Institute of Hygiene and Environmental Medicine, Charité University Medicine Berlin, National Reference Centre for Surveillance of Nosocomial Infections, Hindenburgdamm 27, D-12203 Berlin, Germany.
Int J Med Microbiol. 2010 Aug;300(6):342-5. doi: 10.1016/j.ijmm.2010.04.007. Epub 2010 May 7.
Healthcare and community associated MRSA are meanwhile exchanged in all directions between hospitals, long-term care facilities, nursing homes, and the community. This article is focusing on the situation concerning MRSA, but the situation concerning other multidrug-resistant (MDR) pathogens such as vancomycin-resistant enterococci or MDR Gram-negative pathogens is similar. Some European countries have started national campaigns to improve the situation significantly. They require the successful cooperation between healthcare facilities, public health authorities, health insurances, quality management and patient safety organizations, educational facilities, the public, and the veterinarian sector. These activities in the society need scientific data to provide evidence for the intervention measures and support their implementation. To really support the activities in the society, intervention studies are urgently needed to provide a more robust basis for decisions to improve the situation.
与此同时，医疗机构、长期护理机构、养老院和社区之间也在相互传播医疗保健相关和社区获得性耐甲氧西林金黄色葡萄球菌（MRSA）。本文主要关注 MRSA 的情况，但万古霉素耐药肠球菌或多药耐药革兰氏阴性病原体等其他多药耐药（MDR）病原体的情况也类似。一些欧洲国家已经开始开展国家运动，以显著改善这种情况。这些运动需要医疗机构、公共卫生当局、健康保险、质量管理和患者安全组织、教育机构、公众和兽医部门之间的成功合作。这些社会活动需要科学数据来为干预措施提供证据，并支持其实施。为了真正支持社会活动，迫切需要开展干预研究，为改善这种情况的决策提供更有力的依据。
