Audit de connaissance Sur les précautions standard dans les établissements de sante De la région Picardie. Rapport régional.

Transcription

1 Audit de connaissance Sur les précautions standard dans les établissements de sante De la région Picardie Rapport régional - Avril

2 GROUPE DE TRAVAIL REGIONAL - Mme A. BRENET, Infirmière Cadre de santé Hygiéniste, Antenne Régionale de Picardie C.CLIN Paris-Nord - Mme M-H. FAVE, Infirmière Hygiéniste, CHU d Amiens - Mme S. HAGEAUX, Infirmière Cadre de santé Hygiéniste, Centre Hospitalier de St Quentin - Mme C. LOUISET, Infirmière Hygiéniste, Clinique St Côme de Compiègne - Mme C. COCLEZ-MEYER, Infirmière Hygiéniste, Centre Hospitalier de Compiègne - Mme C. POURRIER, Infirmière Cadre de santé Hygiéniste, Centre Hospitalier de Chauny Coordonné par Dr Z. KADI, Médecin Coordonnateur de l Antenne Régionale du CCLIN Paris Nord en Picardie

3 I - CONTEXTE Dans le cadre de la lutte contre les infections nosocomiales, le respect des précautions standard (circulaire DGS/DH n 98/249 du 20 avril 1998) par les professionnels de santé contribue à protéger le personnel mais également les patients. Ces recommandations sont à mettre en œuvre lors des soins à tout patient. Cette enquête est proposée par l Antenne Régionale de Picardie du CCLIN Paris-Nord. II - OBJECTIFS - Sensibiliser les personnels aux Précautions Standards - Evaluer les connaissances des professionnels de santé sur les Précautions Standards en fonction des catégories professionnelles - Permettre aux établissements de mieux cibler les actions de sensibilisation ou d'information à mettre en place. III - METHODOLOGIE Type d'étude Il s'agit d'un audit de connaissances à l aide d un questionnaire anonyme auto-administré. Période de l'enquête L'enquête pourra se dérouler entre le 1 er janvier 2010 et le 30 juin Chaque établissement choisira la période lui convenant le mieux. La durée de l enquête ne doit pas dépasser une semaine maximum par service. Pour être inclus dans l'analyse régionale, les questionnaires ou les fichiers de données devront être retournés à l'antenne régionale du C.CLIN au plus tard pour le 15 juillet 2010.

4 Etablissements concernés Tous les établissements de santé (publics et privés) de Picardie «volontaires» sont concernés par cette enquête, y compris l HAD. Sont exclus de cette enquête, les établissements médicaux sociaux (EHPAD, MDR, MAS, IMSR ) Services concernés Il s'agit de tous les services de soins ou médico-techniques. Chaque établissement pourra choisir de réaliser l'enquête dans un ou plusieurs de ces services. Personnels concernés Il s'agit de tous les professionnels de santé médicaux et paramédicaux des services de soins, les personnels des services médico-techniques (manipulateurs radio, personnels de laboratoire, bloc opératoire ), techniques et administratifs. Chaque établissement pourra choisir de réaliser l'enquête auprès d'une ou plusieurs catégories de ces personnels. Il est également possible de réaliser l'enquête uniquement sur un échantillon d'une ou de plusieurs catégories de personnels.

5 RESULTATS

6 Au cours de cette enquête, en région Picardie, 4481 professionnels ont accepté de répondre au questionnaire AUDIT DE CONNAISSANCE SUR LES PRECAUTIONS STANDARD. I- Description de la population participante. 1- AGE ET SEXE Tableau 1 : Répartition des professionnels par âge et sexe SEXE/AGE Moins de 20 ans (%) ans (%) ans (%) ans (%) Plus de 60 ans (%) Non renseigné (%) Total (%) FEMMES 134 (3.0%) 1101 (24.6%) 927 (20.7%) 1083 (24.2%) 15 (0.3%) 535 (11.9%) 3795 (84.7%) HOMMES 20 (0.4%) 137 (3.1%) 147 (3.3%) 176 (3.9%) 11 (0.2%) 125 (2.8%) 616 (13.7%) TOTAL 156 (3.5%) 1238 (27.6%) 1077 (24.0%) 1265 (28.2%) 27 (0.6%) 718 (16.0%) 4481 (100.0%)

