To estimate the prevalence of nosocomial infections (NI) and to increase he
althcare professionals' awareness of hygiene, all French hospitals were req
uested to participate to a national point-prevalence survey on a voluntary
basis between May and June, 1996. Of the 236 334 inpatients in 830 particip
ating hospitals, 6.7% presented with at least one nosocomial infection and
1.3% with an NI imported from another hospital. Nosocomial infection preval
ence was particularly high in rehabilitation and long-term care facilities,
especially: for urinary tract and skin/soft tissue infections. Postoperati
ve patients accounted for 18% of the overall population and had twice the f
requency of NI as other patients. The prevalence of methicillin-resistant S
taphylococcus aureus was 0.6% and accounted for,57%, of all S. aureus isola
ted from NI. The results of this first national prevalence survey reflect t
he sustained efforts at combating NI over the past decade in France and pro
vided an incentive for better definition of infection control priorities in
high-risk healthcare settings. (C) 2000 The Hospital Infection Society.