Nosocomial Infections and the Regulated Hospital

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Nosocomial infections represent a substantial portion of health care costs in the United States. Although inexact, data from the National Nosocomial Infection Study presented by Dr. Dixon are the basis for the best available estimate of the actual dollars involved. Dr. Bennett suggests that considerable cost-saving is possible by the application of current knowledge to prevent nosocomial infection. On the other hand, Dr. Eickhoff reminds us that many guidelines for hospital infection control practice, such as those of the Joint Commission on Accreditation of Hospitals, are not based on careful scientific evaluation and that the cost and benefit of certain

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