7 2- PROFESSION Tableau 2 : Profession Nombre Pourcentage CADRE IDE % IDE % IBODE % IADE % AS/AP % ASH % MEDECIN % INTERNE % CHIRURGIEN % ANESTHESISTE 3 0.1% SAGE-FEMME % ERGO-KINE % BRANCARDIERS % AMBULANCIERS % LABORATOIRE % MANIP RADIO % ELEVE-ETUD % TECHNIQUE % ADMINISTRATIF % AUTRES % NON RENSEIGNES % TOTAL % Parmi les 4481 professionnels qui ont répondu au questionnaire 3977 (88.8%) sont du personnel de jour, 359 (8.0%) du personnel de nuit et 145 (3.2%) n'ont pas précisé s'ils étaient de jour ou de nuit.

8 3- SPECIALITES Les participants à l'enquête exercent leur activité principale dans les spécialités suivantes : Tableau 3 : Distribution selon la spécialité dans laquelle exercent les répondants SPECIALITE Nombre Pourcentage MEDECINE % CHIRURGIE % GYNECO-OBST % REA USI % BLOC % ANESTHESIE % URGENCE % PEDIATRIE % SSR % SLD % PSYCHIATRIE % HEMODIALYSE % LABORATOIRE % RADIO-IMAGERIE % EXPLO FONCT 2 0.0% CONSULT % HAD % AUTRES % NON RENSEIGNES % TOTAL %

9 RESULTATS DU QUESTIONNAIRE I- LES PRECAUTIONS STANDARD EN GENERAL Tableau 4 : En Hygiène Hospitalière,avez vous entendu parler du concept de «précautions standard» anciennement appelées «précautions universelles»? : Profession jamais entendu parler (%) entendu le terme mais ne connais pas les mesures (%) Oui, je pense que je connais à peu près les (%) Oui,et je connais tout à fait les mesures (%) Non renseigné (%) CADRE IDE 3(1.9%) 7(4.4%) 82(51.6%) 61(38.4%) 6(3.8%) IDE 81 (5.9%) 111(8.1%) 829(60.8%) 305(22.4%) 38(2.8%) IBODE 1 (3.0%) 6(18.2%) 10(30.3%) 15(45.5%) 1(3.0%) IADE 5 (10.0%) 0(0.0%) 34(68.0%) 11(22.0%) 0(0.0%) AS/AP ASH MEDECIN 121 (10.1%) 61 (12.9%) 16 (13.9%) 103(8.6%) 666(55.4%) 265(22.0%) 48(4.0%) 64(13.5%) 244(51.6%) 80(16.9%) 24(5.1%) 17(14.8%) 47(40.9%) 27(23.5%) 8(7.0%) INTERNE 3 (12.0%) 5(20.0%) 14(56.0%) 2(8.0%) 1(0.0%) CHIRUGIEN 1 (8.3%) 1(8.3%) 7(58.3%) 3(25.0%) 0(0.0%) ANESTHESISTE 1 (33.3%) 0(0.0%) 0(0.0%) 1(33.3%) 1(33.3%) SAGE-FEMME 5 (10.0%) 5(10.0%) 35(70.0%) 4(8.0%) 1(2.0%) ERGO-KINE 14 (20.9%) 15(22.4%) 34(50.7%) 3(4.5%) 1(1.5%) BRANCARDIERS 0 (0.0%) 2(12.5%) 12(75.0%) 1(6.3%) 1(6.3%) AMBULANCIERS 0 (0.0%) 4(16.0%) 14(56.0%) 6(24.0%) 1(4.0%) LABO 9 (18.4%) 9(18.4%) 27(55.1%) 0(0.0%) 4(8.2%) MANIP RADIO 5 (8.1%) 7(11.3%) 42(67.7%) 8(12.9%) 0(0.0%) ELEVE-ETUD 12 (3.3%) 44(12.1%) 187(51.2%) 115(31.5%) 7(1.9%) AUTRE TECHNIQUE ADMINISTRATIF AUTRES 7 (12.1%) 14(24.1%) 29(50.0%) 6(10.3%) 2(3.4%) 16 (20.0%) 42 (19.5%) 22(27.5%) 35(43.8%) 2(2.5%) 5(6.3%) 37(17.2%) 99(46.0%) 31(14.4%) 6(2.8%) NON RENSEIGNE 5 (8.9%) 3(5.4%) 28(50.0%) 10(17.9%) 10(17.9%) Total 409 (9.1%) 476(10.6%) 2475(55.2%) 956(21.3%) 165(3.7%)

