Fock R R, Kordel-Bödigheimer M, Schwartländer B
Bundesministerium für Gesundheit, Bonn.
Z Arztl Fortbild (Jena). 1995 Jun;89(3):203-10.
The epidemiology of infectious diseases has a long tradition in Germany. However, the role of research in the field of the epidemiology of infectious diseases has become less prominent since the development of chemotherapeutics and modern vaccines. Only after the appearance of AIDS and BSE, the increase of multiresistant infectious agents especially as cause of nosocomial infections and the concern about the emergence of new agents or changes in virulence and resistance patterns of known agents have increased the interest of the public and of the scientists in these areas. The restructuring of the former Federal Health Office in Germany and the foundation of a Center for Infectious Disease Epidemiology within the Robert-Koch-Institute are an opportunity to correct the structures of epidemiological research with the aim to reach internationally accepted quality again. The fundamental problems are discussed and approaches to a solution of the problems are presented.
传染病流行病学在德国有着悠久的传统。然而,自化学疗法和现代疫苗发展以来,传染病流行病学领域的研究作用已变得不那么突出。直到艾滋病和疯牛病出现后,多重耐药传染病原体的增加,尤其是作为医院感染的病因,以及对新病原体出现或已知病原体毒力和耐药模式变化的担忧,才增加了公众和科学家对这些领域的兴趣。德国前联邦卫生局的重组以及在罗伯特·科赫研究所内成立传染病流行病学中心,是一个纠正流行病学研究结构的契机,目的是再次达到国际认可的质量。本文讨论了基本问题并提出了解决问题的方法。