Kappstein I, Matter H P, Frank U, Meier L, Daschner F
Klinikhygiene, Universitätsklinikum, Staatlichen Hochbauverwaltung Baden-Württemberg, Freiburg.
Dtsch Med Wochenschr. 1991 Oct 25;116(43):1622-7. doi: 10.1055/s-2008-1063798.
The hygienic importance of barrier zoning in hospitals has been evaluated on the basis of the relevant international literature between 1970 and 1989. There have been only a very few pertinent publications and in none has there been any pointer which would support the hypothesis of barriers having an infection-preventing effect. Using four University Hospitals in Baden-Würtemberg as paradigms, a model was prepared for calculating what space and cost savings were possible, if a simpler system could be installed, instead of the one demanded under federal regulations and already planned for the four hospitals. It was found that it would save a realizable area of 319,5 m2 at a potential cost saving of DM 1,138,335. By dispensing with hygienically not justifiable building work at the planning stage of new hospitals considerable greater costs could be avoided.
基于1970年至1989年间的相关国际文献,对医院中屏障分区的卫生重要性进行了评估。相关的出版物极少,而且没有任何一篇能支持屏障具有预防感染作用这一假设。以巴登-符腾堡州的四家大学医院为范例,构建了一个模型,用于计算如果安装一个比联邦法规要求且四家医院已规划的系统更简单的系统,可能节省的空间和成本。结果发现,可节省319.5平方米的实际面积,潜在成本节省1138335德国马克。通过在新医院规划阶段省去卫生方面不合理的建筑工程,可以避免更高的成本。