{"id":807,"date":"2023-02-25T13:19:00","date_gmt":"2023-02-25T13:19:00","guid":{"rendered":"https:\/\/msf.mademo.be\/?p=807"},"modified":"2023-10-12T07:57:03","modified_gmt":"2023-10-12T07:57:03","slug":"the-training-allowed-us-to-see-a-certain-decline-in-the-prescription-of-antibiotics-at-the-hospital","status":"publish","type":"post","link":"https:\/\/academy.msf.org\/fr\/the-training-allowed-us-to-see-a-certain-decline-in-the-prescription-of-antibiotics-at-the-hospital\/","title":{"rendered":"\u00ab La formation nous a permis de voir un certain recul lors des prescriptions d\u2019antibiotiques \u00e0 l\u2019h\u00f4pital \u00bb"},"content":{"rendered":"\n

SOUMAILA TRAOR\u00c9, Docteur \u00e0 Koutiala, Mali<\/mark><\/p>\n\n\n\n

February 2023<\/sub><\/p>\n\n\n\n

Soumaila Traor\u00e9 travaille dans le projet medico-nutritionnel de MSF au Mali, bas\u00e9 \u00e0 Koutiala. Il travaille avec MSF depuis 2013 et il a pass\u00e9 par des diff\u00e9rents services de sant\u00e9, tels que les Soins Intensifs, la P\u00e9diatrie, la N\u00e9onatologie et le service de Nutrition. Il participe au Programme d\u2019Apprentissage de la R\u00e9sistance aux Antimicrobiens<\/a> de l\u2019Acad\u00e9mie MSF pour les Soins de Sant\u00e9, qui propose des cours dipl\u00f4mants aux superviseurs de la pr\u00e9vention et du contr\u00f4le des infections et aux points focaux de la gestion des antimicrobiens travaillant dans les projets hospitaliers de MSF.<\/p>\n\n\n\n

\u00ab Un point qui a attir\u00e9 mon attention c\u2019est surtout la disponibilit\u00e9 et l\u2019accompagnement des Mentors Cliniques qui nous ont permis vraiment de saisir le contenu de cette formation. \u00bb Bien que la formation soit dispens\u00e9e en ligne, les participants sont soutenus par des mentors cliniques experts. \u00ab Avec la p\u00e9dagogie utilis\u00e9e au cours de la formation, je me suis rendu compte surtout de l\u2019int\u00e9r\u00eat particulier des Mentors Cliniques qui nous ont accompagn\u00e9s sur beaucoup de notions qui nous apparaissaient comme nouvelles. \u00bb<\/p>\n\n\n\n

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La disponibilit\u00e9 et l\u2019accompagnement des mentors cliniques nous ont permis vraiment de saisir le contenu de cette formation <\/mark><\/em><\/strong> <\/mark><\/em><\/strong><\/h4>\n<\/blockquote>\n<\/div><\/div>\n\n\n\n
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Soumaila a remarqu\u00e9 des changements au niveau de l\u2019h\u00f4pital gr\u00e2ce \u00e0 sa participation dans la formation : \u00ab On a pu quand m\u00eame sensibiliser la majeure partie des coll\u00e8gues, en mettant les conseils cl\u00e9s \u00e0 la disposition de chaque prescripteur pour quand m\u00eame se dire que tous les \u00e9tats f\u00e9briles ne sont pas des \u00e9tats infectieux, que tous les malaises des patients ne sont pas forc\u00e9ment trait\u00e9s par des antibiotiques. \u00bb Il a aussi vu un certain recul lors des prescriptions d\u2019antibiotiques. \u00ab Quand on a des \u00e9tats f\u00e9briles, on essaie de comprendre les autres raisons qui peuvent expliquer l\u2019\u00e9tat du patient, mais si on n\u2019en a pas d\u2019autres, l\u00e0 on s\u2019appesantit sur l\u2019\u00e9tat infectieux. \u00bb<\/p>\n\n\n\n

Soumaila explique que la formation a am\u00e9lior\u00e9 les discussions entre coll\u00e8gues, \u00e0 propos des dur\u00e9es de certains traitements, par exemple. \u00ab Nous arrivons avec cette formation \u00e0 conceptualiser des \u00e9l\u00e9ments concernant certains \u00e9tats septiques, en mettant les \u00e9l\u00e9ments cliniques de chaque patient dans son contexte et en interpr\u00e9tant correctement les tests. \u00bb<\/p>\n\n\n\n

