Cad Saude Publica. 2014 Jan;30(1):11-20. doi: 10.1590/0102-311x00044113.
Surveillance systems for healthcare-associated infections (HAI) are essential for planning actions in prevention and control. Important models have been deployed in recent decades in different countries. This study aims to present the historical and operational characteristics of these systems and discuss the challenges for Brazil. Various models around the world have drawn on the experience of the United States, which pioneered this process. In Brazil, several initiatives have been launched, but the country still lacks a full national information system on HAI, thus indicating the need to promote action strategies, strengthen the role of States in communication between the Federal and local levels, pursue a national plan to organize surveillance teams with the necessary technological infrastructure, besides updating the relevant legislation for dealing with these challenges. Such measures are essential in the Brazilian context for the unified surveillance of HAI, aimed at healthcare safety and quality.
用于医疗保健相关性感染 (HAI) 的监测系统对于规划预防和控制措施至关重要。在过去几十年中，不同国家已经部署了重要的模型。本研究旨在介绍这些系统的历史和运作特点，并讨论巴西所面临的挑战。世界各地的各种模型都借鉴了美国的经验，美国是这一进程的先驱。在巴西，已经开展了多项举措，但该国仍然缺乏关于 HAI 的全面国家信息系统，这表明有必要推动采取行动战略，加强州在联邦和地方各级之间的沟通作用，制定国家计划，组织具有必要技术基础设施的监测小组，此外还需要更新相关立法，以应对这些挑战。在巴西背景下，这些措施对于统一监测 HAI 以确保医疗保健安全和质量至关重要。
