[Patient-oriented prevention and control of hospital-acquired infections (author's transl)].
The incidence of hospital-acquired infections varies between 2 and 15% (on average 5 to 8%). Most common nosocomial infections are urinary tract infections, wound infections, respiratory tract infections, septicemia and infections of the skin and subcutaneous tissue. Nosocomial infections arise essentially via two routes: endogenously from the bodies own flora or exogenously via direct or indirect contact with the patient. Bacteria are most commonly transmitted from patient to patient by hands. Air as a vehicle, by which bacteria are transmitted, plays a relatively minor role. Priorities in hospital infection control are: hand washing and hand desinfection, improvement of certain nursing techniques, isolation of infected or susceptible patients, an infection control team with a nurse epidemiologist, surveillance and control of antibiotic therapy regimens, especially of antibiotic prophylaxis. Routine floor desinfection could not be shown to significantly reduce the hospital infection rate.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003428:Cross Infection / Q000191:economics / Q000401:mortality / Q000517:prevention & control*; D004203:Disinfection; D004352:Drug Resistance, Microbial; D006225:Hand; D006801:Humans; D009729:Nursing / Q000592:standards; D010356:Patient Isolation; D011786:Quality Control; D012141:Respiratory Tract Infections / Q000517:prevention & control; D018805:Sepsis / Q000517:prevention & control; D014552:Urinary Tract Infections / Q000517:prevention & control; D014946:Wound Infection / Q000517:prevention & control
D000900:Anti-Bacterial Agents
Patientenorientierte Verhütung und Bekämpfung krankenhauserworbener Infektionen.