title: [Problems in bacterial hospitalism].
abstract: All over the world nosocomial infections are increasing at an enormous rate. With 30% urology takes second place, after intensive care units. Nearly 40% of these infections start in the lower urinary tract, and more than 7% are the direct cause of death. Attention is drawn to the increased financial burden caused by these complications. A consideration of the causes (above all uncritical use of antibiotics for prophylaxis and therapy) is followed by a discussion of the success of a change in policy concerning antibiotics and improved hospital hygiene in our own department. Lessening the selective pressure led to a very significant reduction of nosocomial problem germs and an increase in germ sensitivity, besides saving up to 80% of antibiotics.
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000209:etiology* / Q000517:prevention & control; D003428:Cross Infection / Q000209:etiology* / Q000517:prevention & control; D004352:Drug Resistance, Microbial; D005260:Female; D006801:Humans; D008297:Male; D011292:Premedication; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control; D014552:Urinary Tract Infections / Q000209:etiology* / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Die Problematik des bakteriellen Hospitalismus.