10 Tableau 5 : Dans votre pratique professionnelle quotidienne, diriez-vous que la lutte contre les infections nosocomiales est une préoccupation constante? : Profession JAMAIS (%) PARFOIS (%) SOUVENT(%) TOUJOURS (%) Non renseigné (%) CADRE IDE 1(0.6%) 7(4.4%) 25(15.7%) 123(77.4%) 3(1.9%) IDE 3(0.2%) 71(5.2%) 407(29.8%) 861(63.1%) 22(1.6%) IBODE 0 (0.0%) 0(0.0%) 5(15.2%) 28(84.8%) 0(0.0%) IADE 0 (0.0%) 0(0.0%) 10(20.0%) 39(78.0%) 1(2.0%) AS/AP 9 (0.7%) 64(5.3%) 330(27.4%) 764(63.5%) 36(3.0%) ASH 6 (1.3%) 39(8.2%) 113(23.9%) 306(64.7%) 9(1.9%) MEDECIN 0 (0.0%) 6(5.2%) 30(26.1%) 76(66.1%) 3(2.6%) INTERNE 0 (0.0%) 1(4.0%) 11(44.0%) 13(52.0%) 0(0.0%) CHIRUGIEN 0 (0.0%) 0(0.0%) 4(33.3%) 7(58.3%) 1(8.3%) ANESTHESISTE 0 (0.0%) 0(0.0%) 0(0.0%) 3(100.0%) 0(0.0%) SAGE-FEMME 0 (0.0%) 1(2.0%) 17(34.0%) 32(64.0%) 0(0.0%) ERGO-KINE 1 (1.5%) 7(10.4%) 19(28.4%) 37(55.2%) 3(4.5%) BRANCARDIERS 0 (0.0%) 1(6.3%) 6(37.5%) 9(56.3%) 0(0.0%) AMBULANCIERS 0 (0.0%) 1(4.0%) 8(32.0%) 13(52.0%) 3(12.0%) LABO 3 (6.1%) 8(16.3%) 14(28.6%) 24(49.0%) 0(0.0%) MANIP RADIO 0 (0.0%) 7(11.3%) 26(41.9%) 29(46.8%) 0(0.0%) ELEVE-ETUD 6 (1.6%) 31(8.5%) 104(28.5%) 213(58.4%) 11(3.0%) AUTRE TECHNIQUE 6 (10.3%) 7(12.1%) 11(19.0%) 30(51.7%) 4(6.9%) ADMINISTRATIF 10 (12.5%) 26(32.5%) 20(25.0%) 18(22.5%) 6(7.5%) AUTRES 14 (6.5%) 48(22.3%) 40(18.6%) 100(46.5%) 13(6.0%) NON RENSEIGNE 0 (0.0%) 4(7.1%) 9(16.1%) 35(62.5%) 8(14.3%) Total 59 (1.3%) 330(7.4%) 1209(27.0%) 2760(61.6%) 123(2.7%)

