Lobel B, Patard J J, Guille F
Service d'urologie, centre hospitalier universitaire Pontchaillou, rue Henri-Le-Guilloux, 35033 Rennes, France.
Ann Urol (Paris). 2003 Dec;37(6):339-44.
Hospital acquired infections represent a medical priority for surgeons as well as anesthetists and nursing staff. ANAES charged with national hospital accreditation program establishes protocols and objectives to be attained in terms of quality of care and patient satisfaction. According to available pilot studies, prevention of hospital acquired infections relies on surgical environment, preoperative patient preparation, sterilisation techniques, antibiotic prophylaxis and catheter care. Great improvements are under way in this domain and in management of multiresistant bacterial infections with a decrease in multiresistant kelbsiella infections. Our optimism is however tempered by the increase in methicillino-resistant Staphylococcus aureus (MRSA) infections. Many questions on nosocomial infections are still unanswered due to insufficient scientific evidence and difficulty in organising rigorous studies. Further progress will require a full involvement of hospital administrations and funding health organisations to provide the financial support required to implement preventive procedures and related architectural modifications.
医院获得性感染对外科医生、麻醉师和护理人员来说是医疗工作的重点。负责国家医院认证项目的ANAES制定了在医疗质量和患者满意度方面要达成的协议和目标。根据现有的试点研究，医院获得性感染的预防依赖于手术环境、术前患者准备、消毒技术、抗生素预防和导管护理。在这个领域以及多重耐药细菌感染的管理方面正在取得巨大进展，多重耐药克雷伯菌感染有所减少。然而，耐甲氧西林金黄色葡萄球菌（MRSA）感染的增加使我们的乐观情绪有所缓和。由于科学证据不足以及组织严格研究存在困难，许多关于医院感染的问题仍未得到解答。进一步的进展将需要医院管理部门和资助卫生组织的充分参与，以提供实施预防程序和相关建筑改造所需的资金支持。
