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Succo T., De Laval F., Sicard S., Belleoud D., Marimoutou C., Mayet A., Sagaon Teyssier Luis, Michel R. (2017). Do alcohol-based hand rubs reduce the incidence of acute diarrhea during military deployments ? A prospective randomized trial. Travel Medicine and Infectious Disease, 15, 48-51. ISSN 1477-8939

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Lien direct chez l'éditeur doi:10.1016/j.tmaid.2016.11.007

Titre
Do alcohol-based hand rubs reduce the incidence of acute diarrhea during military deployments ? A prospective randomized trial
Année de publication2017
Type de documentArticle référencé dans le Web of Science WOS:000396550100009
AuteursSucco T., De Laval F., Sicard S., Belleoud D., Marimoutou C., Mayet A., Sagaon Teyssier Luis, Michel R.
SourceTravel Medicine and Infectious Disease, 2017, 15, p. 48-51. ISSN 1477-8939
RésuméBackground: Acute diarrhea remains a public health concern in armed forces deployed in tropical areas where access to water and soap is limited. This study aims to assess the effectiveness of alcohol-based hand rubs (ABHR) on incidence of diarrhea in poor hygiene conditions. Method: A prospective randomized trial was conducted between November 2014 and January 2015 among French military troops deployed in Africa to compare a group of soldiers receiving usual hand hygiene recommendations (control group), to a group of soldiers who received ABHR in addition to usual hand hygiene recommendations (intervention group). Data on diarrhea and hygiene behaviors were collected using self-questionnaires. The incidence rate of diarrhea episodes in groups was compared. Results: Participation rate was 59% (236/400). The proportion of individuals who used ABHR was 97% in the intervention group and 62% in the control group. The overall incidence rate of diarrheal episodes was observed to be in the region of 60 per 100 persons-month without any significant difference between groups after adjustment on confounding factors (p = 0.93). Handwashing with soap was used on average 4 times a day in the control group and twice a day in the intervention group (p = 0.93). It was the only significant protective factor for diarrhea (p < 10(-3)). Conclusion: Our results support that supplying soap and good quality water should be a priority on the field.
Plan de classementSanté : généralités [050]
Descr. géo.TCHAD ; NIGER
LocalisationFonds IRD [F B010069361]
Identifiant IRDfdi:010069361
Lien permanenthttp://www.documentation.ird.fr/hor/fdi:010069361

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