez lanc\u00e9. Pourquoi est-ce ce programme n\u00e9cessaire ?<\/strong><\/p><p>Ann\u00e9e apr\u00e8s ann\u00e9e, nos rapports Global-PPS r\u00e9v\u00e8lent les m\u00eames sch\u00e9mas cl\u00e9s : une pr\u00e9valence totale d\u2019antibiotiques de plus de 80% dans les h\u00f4pitaux g\u00e9orgiens, une forte d\u00e9pendance aux antibiotiques de type Watch plut\u00f4t que ceux de type Access, et une utilisation tr\u00e8s limit\u00e9e des traitements cibl\u00e9s, par opposition aux traitements empiriques. En voyant ces donn\u00e9es de mani\u00e8re si claire et r\u00e9p\u00e9t\u00e9e, nous avons \u00e9t\u00e9 convaincus que d\u00e9clarer ces informations n\u2019\u00e9tait pas suffisant. Les m\u00e9decins devaient en \u00eatre t\u00e9moins eux-m\u00eames.<\/p><p>Ainsi, en collaboration avec des coll\u00e8gues du d\u00e9partement de formation continue \u00e0 l\u2019Universit\u00e9 m\u00e9dicale d\u2019\u00c9tat de Tbilissi et avec l\u2019agr\u00e9ment du minist\u00e8re de la Sant\u00e9, nous avons \u00e9labor\u00e9 un programme national de formation continue. Au cours des deux derni\u00e8res ann\u00e9es, nous avons organis\u00e9 six s\u00e9minaires auxquels ont particip\u00e9 plus de 200 m\u00e9decins, non seulement \u00e0 Tbilissi mais \u00e9galement dans d\u2019autres r\u00e9gions de G\u00e9orgie. Deux sessions suppl\u00e9mentaires sont pr\u00e9vues pour septembre prochain. Dans chaque s\u00e9minaire, nous aidons les m\u00e9decins \u00e0 comprendre les donn\u00e9es du Global-PPS, leur montrer ce qu\u2019elles r\u00e9v\u00e8lent dans leur propre h\u00f4pital et comment elles se situent par rapport \u00e0 l\u2019image nationale et r\u00e9gionale. Mais notre v\u00e9ritable objectif est de leur rappeler leur r\u00f4le dans la gestion des antimicrobiens.<\/p><p><em>Lisez davantage sur le programme CPD dans l\u2019article pr\u00e9c\u00e9dent de Dr Korenteli : <a href=\"https:\/\/www.global-pps.com\/fr\/des-donnees-denquete-a-la-salle-de-consultation-comment-la-georgie-a-transforme-les-conclusions-du-systeme-pps-mondial-en-un-programme-de-formation-national\/\">De donn\u00e9es de sondage \u00e0 la salle de consultation<\/a>.<\/em><\/p><p><strong>Dans quelle mesure les m\u00e9decins sont-ils dispos\u00e9s \u00e0 consulter ces donn\u00e9es concernant leur propre pratique de prescription?<\/strong><\/p><p>Rares sont les \u00e9tablissements qui sont aussi ouverts que Global-PPS. Les rapports interactifs de Global-PPS permettent de comparer les donn\u00e9es au niveau hospitalier, national et r\u00e9gional, et les m\u00e9decins trouvent cela vraiment r\u00e9v\u00e9lateur. Par le pass\u00e9, ils recevaient uniquement des messages provenant de haut en bas du minist\u00e8re de la Sant\u00e9 ou des chefs de d\u00e9partement, indiquant que les taux de prescription \u00e9taient trop \u00e9lev\u00e9s, sans que les donn\u00e9es concr\u00e8tes ne montrent vraiment ce que cela signifiait dans leur propre service. Maintenant que les m\u00e9decins peuvent voir leurs propres tendances en parall\u00e8le avec les donn\u00e9es nationales, ils sont bien plus ouverts \u00e0 la discussion et aux commentaires sur les obstacles qu\u2019ils rencontrent lors de la prescription des m\u00e9dicaments. Nous pr\u00e9voyons d\u00e9j\u00e0 de collaborer davantage avec eux en mati\u00e8re d\u2019entr\u00e9e et de collecte de donn\u00e9es.<\/p><p><strong>Quel r\u00f4le joue Global-PPS dans votre travail, et pourquoi consid\u00e9rez-vous cette solution comme si pr\u00e9cieuse ?<\/strong><\/p><p>Global-PPS est, tout simplement, la norme d\u2019excellence en mati\u00e8re de surveillance de la gestion antimicrobienne, tant au niveau des h\u00f4pitaux que des pays. Ce qui m\u2019impressionne le plus, c\u2019est la visualisation : pouvoir comparer les antimicrobiens utilis\u00e9s, les indicateurs de qualit\u00e9 et le respect des directives \u00e0 l\u2019\u00e9chelle des h\u00f4pitaux, des pays et des r\u00e9gions apporte une diff\u00e9rence consid\u00e9rable lors de la pr\u00e9sentation aux coll\u00e8gues. Le module ambulatoire plus r\u00e9cent a \u00e9t\u00e9 tout aussi pr\u00e9cieux \u2013 en fait, je trouve les donn\u00e9es ambulatoires encore plus r\u00e9v\u00e9lateurs, car elles permettent de saisir des \u00e9l\u00e9ments comme la pression sociale sur les d\u00e9cisions de prescription, ce que les donn\u00e9es hospitali\u00e8res ne peuvent pas faire.<\/p><p><strong>L\u2019\u00e9ducation \u00e0 l\u2019utilisation sensible des antimicrobiens fait-elle partie du plan d\u2019action national g\u00e9orgien ?