Cherubini C, Barbera G, Petrosillo N, Di Giulio S
U.O. Nefrologia-Dialisi "L. Spallanzani" A.O. S. Camillo-Forlanini, Roma, Italy.
G Ital Nefrol. 2003 May-Jun;20 Suppl 22:S38-42.
During the last years, prevention of hospital infections assumed the role of primary objective for active interventions and dedicated laws for safety in work areas and for facilities accreditation defined responsibilities and preventive measures to reduce the biological risk. Dialysis centers are areas where the infective risk is high but the strict application of the Universal Measures and of specific recommendations are sufficient to reduce the risk of diffusion and transmission of pathogens. The late referral of the ESRD patient, with or without infectious comorbidity, shows an intervention field, in which a local epidemiological survey gives useful data and stimulates the data management at hospital level (Epidemiologists and nefrologists) and family doctors, to improve the disease management of very complex and high cost patients.
在过去几年中，预防医院感染成为积极干预的首要目标，工作场所安全和设施认证的专门法律明确了责任和预防措施，以降低生物风险。透析中心是感染风险较高的区域，但严格应用通用措施和具体建议足以降低病原体传播和扩散的风险。终末期肾病患者的延迟转诊，无论有无感染合并症，都显示出一个干预领域，在该领域进行的局部流行病学调查可提供有用数据，并促使医院层面（流行病学家和肾病学家）以及家庭医生进行数据管理，以改善对非常复杂且成本高昂的患者的疾病管理。
