@article{fdi:010084314,
  title = {{A}re there reasons behind high {H}andrub consumption ? : a {F}rench national in-depth qualitative assessment},
  author = {{B}erthod, {D}. and {A}lvarez, {D}. and {P}erozziello, {A}. and {C}habrol, {F}anny and {L}ucet, {J}. {C}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {H}and hygiene ({HH}) is the most important measure for preventing healthcare-associated infections. {A} significant correlation between alcohol-based handrub consumption ({AHRC}) and observed {HH} compliance rates has been established. {I}n {F}rance, publicly reported {AHRC} displayed a large heterogeneity across healthcare facilities ({HCF}s). {W}e aimed to describe programmes for promoting {HH} in the top and medium {AHRC} scorers and to assess factors and drivers leading to a high {AHRC} score in a panel of {F}rench {HCF}s. {M}ethods {W}e performed a nationwide qualitative comparative case study based on in-depth semi-structured interviews in 16 {HCF}s with high, 4-year {AHRC} scores, and a sample of seven university hospitals ({UH}s) with medium {AHRC} scores. {I}nfection {P}revention and {C}ontrol {T}eam ({IPC}) members (n = 62), quality managers/chief executive officers (n = 23) and frontline workers (n = 6) were interviewed, using a grounded theory approach and an iterative thematic approach. {R}esults {N}inety-one interviews were performed. {T}here was a large heterogeneity in {IPC} structures and objectives, with specific patterns associated with high {AHRC} that were more organisational than technical. {F}our areas emerged: (1) strong cohesive team structure with supportive and outcome-oriented work attitude, (2) {IPC} structure within the organization, (3) active support from the institution, (4) leadership and role model. {A}mong high {AHRC} scorers, a good core {IPC} organisation, a proactive and flexible management, a frequent presence in the clinical wards, and working in a constructive safety climate were prominent. {C}onclusion {W}e highlighted that {IPC} structure and activity is heterogeneous, with organisational and behavioural characteristics associated with high {AHRC} score. {B}eyond technical challenge, our work underlines the importance of strong structure of the {IPC} and behavioural approaches in implementing key {IPC} programmes.},
  keywords = {{C}ross infection ; {P}revention and control ; {H}and disinfection ; {S}tandards ; {H}ealth personnel ; {E}ducation ; {H}ealth knowledge ; attitude practice ; {Q}ualitative research ; {F}rance ; {FRANCE}},
  booktitle = {},
  journal = {{A}ntimicrobial {R}esistance and {I}nfection {C}ontrol},
  volume = {11},
  numero = {1},
  pages = {42 [11 ]},
  ISSN = {2047-2994},
  year = {2022},
  DOI = {10.1186/s13756-022-01074-2},
  URL = {https://www.documentation.ird.fr/hor/fdi:010084314},
}