Bocquet J P
Service d'Hygiène, Hôpital de Cimiez, Nice.
Bull Acad Natl Med. 1993 May;177(5):739-46; discussion 746-7.
The medical and paramedical personnel shows concern about clinical and epidemiological aspects of nosocomial infections, but pays also attention to their economical and legal aspects. The acquired infections in hospital bring about economic and social consequences. It is logical to study the ratio cost/efficiency insofar as the social and human dimension of illness and suffering are taken into account and the struggle and the prevention are not only seen from their economical aspect. The legal liability of hospital or State health personnel is now well-know et the number of instituted proceedings is in continuous increase. The penal jurisdiction is the most common way. No negligence is permitted and nobody can be safe. The clarity and the dialog with the patients and their families are the best means to avoid a conflict prejudicial for everybody.
医护人员关注医院感染的临床和流行病学方面,但也关注其经济和法律方面。医院获得性感染会带来经济和社会后果。鉴于疾病和痛苦的社会和人文层面已被考虑在内,且防控措施不仅仅从经济角度看待,研究成本/效益比是合理的。医院或国家卫生人员的法律责任如今已广为人知,且提起诉讼的数量在持续增加。刑事管辖权是最常见的方式。不允许有任何疏忽,没有人能置身事外。与患者及其家属保持清晰的沟通和对话是避免对各方都不利的冲突的最佳方式。