Patient safety

　　患者安全

　　How significant is the problem of infections in health care across the world?

　　感染问题在世界各地的卫生保健中有多严重?

　　Q: How significant is the problem of infections in health care across the world?问：感染问题在世界各地的卫生保健中有多严重?

　　A: Health care-associated infections occur worldwide and affect hundreds of millions of patients both in developed and developing countries. Lack of reliable and standardized surveillance data suggests a significant underestimation of the real burden of disease.

　　答：卫生保健相关感染在全世界都会发生，影响到发达国家和发展中国家的成亿患者。缺少可靠和标准化的监测数据，也就意味着真实的疾病负担被严重低估。

　　The risk of acquiring health care-associated infections is universal and can be found every health-care facility and system around the world. Health-care workers are often the channel for the spread of such infections to other patients in their care. It should also be noted that many patients may carry microbes without any obvious signs or symptoms of an infection.

　　卫生保健相关感染的风险是普遍存在的，在世界各地的每个卫生保健设施和系统中都可见到。卫生保健工作者常常是把此类感染传播给他们护理的其他病人的渠道。还应当注意到，许多病人可能携带病菌，但却没有任何明显的感染迹象或症状。

　　Q: Why is hand hygiene still low after all the efforts to promote in recent years?

　　问：在最近数年作出多种努力之后，为什么手部清洁卫生情况仍然这么差?

　　In recent years many parts of the world have seen major improvements in hand hygiene. However, there is still not enough access to clean water, not enough sinks or towels, not enough awareness of the central role played by hand hygiene, and not enough investment in a multifaceted approach to tackle the abysmally low levels of compliance.

　　近年来，世界上的许多地方在手部清洁卫生方面已有了重大改进。但是，仍然不能充分地获取清洁的水，没有足够的洗手池或毛巾，对手部清洁卫生发挥的关键作用没有足够的认识，也没有足够地投资于多方着手应对极低的遵从水平。

　　Whatever the reasons, even in resource-rich settings, compliance can be as low as 0%, with compliance levels most frequently well below 40%.

　　无论出于何种原因，即使在资源丰富的环境中，遵从率也可低达0%。而最常见的遵从水平远低于40%。

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