基于当前英国国家医疗服务体系（NHS）控制政策视角下艰难梭菌和耐甲氧西林金黄色葡萄球菌的流行病学与发病机制：一项政策审查

Department of primary care and public health, King's College London, London, UK.

Ann Med Surg (Lond). 2012 Oct 6;1:39-43. doi: 10.1016/S2049-0801(12)70012-2. eCollection 2012.

Healthcare associated infections (HCAIs) cause significant morbidity and mortality, and are estimated to cost the United Kingdom National Health Service £1 billion annually. The current health care infection rates suggest that the level of performance to avoid HCAIs is not maintained consistently. Increasing screening, improving local accountability and performance management, careful use of antibiotics in the management of emergency patients, health economy wide approaches, and improved hand washing will be effective in lowering the rate of HCAIs. This paper reviews current NHS Control Policies in place for Methicillin Resistant Staphylococcus Aureus (MRSA) and C. difficile.

医疗保健相关感染（HCAIs）会导致严重的发病和死亡，据估计，每年给英国国民医疗服务体系造成10亿英镑的损失。当前的医疗保健感染率表明，避免医疗保健相关感染的绩效水平并未得到持续维持。增加筛查、改善地方问责制和绩效管理、在急诊患者管理中谨慎使用抗生素、全健康经济范围的方法以及改进洗手措施，将有效降低医疗保健相关感染率。本文回顾了当前英国国民医疗服务体系针对耐甲氧西林金黄色葡萄球菌（MRSA）和艰难梭菌制定的控制政策。