title: [Consumption of hand-hygiene products in health establishments in the west of France].
abstract: OBJECTIVE
  The study had for aim to investigate hand hygiene product use in French hospitals between 2000 and 2003.
  
  
  METHODS
  A questionnaire was sent in 2002 and 2 more in 2003 and 2004 (for 2000 to 2003) requiring data on type of hospital, number of beds, staff members, admissions and patient-day, litres of mild soap, antiseptic soap and alcohol-based rub used and price per litre. Indices were calculated accordingly.
  
  
  RESULTS
  574 hospitals answered over the 4 year period (average 143 per year) representing an average of 50 000 beds/year, 80 000 full-time staff positions, 1.2 million admissions and 16 millions patient-days. The median consumption of mild soap was 3.8 l per bed, 2.7 l per staff member, 2.4 l per 100 admissions, and 10.6 ml per patient-day. The median consumption of antiseptic soap was 1 l per bed, 0.8 l per staff member, 4.8 l per 100 admissions, and 3.2 ml per patient-day. The median consumption of alcohol-based rub (HAS) was 0.3 l per bed, 0.3 l per staff-member, 1.5 l per admission, and 0.9 l per patient-day. Between 2000 and 2003, HAS use significantly increased from 69 to 88% (a relative increase of 31%) and the median consumption increased from 0.5 ml to 1.5 ml per patient-day. 370 fully completed grids gave a number of 7 opportunities per patient-day with less than 1 for HAS.
  
  
  CONCLUSIONS
  The best indicator for an infection control practitioners is the quantity of alcohol-based solution in ml/patient-day and HAS per patient-day is the reference.
authors: Service d'épidémiologie, C.CLIN-Ouest, CHU de Pontchaillou, 35033 Rennes, France. bernard.branger@chu-rennes.fr
authors: B
authors: B
authors: Branger
authors: H
authors: H
authors: Senechal
authors: S
authors: S
authors: Bataillon
authors: M A
authors: MA
authors: Ertzscheid
authors: R
authors: R
authors: Baron
authors: F
authors: F
authors: Borgey
authors: P
authors: P
authors: Thibon
authors: N
authors: N
authors: Van Der Mee
authors: N
authors: N
authors: Girard
authors: M
authors: M
authors: Wiesel
authors: C
authors: C
authors: Avril
authors: F
authors: F
authors: Coulomb
authors: J
authors: J
authors: Chaperon
authors: B
authors: B
authors: Lejeune
mesh_terms: D000438:Alcohols; D000891:Anti-Infective Agents, Local / Q000191:economics; D003428:Cross Infection / Q000517:prevention & control / Q000635:transmission; D004202:Disinfectants / Q000191:economics; D005602:France; D006235:Hand Disinfection; D006268:Health Facilities / Q000191:economics / Q000706:statistics & numerical data*; D006742:Hospital Bed Capacity; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D006920:Hygiene / Q000191:economics; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control; D010343:Patient Admission / Q000706:statistics & numerical data; D012915:Soaps / Q000191:economics; D011795:Surveys and Questionnaires
chemical_list: D000438:Alcohols; D000891:Anti-Infective Agents, Local; D004202:Disinfectants; D012915:Soaps