Department of Health, Wellington House, 133-155, Waterloo Road, London SE1 8UG, UK.
J Hosp Infect. 2009 Dec;73(4):414-7. doi: 10.1016/j.jhin.2009.06.027. Epub 2009 Sep 17.
The prevention and control of healthcare-associated infections (HCAIs) requires a tripartite partnership between clinicians and carers, managers and government/Department of Health (DoH) across the whole health and social care community. Mandatory surveillance of meticillin-resistant Staphylococcus aureus bacteraemia and Clostridium difficile infection has shown a significant fall from peak numbers in 2003/04 and 2006, respectively, and there is now a zero tolerance approach to preventable infections and poor practice. Success so far has been based on senior management commitment, enhanced real-time surveillance, implementation of clinical protocols (high impact interventions, prudent prescribing), improved hand hygiene and environmental cleaning, and training and audit, backed up by a heightened performance management focus through targets and legislation (Code of Practice). DoH improvement teams have supported National Health Service trusts in implementing change. Responsibility for managing HCAI is a combination of managerial responsibility based upon compliance assurance that procedures and protocols are being implemented and personal professional responsibility of all clinicians and other healthcare workers.
医疗机构相关感染（HAI）的预防和控制需要临床医生和护理人员、管理人员以及整个卫生和社会保健界的政府/卫生部之间的三方伙伴关系。对耐甲氧西林金黄色葡萄球菌菌血症和艰难梭菌感染的强制性监测显示，分别从 2003/04 年和 2006 年的高峰数量显著下降，现在对可预防感染和不良做法采取零容忍态度。迄今为止，成功的基础是高级管理层的承诺、增强的实时监测、临床方案的实施（高影响力干预措施、谨慎处方）、改善手卫生和环境清洁以及培训和审计，通过目标和立法（《实践守则》）加强绩效管理。卫生部改善团队支持国民保健制度信托基金实施变革。管理 HAI 的责任是基于对程序和协议正在实施的合规保证的管理责任，以及所有临床医生和其他医疗保健工作者的个人专业责任。