11 Tableau 6 : les précautions standard visent à protéger uniquement les patients : CADRE IDE 2(1.3%) 125(78.6%) 32(20.1%) IDE 41 (3.0%) 1136(83.3%) 187(13.7%) IBODE 0 (0.0%) 28(84.8%) 5(15.2%) IADE 2 (4.0%) 38(76.0%) 10(20.0%) AS/AP 77 (6.4%) 876(72.8%) 250(20.8%) ASH 43 (9.1%) 319(67.4%) 111(23.5%) MEDECIN 7 (6.1%) 80(69.6%) 28(24.3%) INTERNE 1 (4.0%) 22(88.0%) 2(0.0%) CHIRUGIEN 0 (0.0%) 10(83.3%) 2(16.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 1 (2.0%) 45(90.0%) 4(8.0%) ERGO-KINE 1 (1.5%) 53(79.1%) 13(19.4%) BRANCARDIERS 3 (18.8%) 12(75.0%) 1(6.3%) AMBULANCIERS 2 (8.0%) 19(76.0%) 4(16.0%) LABO 2 (4.1%) 41(83.7%) 6(12.2%) MANIP RADIO 0 (0.0%) 52(83.9%) 10(16.1%) ELEVE-ETUD 8 (2.2%) 328(89.9%) 29(7.9%) AUTRE TECHNIQUE 6 (10.3%) 32(55.2%) 20(34.5%) ADMINISTRATIF 4 (5.0%) 57(71.3%) 19(23.8%) AUTRES 12 (5.6%) 157(73.0%) 46(21.4%) NON RENSEIGNE 4 (7.1%) 30(53.6%) 22(39.3%) Total 217 (4.8%) 3463(77.3%) 801(17.9%)

12 Tableau 7 : les précautions standard visent à protéger uniquement les soignants : CADRE IDE 2(1.3%) 122(76.7%) 35(22.0%) IDE 29 (2.1%) 1145(83.9%) 190(13.9%) IBODE 0 (0.0%) 28(84.8%) 5(15.2%) IADE 2 (4.0%) 38(76.0%) 10(20.0%) AS/AP 71 (5.9%) 877(72.9%) 255(21.2%) ASH 37 (7.8%) 321(67.9%) 115(24.3%) MEDECIN 1 (0.9%) 85(73.9%) 29(25.2%) INTERNE 1 (4.0%) 22(88.0%) 2(0.0%) CHIRUGIEN 1 (8.3%) 10(83.3%) 1(8.3%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 1 (2.0%) 45(90.0%) 4(8.0%) ERGO-KINE 1 (1.5%) 52(77.6%) 14(20.9%) BRANCARDIERS 3 (18.8%) 12(75.0%) 1(6.3%) AMBULANCIERS 3 (12.0%) 18(72.0%) 4(16.0%) LABO 1 (2.0%) 42(85.7%) 6(12.2%) MANIP RADIO 0 (0.0%) 52(83.9%) 10(16.1%) ELEVE-ETUD 6 (1.6%) 328(89.9%) 31(8.5%) AUTRE TECHNIQUE 6 (10.3%) 31(53.4%) 21(36.2%) ADMINISTRATIF 2 (2.5%) 59(73.8%) 19(23.8%) AUTRES 12 (5.6%) 158(73.5%) 45(20.9%) NON RENSEIGNE 2 (3.6%) 32(57.1%) 22(39.3%) Total 182 (4.1%) 3480(77.7%) 819(18.3%)

13 Tableau 8 : les précautions standard visent à protéger uniquement les soignants et les patients : CADRE IDE 157(98.7%) 0(0.0%) 2(1.3%) IDE 1324 (97.1%) 16(1.2%) 24(1.8%) IBODE 33 (100.0%) 0(0.0%) 0(0.0%) IADE 48 (96.0%) 0(0.0%) 2(4.0%) AS/AP 1148 (95.4%) 11(0.9%) 44(3.7%) ASH 451 (95.3%) 7(1.5%) 15(3.2%) MEDECIN 105 (91.3%) 1(0.9%) 9(7.8%) INTERNE 25 (100.0%) 0(0.0%) 0(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 50 (100.0%) 0(0.0%) 0(0.0%) ERGO-KINE 61 (91.0%) 5(7.5%) 1(1.5%) BRANCARDIERS 16 (100.0%) 0(0.0%) 0(0.0%) AMBULANCIERS 24 (96.0%) 0(0.0%) 1(4.0%) LABO 47 (95.9%) 1(2.0%) 1(2.0%) MANIP RADIO 62 (100.0%) 0(0.0%) 0(0.0%) ELEVE-ETUD 356 (97.5%) 4(1.1%) 5(1.4%) AUTRE TECHNIQUE 53 (91.4%) 0(0.0%) 5(8.6%) ADMINISTRATIF 76 (95.0%) 2(2.5%) 2(2.5%) AUTRES 203 (94.4%) 2(0.9%) 10(4.7%) NON RENSEIGNE 48 (85.7%) 2(3.6%) 6(10.7%) Total 4302 (96.0%) 51(1.1%) 128(2.9%)

