Vilar-Compte Diana, Camacho-Ortiz Adrián, Ponce-de-León Samuel
Epidemiología Hospitalaria, Departamento de Infectología, Instituto Nacional de Cancerología, Av. San Fernando 22, Col. Sección XVI, 14080, Mexico City, Mexico.
Departamento de Medicina Interna, Hospital Universitario José E. González, Av. Francisco I. Madero S/N, Mitras Centro, Monterrey, Nuevo León, Mexico.
Curr Infect Dis Rep. 2017 May;19(5):20. doi: 10.1007/s11908-017-0572-y.
The purpose of this article is to review the current status of health care-related infections (HCRI) in low- and middle-income countries (LMIC).
HCRI in LMIC are being recognized as an important health problem globally. Despite important efforts, complex medical and non-medical problems prevail. The HCRI burden in LMIC is bigger than in developed countries, with prevalence between 5.7 and 19.1%. The impact on patients, their families, and the hospital systems is high, but has been largely underestimated. During the last 30 years, some progress has been made, with an increased awareness from the medical community and some very successful programs; however, there is a huge gap for improvement and success. In many health care facilities, there is a need of functional surveillance programs, continuous supply of antiseptics, safe water supply, personal protective equipment, essential antibiotics to treat infections, appropriate number of health care personnel trained in infection control, and appropriate health care infrastructure and political commitment.
本文旨在综述低收入和中等收入国家（LMIC）中与医疗保健相关感染（HCRI）的现状。
低收入和中等收入国家的医疗保健相关感染在全球范围内被视为一个重要的健康问题。尽管已做出重大努力，但复杂的医疗和非医疗问题依然存在。低收入和中等收入国家的医疗保健相关感染负担比发达国家更大，患病率在5.7%至19.1%之间。对患者及其家庭以及医院系统的影响很大，但在很大程度上被低估了。在过去30年中取得了一些进展，医学界的认识有所提高，并且有一些非常成功的项目；然而，在改进和成功方面仍存在巨大差距。在许多医疗保健机构中，需要有有效的监测项目、持续供应防腐剂、安全的供水、个人防护设备、用于治疗感染的基本抗生素、经过感染控制培训的适当数量的医护人员，以及适当的医疗保健基础设施和政治承诺。
