%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Succo, T.
%A De Laval, F.
%A Sicard, S.
%A Belleoud, D.
%A Marimoutou, C.
%A Mayet, A.
%A Sagaon Teyssier, Luis
%A Michel, R.
%T Do alcohol-based hand rubs reduce the incidence of acute diarrhea during military deployments ? A prospective randomized trial
%D 2017
%L fdi:010069361
%G ENG
%J Travel Medicine and Infectious Disease
%@ 1477-8939
%K Diarrhea ; Traveller ; Military deployment ; Alcohol-based hand rubs
%K TCHAD ; NIGER
%M ISI:000396550100009
%P 48-51
%R 10.1016/j.tmaid.2016.11.007
%U https://www.documentation.ird.fr/hor/fdi:010069361
%> https://www.documentation.ird.fr/intranet/publi/2017/04/010069361.pdf
%V 15
%W Horizon (IRD)
%X Background: 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.
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