14 Tableau 9 : les précautions standard s'appliquent pour tous les patients : CADRE IDE 137(86.2%) 8(5.0%) 14(8.8%) IDE 1182 (86.7%) 77(5.6%) 105(7.7%) IBODE 33 (100.0%) 0(0.0%) 0(0.0%) IADE 42 (84.0%) 1(2.0%) 7(14.0%) AS/AP 933 (77.6%) 93(7.7%) 177(14.7%) ASH 308 (65.1%) 58(12.3%) 107(22.6%) MEDECIN 96 (83.5%) 5(4.3%) 14(12.2%) INTERNE 21 (84.0%) 1(4.0%) 3(0.1%) CHIRUGIEN 9 (75.0%) 1(8.3%) 2(16.7%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 45 (90.0%) 2(4.0%) 3(6.0%) ERGO-KINE 55 (82.1%) 4(6.0%) 8(11.9%) BRANCARDIERS 13 (81.3%) 2(12.5%) 1(6.3%) AMBULANCIERS 18 (72.0%) 3(12.0%) 4(16.0%) LABO 44 (89.8%) 4(8.2%) 1(2.0%) MANIP RADIO 55 (88.7%) 5(8.1%) 2(3.2%) ELEVE-ETUD 338 (92.6%) 10(2.7%) 17(4.7%) AUTRE TECHNIQUE 36 (62.1%) 4(6.9%) 18(31.0%) ADMINISTRATIF 59 (73.8%) 3(3.8%) 18(22.5%) AUTRES 169 (78.6%) 14(6.5%) 32(14.9%) NON RENSEIGNE 37 (66.1%) 1(1.8%) 18(32.1%) Total 3634 (81.1%) 296(6.6%) 551(12.3%)

15 Tableau 10 : les précautions standard s'appliquent uniquement pour les patients porteurs de BMR : CADRE IDE 1(0.6%) 132(83.0%) 26(16.4%) IDE 43 (3.2%) 1163(85.3%) 158(11.6%) IBODE 0 (0.0%) 28(84.8%) 5(15.2%) IADE 0 (0.0%) 41(82.0%) 9(18.0%) AS/AP 108 (9.0%) 882(73.3%) 213(17.7%) ASH 70 (14.8%) 305(64.5%) 98(20.7%) MEDECIN 2 (1.7%) 92(80.0%) 21(18.3%) INTERNE 0 (0.0%) 22(88.0%) 3(0.1%) CHIRUGIEN 0 (0.0%) 10(83.3%) 2(16.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 0 (0.0%) 46(92.0%) 4(8.0%) ERGO-KINE 3 (4.5%) 53(79.1%) 11(16.4%) BRANCARDIERS 3 (18.8%) 12(75.0%) 1(6.3%) AMBULANCIERS 1 (4.0%) 21(84.0%) 3(12.0%) LABO 1 (2.0%) 43(87.8%) 5(10.2%) MANIP RADIO 2 (3.2%) 56(90.3%) 4(6.5%) ELEVE-ETUD 5 (1.4%) 332(91.0%) 28(7.7%) AUTRE TECHNIQUE 9 (15.5%) 30(51.7%) 19(32.8%) ADMINISTRATIF 3 (3.8%) 57(71.3%) 20(25.0%) AUTRES 10 (4.7%) 166(77.2%) 39(18.1%) NON RENSEIGNE 4 (7.1%) 32(57.1%) 20(35.7%) Total 266 (5.9%) 3526(78.7%) 689(15.4%)

