Raka L
National Institute of Public Health of Kosova, Faculty of Medicine, Prishtina University, Prishtina, Kosova.
J Hosp Infect. 2009 Aug;72(4):292-8. doi: 10.1016/j.jhin.2009.03.017. Epub 2009 May 17.
Healthcare-associated infections constitute an important public health problem in both developing and transitional countries. Despite considerable progress in the development of infection control programmes in some countries with limited resources, programmes in most developing world settings are non-existent, or are not implemented. Kosova, the poorest country in Europe, illustrates the challenges posed by infection control in the developing world. In many hospitals activities are limited by the lack of financial resources, poor infrastructure, overcrowding, inadequate hygiene, poorly functioning laboratory services, poor management, insufficient technology and a shortage of trained staff. Infection control guidelines from developed countries are often perceived as a standard for the developing world, but have to be modified to take into account differences in local needs. The best solutions entail greater governmental commitment and application of infection control procedures consistent with available resources. The International Nosocomial Infection Control Consortium (INICC) plays an important role in these activities in developing countries.
在发展中国家和转型国家，医疗保健相关感染构成了一个重要的公共卫生问题。尽管一些资源有限的国家在感染控制项目的发展方面取得了显著进展，但大多数发展中世界地区的项目不存在或未得到实施。欧洲最贫穷的国家科索沃说明了发展中世界在感染控制方面面临的挑战。在许多医院，活动受到财政资源匮乏、基础设施差、过度拥挤、卫生条件不足、实验室服务运作不佳、管理不善、技术不足以及训练有素的工作人员短缺的限制。发达国家的感染控制指南通常被视为发展中世界的标准，但必须进行修改以考虑当地需求的差异。最佳解决方案需要政府做出更大承诺，并应用与现有资源相一致的感染控制程序。国际医院感染控制协会（INICC）在发展中国家的这些活动中发挥着重要作用。
