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JeanClaude Pechre MDPrevention is like Mozart146s music apparentlysim


EditorialThe CIPI ConceptVol 17 No 8ONTROLANDOSPITALPIDEMIOLOGYRZQORDGHGIURPKWWSVZZZFDPEULGJHRUJFRUHXJDWVXEMHFWWRWKHDPEULGJHRUHWHUPVRIXVH

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Document on Subject : "JeanClaude Pechre MDPrevention is like Mozart146s music apparentlysim"— Transcript:

1 Jean-Claude Pechère, MDPrevention is li
Jean-Claude Pechère, MDPrevention is like Mozart’s music: apparentlysimple, actually sophisticated. Take the example ofhandwashing. At a primary level, it is a straightfor-ward question of soap and water. But think moreabout it. Quickly, you will have to consider the tech-nical aspects: brush or no brush, how much time,how to dry the hands. You also have to think in termsof taps and sinks. Are they available? Are they appro-priate? You touch here the structural dimension.Suppose the procedures and the equipment are set-tion is related to microbiology, cross-transmission, andepidemiology: you are entering into scientificto? We indeed know that the educational aspect ofpsychology and behavior. Quickly, economical issueswill be raised. It takes so many minutes to performthe procedure, multiplied by the number of times younurses that are implicated: adding up to a lot ofmoney at the end of the day, which you have to put innosocomial infections. Do not forget the legal impli-earth is round—that is, the deplorable hygienic situ-ation in poor areas of the world can affect our prac-resistance by hospital cross-infection in developingHowever, handwashing represents only a verysmall portion of the vast jigsaw puzzle of prevention,have to be fit together to form a comprehensive fig-ure. Every medical field is involved, and, to under-stand the whole picture, we must integrate molecularimmunology, economics and epidemiology, etc.Prevention increasingly is becoming a science in“Preventology” is rapidly growing up, particularlybecause we now understand that prevention is theunique solution for numerous current problems:human immunodeficiency virus epidemics, bovinespongiform encephalitis and Creutzfeldt-Jakob dis-ease, the microbial resistance crisis, emergence ofnew infections and return of old plagues, to mentiona few. Contrary to previous hopes (remember theWorld Health Organization credo: “Health for all in theyear 2000”), we are losing ground in the field of infec-tions, facing more problems today than 10 years ago.CIPI, the International Conference for thePrevention of Infections, was created to contributeactively to the construction of this new field. TheCIPI program is based on two main principles: tothink globally (allowing, for instance, the surgeonand the microbiologist to share their experiences inon well-established facts. The meeting program isbuilt with the highly valuable contributions of approx-imately 15 scientific societies, organizations, andassociations that represent a variety of disciplinesand interests, but all of which are involved actively inthe prevention of infections. In that sense, CIPI trulyis an interdisciplinary meeting. There have been fourbiannual meetings thus far, with a progressivegrowth in audience and quality of information. Thefeatured 1,600 participants from 41 countries andmore than 450 scientific contributions. CIPI alsoserves as a nidus for crystallizing collaborative net-works of investigation, for example, regarding antibi-otic prophylaxis or infection control, and generatesControl and Hospital Epidemiology.Like Mozart, CIPI seeks harmony and coher-ence. The numerous contributors and organizers areworking hard to promote and enrich the full spec-trum of prevention of infection.From the Department of Genetics and Microbiology, University of Geneva Medical School, Geneva, Switzerland.Address reprint requests to Jean-Claude Pechère, Department of Genetics and Microbiology, University of Geneva Medical School,CMU 1, Rue Michel-Servet, CH-1211 Geneva 4, Switzerland.Infect Control Hosp Epidemiol EditorialThe CIPI Concept Vol. 17 No. 8ONTROLANDOSPITALPIDEMIOLOGY 'RZQORDGHGIURP KWWSVZZZFDPEULGJHRUJFRUH  $XJDW VXEMHFWWRWKH&DPEULGJH&RUHWHUPVRIXVH