[Prevention of nosocomial infections]

The nosocomial infections prevention have to be subject to a concerted and multidisciplinary policy including the formation development, the specifics resources attribution, a rigorous evaluation reinforcement, and a quality research promotion. The prevention have to be done within tree nosocomial infection, transmissions classical ways: transmission by the health care workers, prevented by the hand washin up, a rigorous "hygienic care" and the isolation of infections patient, transmission by the material, involving to use valid disinfection procedure, transmission within the environment witch control have to grow within an implementation of "prosthetic" material always more used. Two other aspects have to be taken in the nosocomial infection prevention: prophylactic antibiotic use with let to prevent operative site infections, the health employee infection, bacterial or viral, have to be analysed by hygienic strategy in hospital.