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Master Thesis

Facteurs de non-conformité de l'hygiène des mains

Abstract : Study conducted among the health professionals from the maternity of Hôpital de la Conception in Marseille (Intro | Facts) – Two cases of invasive infections with Streptococci A (or Pyogenes) have been associated with the care of women who has recently delivered at the maternity of Hôpital de la Conception in Marseille. The Committee for the Fight Against Nosocomial Infections, with the operational hygiene team, responded to this side effects by providing to health professionals a computerized quizz (QI) about hand hygiene, which is an essential measure in the prevention of infections. Purpose: Evaluate knowledge about hand hygiene and identify the non-compliance (observance and relevance) factors in these procedures. Target/ Place: Health professionals (hospital service agent, doctors, interns of medicine, nurses and nursery nurses, caregiver, midwives) working at the maternity of Hopital de la Conception in Marseille. Material/ Methods: Health professionals participated in the QI. In addition, midwives participated in the Paper Questionnaire (QP). Period: January to April 2018 for the QI and April to September 2018 for the QP. Results: The average score obtained on the QI is 16.4/20 (n = 53). The main factor of non-compliance with hand hygiene is the lack of knowledge about hydro-alcoholic solution (efficiency, spectrum of action, protocol and side effects) and the nonconformity with hand hygiene’s prerequisites (wearing jewelry). Conclusion: The QI enabled the self-evaluation of health professionals and acted like a reminder of good practices. It could be rounded off with the QP and used in other services and/or hospitals to reinforce knowledge and improve respect of hand hygiene measures, to reduce the incidence of healthcare-associated infections.
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Submitted on : Thursday, November 21, 2019 - 3:47:49 PM
Last modification on : Friday, October 23, 2020 - 4:37:39 PM


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  • HAL Id : dumas-02374641, version 1


Colette Blanchard. Facteurs de non-conformité de l'hygiène des mains. Gynécologie et obstétrique. 2019. ⟨dumas-02374641⟩



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