Sobayo E I
Security Forces Hospital, Riyadh, Saudi Arabia.
J Hosp Infect. 1991 Jun;18 Suppl A:388-91. doi: 10.1016/0195-6701(91)90046-b.
The quality of the infection control programme in developing countries is determined by the resource allocation to the health sector and the health care delivery system. These depend to a great extent on the socio-economic development of the country. Morbidity and mortality from communicable infections, such as diarrhoeal diseases and malaria are high. There is often an irregular water and electricity supply. Essential material resources, e.g. paper towels, gowns, gloves, masks and disinfectants may not be available and some disposable materials have to be re-used. Most hospitals have no infection control programme due to the lack of awareness of the problem or absence of trained personnel in infection control practices. Developing countries differ in many ways from each other, often having dissimilar cultures and languages and state of socio-economic development. Solutions will emerge only if there is co-operation between countries and provision of assistance, where appropriate, from wealthier countries.
发展中国家感染控制项目的质量取决于卫生部门的资源分配以及医疗服务提供系统。而这些在很大程度上又依赖于国家的社会经济发展状况。诸如腹泻病和疟疾等传染病导致的发病率和死亡率很高。水电供应常常不稳定。基本的物资资源,如纸巾、隔离衣、手套、口罩和消毒剂可能无法获取,一些一次性材料不得不重复使用。由于对该问题缺乏认识或缺乏感染控制实践方面的专业人员,大多数医院没有感染控制项目。发展中国家彼此之间在很多方面存在差异,常常有着不同的文化、语言以及社会经济发展状况。只有各国之间开展合作,并在适当情况下由较富裕国家提供援助,才会找到解决办法。