<\/strong><\/p><p>Sensibiliser le public est une partie de notre strat\u00e9gie nationale, mais je crois aussi que c\u2019est une responsabilit\u00e9 que j\u2019ai en tant que m\u00e9decin, et non quelque chose qui rel\u00e8ve uniquement du minist\u00e8re de la Sant\u00e9 ou des agences de sant\u00e9 publique. Je parle bien s\u00fbr de cette question \u00e0 mes propres patients, mais je fais \u00e9galement appel aux r\u00e9seaux sociaux et, lorsque j\u2019ai l\u2019occasion, \u00e0 la t\u00e9l\u00e9vision nationale, pour expliquer des choses comme l\u2019attente prudente : si un enfant a une fi\u00e8vre mais aucun marqueur inflammatoire, il est normal \u2014 et recommand\u00e9 \u2014 de proc\u00e9der \u00e0 un nouveau contr\u00f4le apr\u00e8s 72 heures plut\u00f4t que de commencer imm\u00e9diatement le traitement antibiotique. Ce n\u2019est pas un m\u00e9decin qui \u00e9vite le traitement ; c\u2019est une bonne pratique. Je crois que ce type d\u2019\u00e9ducation directe et pratique doit venir de nous m\u00e9decins, et non seulement de la part des messages gouvernementaux.<\/p><p><strong>Quels sont, selon vous, les principaux obstacles qui subsistent \u00e0 l\u2019utilisation appropri\u00e9e des antibiotiques en G\u00e9orgie ?<\/strong><\/p><p>Certains se distinguent. Premi\u00e8rement, la disponibilit\u00e9 : les antibiotiques de groupe d'acc\u00e8s sont limit\u00e9s en G\u00e9orgie ; pour des raisons pratiques, nous n'avons que des aminopenicillines comme l'amoxicilline, sans cephalosporines de premi\u00e8re ou de deuxi\u00e8me g\u00e9n\u00e9ration, alors que ces deux derniers sont standards dans les directives nationales et internationales pour la prophylaxie chirurgicale et le traitement de premi\u00e8re ligne. Cela laisse les m\u00e9decins avec beaucoup moins de choix rationnels que ce qui devrait \u00eatre le cas, incitant \u00e0 prescrire davantage de m\u00e9dicaments de groupe Watch.<\/p><p>Deuxi\u00e8mement, l\u2019\u00e9cart entre les directives sur le papier et les directives en pratique : nos donn\u00e9es Global-PPS montrent une forte conformit\u00e9 aux directives mais une performance plus faible sur les indicateurs de qualit\u00e9, ce qui indique que la mise en \u0153uvre n\u2019est pas toujours aussi flexible ou \u00e0 jour qu\u2019elle devrait l\u2019\u00eatre. Et troisi\u00e8mement, la pression sociale \u2013 notamment autour des soins p\u00e9diatriques, o\u00f9 les parents attendent une r\u00e9ponse rapide et o\u00f9 la confiance dans les strat\u00e9gies de surveillance et d\u2019attente reste limit\u00e9e \u2013 impose un v\u00e9ritable et constant d\u00e9fi aux prescripteurs.<\/p><p><strong>Enfin, avez-vous des commentaires ou des recommandations \u00e0 faire au sujet de l\u2019\u00e9quipe Global-PPS ?<\/strong><\/p><p>Global-PPS reste, pour moi, l\u2019outil de r\u00e9f\u00e9rence pour la surveillance tant au niveau hospitalier que national, et nous avons l\u2019intention de continuer \u00e0 utiliser et \u00e0 \u00e9largir notre participation. Si je pouvais proposer une am\u00e9lioration, ce serait d\u2019ajouter quelques indicateurs de qualit\u00e9 plus pr\u00e9cis, notamment pour la pratique p\u00e9diatrique : dur\u00e9e de la maladie avant le traitement et r\u00e9sultats d\u2019\u00e9chographie thoracique tels que l\u2019infiltration ou la consolidation. Ces deux \u00e9l\u00e9ments sont essentiels lors du traitement des jeunes enfants, notamment ceux \u00e2g\u00e9s de moins d\u2019un an, et leur capture rendrait l\u2019outil encore plus utile pour les p\u00e9diatres comme moi.<\/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":"<p>Dans cette interview, Jimmy Keustermans, ing\u00e9nieur logiciel au sein de l'\u00e9quipe Global-PPS, nous emm\u00e8ne dans les coulisses de la technologie qui alimente la plateforme. Il explique comment l'informatique soutient la s\u00e9curit\u00e9 des donn\u00e9es, l'exp\u00e9rience utilisateur et l'innovation continue, tout en partageant sa vision sur les d\u00e9veloppements futurs tels que l'intelligence artificielle, de nouveaux modules et une int\u00e9gration renforc\u00e9e avec d'autres plateformes. Jimmy souligne \u00e9galement l'importance des commentaires des utilisateurs et de la collaboration pour faire de Global-PPS un outil p\u00e9renne dans la lutte contre la r\u00e9sistance aux antimicrobiens.<\/p>","protected":false},"author":8,"featured_media":21190,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ocean_front_end_style_editor":"no","ocean_post_layout":"full-screen","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":"default","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":[11],"tags":[],"class_list":["post-21189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dr. Irma Korinteli on a decade of AMR progress in Georgia - Global PPS<\/title>\n<meta name=\"description\" content=\"Last week, Global-PPS held its annual meeting at the ESCMID Global 2025 congress. 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