Gastmeier Petra
Institute of Medical Microbiology and Hospital Epidemiology, Hannover Medical School, Hannover, Germany.
J Hosp Infect. 2007 Jun;65 Suppl 2:159-64. doi: 10.1016/S0195-6701(07)60036-X.
International comparisons yield interesting insights regarding quality of care, beyond the field of healthcare-associated infection (HAI) prevention. Therefore, the exchange of experiences of national surveillance systems should be encouraged. However, the interpretation of differences of HAI rates should be made very carefully. Differences in healthcare systems, legal and cultural aspects, as well as differences in the methods of the surveillance systems, may have an enormous influence. One of the most crucial aspects of surveillance data is their validity, therefore it would be very helpful to combine the experience of all European validation studies performed in order to develop a protocol for a meaningful and cost-effective method for performing validation studies. Meanwhile some national surveillance systems have shown their effectiveness with reductions of 24 57% for surgical site infections (SSIs) and 20 29% for HAI in ICUs. Today, mandatory public reporting is probably the most demanding problem for the national HAI surveillance systems in Europe. The exchange of experience between the European surveillance networks in this respect in particular--remains a cornerstone and will motivate further activities in the individual countries.
国际比较在医疗保健相关感染（HAI）预防领域之外，也能就医疗质量产生有趣的见解。因此，应鼓励各国监测系统交流经验。然而，对HAI发生率差异的解读应非常谨慎。医疗系统、法律和文化方面的差异，以及监测系统方法的差异，可能会产生巨大影响。监测数据最关键的方面之一是其有效性，因此，结合所有欧洲验证研究的经验，以制定一个有意义且具成本效益的验证研究方法方案，将非常有帮助。与此同时，一些国家监测系统已显示出其有效性，手术部位感染（SSI）减少了24%至57%，重症监护病房（ICU）的HAI减少了20%至29%。如今，强制公开报告可能是欧洲各国HAI监测系统面临的最棘手问题。特别是在这方面，欧洲各监测网络之间的经验交流——仍然是基石，并将推动各国进一步开展活动。
