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<p>The protection of public health through structured infection prevention is now firmly established. However, the establishment of independent institutions, evidence-based recommendations and cross-sectoral cooperation in the field of hygiene was not a&#xa0;foregone conclusion, but rather the result of profound historical developments and health crises. The aim of this article is to describe the developments in Germany that have led to the institutionalisation of infection prevention and control (IPC) and the changing challenges it has faced since its inception.</p><p>Industrialisation and urbanisation in the last third of the 19th&#xa0;century led to problems with water supply and sewage disposal, which in turn led to serious outbreaks of infection. From the 1920s onwards, solutions had to be developed for the health hazards posed by air and soil pollution as a&#xa0;result of technological progress, and after 1950, nosocomial infections became the focus of attention.</p><p>The establishment of the Royal Research and Testing Institute for Water Supply and Wastewater Disposal in 1901 was a&#xa0;significant step towards the institutionalisation of IPC. The range of tasks was adapted to changing requirements and additional institutes were founded. Under the Infection Protection Act, the Robert Koch Institute and its Commission for Infection Prevention and Hygiene in Healthcare and Nursing are now mandated to perform IPC tasks. At interfaces with other federal institutions responsible for infection control inter-institutional cooperation creates synergies for the protection of the population.</p>

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Institutionalisierung der Infektionshygiene in Deutschland: Herausforderungen seit der Gründerzeit

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月18日

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  • Barbara Buchberger,
  • Jana Maidhof,
  • Esther E. Dirks,
  • Franziska Lexow

摘要

The protection of public health through structured infection prevention is now firmly established. However, the establishment of independent institutions, evidence-based recommendations and cross-sectoral cooperation in the field of hygiene was not a foregone conclusion, but rather the result of profound historical developments and health crises. The aim of this article is to describe the developments in Germany that have led to the institutionalisation of infection prevention and control (IPC) and the changing challenges it has faced since its inception.

Industrialisation and urbanisation in the last third of the 19th century led to problems with water supply and sewage disposal, which in turn led to serious outbreaks of infection. From the 1920s onwards, solutions had to be developed for the health hazards posed by air and soil pollution as a result of technological progress, and after 1950, nosocomial infections became the focus of attention.

The establishment of the Royal Research and Testing Institute for Water Supply and Wastewater Disposal in 1901 was a significant step towards the institutionalisation of IPC. The range of tasks was adapted to changing requirements and additional institutes were founded. Under the Infection Protection Act, the Robert Koch Institute and its Commission for Infection Prevention and Hygiene in Healthcare and Nursing are now mandated to perform IPC tasks. At interfaces with other federal institutions responsible for infection control inter-institutional cooperation creates synergies for the protection of the population.