Mantey-Stiers F
Abteilung für medizinische Mikrobiologie, Hannover.
Langenbecks Arch Chir Suppl Kongressbd. 1992:542-5.
Achieving significant reductions in the rate of infections contracted in hospital requires an integrated approach. Such an approach is comprised of standardized procedures in the areas of prevention, diagnosis, therapy, and tracking. Prevention must begin by differentiating between exogeneous and primary or secondary endogenous infections. For infections already contracted, diagnosis and therapy must be standardized to the greatest possible extent, thereby discouraging recourse to a polypragmatic approach. Finally, tracking provides important information about the type, number, and origin of infections, as well as about the resistance of pathogens and the success of infection-control techniques. Standardization should not be limited to a single ward or hospital, but should extend to the national and even international level.
要大幅降低医院感染率，需要采取综合方法。这种方法包括预防、诊断、治疗和追踪等领域的标准化程序。预防工作必须从区分外源性感染与原发性或继发性内源性感染开始。对于已经发生的感染，诊断和治疗必须尽可能标准化，从而避免采用多管齐下的方法。最后，追踪提供了有关感染类型、数量和来源的重要信息，以及病原体的耐药性和感染控制技术的成效。标准化不应局限于单个病房或医院，而应扩展到国家乃至国际层面。
