This review describes important examples of recent nosocomial infection epi
demics. Current trends suggest that emerging problems in nosocomial infecti
ons include increased nosocomial epidemics in out-of-hospital settings, con
tamination of medical devices and products, and antimicrobial resistance. I
ncreased attention should be focused on outbreak investigations in these ar
eas. (C) 1999 Lippincott Williams & Wilkins.