Division of Clinical Laboratory and Infection Control, Yamagata University Hospital, Yamagata, Japan.
J Epidemiol. 2012;22(2):86-90. doi: 10.2188/jea.je20110085. Epub 2012 Feb 4.
In Japan, the practice of infection control in healthcare settings has a short history of less than 3 decades. Before that, infection control practices were far from perfect and even ignored. This review summarizes changes in infection control in Japan since the 1980s and offers some comparisons with practices in foreign countries, especially the United States. Infection control is far better now than 25 years ago, but there remain fundamental issues that limit the development of better infection control practices. These problems include insufficient funding and human resources due to the socialized healthcare insurance system in Japan and the lack of interest in infection control research.
在日本,医疗保健环境中的感染控制实践历史不到 30 年。在此之前,感染控制实践远非完善,甚至被忽视。本综述总结了自 20 世纪 80 年代以来日本感染控制方面的变化,并与国外,尤其是美国的做法进行了一些比较。与 25 年前相比,现在的感染控制情况要好得多,但仍存在一些限制感染控制实践发展的根本问题。这些问题包括由于日本的社会化医疗保险制度导致资金和人力资源不足,以及对感染控制研究缺乏兴趣。