P138: Soap and handrub consumption survey in Fann Teaching Hospital in Dakar

The prevention of Health care-associated infections (HAI) remains a stake in Public health. The hand is the main mode of transmission of microorganisms. So, hand hygiene is considered to be the primary measure necessary for reducing HAI.

The objective of our work is to measure the consumption of Alcohol-bases-handrub (ABHR) and soap intended for hand hygiene.

A prospective investigation before the intervention was realized over a period of six months, of October 1st, 2011 to March 31 2012, with nine clinical departments of a hospital with 347 beds, where a manufacturing unit of ABHR in its WHO formulation was set up under the aegis of the APPS WHO program. The index form finalized by WHO was used.

In this public tertiary care hospital which employs 360 permanent nursing staff, the monthly average attendance is 2620 patients and number of admissions of 800 a month. During the study period, 77 % of the investigated departments used the ABHR among which 57 % in the form of solutions, 28 % in the form of gels and 15 % in the form of gels and solutions. The supply in ABHR was made in 58 % in the manufacturing unit of the central pharmacy. The monthly average ABHR consumption of the structure was 14.78 liters for a expected quantity of 1635 liters; that of liquids soaps 192 liters; that of soap bars18.6 liters. The average composite indicator of consumption of ABHR was 7.82 % with a minimum monthly use in the Emergency department and a maximum of 30.22 % in the oral department. The FANN teaching hospital was consequently classified E according to the achievement of the personalized objective, that is an establishment under 10 % of ICSHA.

In spite of the existence of a manufacturing unit of ABHR, this consumption is still very low. The implementation of the WHO multimodal hand hygiene improvement in particular raising awareness and training, will help in a better compliance and use.

None declared