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On a pu sensibiliser les coll\u00e8gues, en mettant les conseils cl\u00e9s \u00e0 la disposition de chaque prescripteur, pour dire que tous les \u00e9tats f\u00e9briles ne sont pas des \u00e9tats infectieux et que tous les malaises des patients ne sont pas forc\u00e9ment trait\u00e9s par des antibiotiques<\/mark><\/em><\/strong><\/h4>\n<\/blockquote>\n\n\n\n
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Les participants au Programme d\u2019Apprentissage de la R\u00e9sistance aux Antimicrobiens de l\u2019Acad\u00e9mie MSF re\u00e7oivent des tablettes individuelles pour acc\u00e9der aux cours en ligne, participer aux webinaires, communiquer avec leurs mentors et r\u00e9aliser leurs travaux. \u00ab Le plus gros d\u00e9fi auquel on a \u00e9t\u00e9 confront\u00e9s initialement par rapport \u00e0 la disponibilit\u00e9 de mat\u00e9riels d\u2019apprentissage est l\u2019acc\u00e8s \u00e0 la connexion Internet, l\u2019acc\u00e8s aux tablettes acad\u00e9miques\u2026 on a \u00e9t\u00e9 en retard parce qu\u2019on n\u2019arrivait pas \u00e0 avoir suffisamment de volume de connexion pour faire tout le cours et faire les exercices en m\u00eame temps. Donc \u00e7a a \u00e9t\u00e9 une grosse difficult\u00e9 que l\u2019on a fini par remonter apr\u00e8s trois mois de formation. Par la suite, quand ce probl\u00e8me a \u00e9t\u00e9 r\u00e9gl\u00e9 les choses sont rentr\u00e9es dans l\u2019ordre. \u00bb<\/p>\n\n\n\n

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Nous arrivons avec cette formation \u00e0 conceptualiser des \u00e9l\u00e9ments concernant certains \u00e9tats septiques, en mettant les \u00e9l\u00e9ments cliniques de chaque patient dans son contexte et en interpr\u00e9tant correctement les tests<\/mark><\/em><\/strong><\/h4>\n<\/blockquote>\n\n\n\n
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La r\u00e9sistance microbienne aux m\u00e9dicaments se propage rapidement et affecte la morbidit\u00e9 et la mortalit\u00e9 dans les projets de MSF \u00e0 travers le monde. L\u2019Acad\u00e9mie MSF pour les Soins de Sant\u00e9 a lanc\u00e9 l\u2019initiative d\u2019apprentissage de la r\u00e9sistance aux antimicrobiens en Juillet 2021.<\/p>\n\n\n\n

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SOUMAILA TRAOR\u00c9, Docteur \u00e0 Koutiala, Mali February 2023 Soumaila Traor\u00e9 travaille dans le projet medico-nutritionnel de MSF au Mali, bas\u00e9 \u00e0 Koutiala. Il travaille avec MSF depuis 2013 et il a pass\u00e9 par des diff\u00e9rents services de sant\u00e9, tels que les Soins Intensifs, la P\u00e9diatrie, la N\u00e9onatologie et le service de Nutrition. Il participe au […]<\/p>\n","protected":false},"author":2,"featured_media":733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[18,17],"class_list":["post-807","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee","tag-amr","tag-mali"],"acf":[],"yoast_head":"\n\u00ab La formation nous a permis de voir un certain recul lors des prescriptions d\u2019antibiotiques \u00e0 l\u2019h\u00f4pital \u00bb - MSF<\/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:\/\/academy.msf.org\/fr\/the-training-allowed-us-to-see-a-certain-decline-in-the-prescription-of-antibiotics-at-the-hospital\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00ab La formation nous a permis de voir un certain recul lors des prescriptions d\u2019antibiotiques \u00e0 l\u2019h\u00f4pital \u00bb - MSF\" \/>\n<meta property=\"og:description\" content=\"SOUMAILA TRAOR\u00c9, Docteur \u00e0 Koutiala, Mali February 2023 Soumaila Traor\u00e9 travaille dans le projet medico-nutritionnel de MSF au Mali, bas\u00e9 \u00e0 Koutiala. 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