医院感染控制——重要公共卫生问题 FREE

目的借鉴国外经验,促进我国医院感染控制管理的发展。方法查阅国内外文献，了解我国医院感染控制管理成效与存在的问题。结果目前我国医院感染控制管理成效相关的法律法规正日趋完善，建立了全国性医院感染控制管理的监控系统，积累了大量数据与经验。取得的成绩有：医院感染率已由1989年的9.36%降至目前6%左右；全国学会建立，科研水平明显提高等。存在的问题有：医院感染控制学科定位不明确，经费明显不足，科研基础薄弱。结论应尽快定位医院感染控制学科体系，建议归属预防医学大学科体系；体制的改革将获得较大经济支持，学科之间相互促进有利于医院感染控制的管理与科学发展。

Nosocomial infection control——the critical issue for public health FREE

Objective To promote the nosocomial infection（NI） control in China by using the experience of foreign countries for reference. Methods The international and domestic literature in the field of NI control and management was reviewed to clarify the achievement and problems of NI control in China. Results At present, the laws and regulations for NI control are gradually getting perfected in China, nation-wide infection control surveillance system was established and a large amount of data and experience were accumulated. The NI rate decreased from 9. 36% in 1989 to around 60%at present; with the setup of professional society for NI control, the scientific research level has strikingly been improved. However, there are several problems： the position of NI control as a discipline is still obscure, the financial support is quite insufficient, and the research is weak. Conclusion The discipline position of NI control should be clarified as early as possible, it is a branch of preventive medicine and important part of disease control and prevention. This reform for a reasonable position in preventive medicine will bring the stronger financial support, scientific exchange among different disciplines will significantly promote the NI control in China.