General comments on the study on the efficacy of nosocomial infection control (SENIC Project).
General comments on the study on the efficacy of nosocomial infection control (SENIC Project).
复制标题
对医院感染控制效果研究（SENIC项目）的一般评论。
DOI：
10.1093/oxfordjournals.aje.a112926
复制
发表时间：
1980
影响因子：
5
通讯作者：
T. Eickhoff
中科院分区：
文献类型：
--
作者：
T. Eickhoff
背景 SENIC 项目诞生于 1974 年，源于感染控制工作人员的不确定性、担忧和沮丧，他们想知道他们所做和所说的所有事情是否会产生任何影响。实际上，他们被要求证明自己存在的合理性。 20世纪60年代和1970年代，在美国医院协会和疾病预防控制中心的反复敦促下，全国数千家医院制定了感染控制计划，并得到了医院认证联合委员会的大力帮助。所有这些努力取得了什么成果？各个医院感染委员会通常会指出疫情已中止，消除不必要的程序或培养物节省了成本，或者通过监测活动及早发现并及时解决了问题；但如果被问到监测和控制活动是否降低了总体感染率，答案总是“我们不知道”。
BACKGROUNDThe SENIC Project was born in 1974, out of the uncertainty, concern and frustration felt by infection control workers, who wondered if, after all, all the things they were doing and saying made any difference. They were, in effect, being asked to justify their existence. Infection control programs had been instituted in thousands of hospitals all over the country in the 1960s and 1970s in response to repeated urging from the American Hospital Association and CDC, and with not inconsiderable help from the Joint Commission on Accreditation of Hospitals. What did all this effort accomplish? Individual hospital infection committees could often point to outbreaks aborted, to cost savings in eliminating unnecessary procedures or cultures, or to problems identified early by surveillance activity and resolved promptly; but if asked whether the overall infection rate had been lowered by surveillance and control activity, the answer has invariably been" We don't know."