[The present status and the issues of the nosocomial infection at Asahikawa Municipal Hospital].

The prophylactic strategy against nosocomial infection at Asahikawa municipal hospital is discussed. The issues of the prophylactic strategy are; (1) Establishment of a bacterial surveillance system and a series of bacterial examination at fixed sites in the hospital organized by our own nosocomial infection committee. A quick response and a reaction by the committee according to the results obtained from a series of bacterial examinations, (2) Education of the practical guide of patient care, sterile technique and management method of disposed stuffs according to the anti-infection manual, (3) Improvement of the health care system for the hospital staffs, and (4) Planning and carrying out of the well-designed improvement plan of the hospital environment.