[Experiences of control measures against hospitalism (author's transl)].
Infection caused by gram negative germs in hospitals increased 14-fold since 1957 and measures today 66p.c. of hospital infection. The following causes are mainly responsible for this fact: inadequate hygienic measures, increased antimicrobial chemoprophylaxis and-therapy, changing pattern of antibiotic resistance, increased degree of severity of operations, and the mounting number of intensive care unit patients. 13 letal pneumonias and 1 peritonitis caused by klebsiella were observed in the Department of Surgery of the University of Tübingen Hospital. Search of the source of infection as well as control measures are described. Limitation of application of antibiotics to absolutely necessary cases (5%) and strict observation of hygienic measures are requested. A full time hospital hygienist is needed for supervision.
D000900:Anti-Bacterial Agents / Q000009:adverse effects; D002404:Catheterization / Q000009:adverse effects; D003428:Cross Infection / Q000517:prevention & control*; D004352:Drug Resistance, Microbial; D006801:Humans; D006920:Hygiene; D007362:Intensive Care Units; D007709:Klebsiella / Q000302:isolation & purification; D010538:Peritonitis / Q000382:microbiology; D011014:Pneumonia / Q000209:etiology
D000900:Anti-Bacterial Agents
Praktische Erfahrungen bei der Hospitalismusbekämpfung