16 Tableau 11 : les précautions standard s'appliquent uniquement pour les soignants porteurs de BMR : CADRE IDE 1(0.6%) 133(83.6%) 25(15.7%) IDE 22 (1.6%) 1186(87.0%) 156(11.4%) IBODE 1 (3.0%) 26(78.8%) 6(18.2%) IADE 0 (0.0%) 41(82.0%) 9(18.0%) AS/AP 67 (5.6%) 912(75.8%) 224(18.6%) ASH 49 (10.4%) 324(68.5%) 100(21.1%) MEDECIN 2 (1.7%) 91(79.1%) 22(19.1%) INTERNE 0 (0.0%) 23(92.0%) 2(0.0%) CHIRUGIEN 1 (8.3%) 9(75.0%) 2(16.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 1 (2.0%) 45(90.0%) 4(8.0%) ERGO-KINE 2 (3.0%) 56(83.6%) 9(13.4%) BRANCARDIERS 2 (12.5%) 13(81.3%) 1(6.3%) AMBULANCIERS 1 (4.0%) 21(84.0%) 3(12.0%) LABO 0 (0.0%) 44(89.8%) 5(10.2%) MANIP RADIO 2 (3.2%) 56(90.3%) 4(6.5%) ELEVE-ETUD 6 (1.6%) 334(91.5%) 25(6.8%) AUTRE TECHNIQUE 6 (10.3%) 33(56.9%) 19(32.8%) ADMINISTRATIF 3 (3.8%) 57(71.3%) 20(25.0%) AUTRES 4 (1.9%) 175(81.4%) 36(16.7%) NON RENSEIGNE 1 (1.8%) 31(55.4%) 24(42.9%) Total 172 (3.8%) 3613(80.6%) 696(15.5%)

17 Tableau 12 : les précautions standard sont necessaires en cas de contacts prévisibles avec les liquides biologiques : CADRE IDE 128(80.5%) 12(7.5%) 19(11.9%) IDE 1162 (85.2%) 78(5.7%) 124(9.1%) IBODE 27 (81.8%) 2(6.1%) 4(12.1%) IADE 37 (74.0%) 2(4.0%) 11(22.0%) AS/AP 836 (69.5%) 148(12.3%) 219(18.2%) ASH 270 (57.1%) 90(19.0%) 113(23.9%) MEDECIN 91 (79.1%) 8(7.0%) 16(13.9%) INTERNE 22 (88.0%) 2(8.0%) 1(0.0%) CHIRUGIEN 8 (66.7%) 2(16.7%) 2(16.7%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 41 (82.0%) 5(10.0%) 4(8.0%) ERGO-KINE 53 (79.1%) 5(7.5%) 9(13.4%) BRANCARDIERS 11 (68.8%) 3(18.8%) 2(12.5%) AMBULANCIERS 20 (80.0%) 1(4.0%) 4(16.0%) LABO 44 (89.8%) 3(6.1%) 2(4.1%) MANIP RADIO 59 (95.2%) 2(3.2%) 1(1.6%) ELEVE-ETUD 334 (91.5%) 12(3.3%) 19(5.2%) AUTRE TECHNIQUE 30 (51.7%) 8(13.8%) 20(34.5%) ADMINISTRATIF 54 (67.5%) 7(8.8%) 19(23.8%) AUTRES 151 (70.2%) 18(8.4%) 46(21.4%) NON RENSEIGNE 34 (60.7%) 4(7.1%) 18(32.1%) Total 3416 (76.2%) 412(9.2%) 653(14.6%)

18 Tableau 13 : les précautions standard sont nécessaires pour les patients infectés : CADRE IDE 4(2.5%) 129(81.1%) 26(16.4%) IDE 59 (4.3%) 1152(84.5%) 153(11.2%) IBODE 0 (0.0%) 27(81.8%) 6(18.2%) IADE 2 (4.0%) 39(78.0%) 9(18.0%) AS/AP 158 (13.1%) 823(68.4%) 222(18.5%) ASH 99 (20.9%) 270(57.1%) 104(22.0%) MEDECIN 3 (2.6%) 91(79.1%) 21(18.3%) INTERNE 0 (0.0%) 22(88.0%) 3(0.1%) CHIRUGIEN 1 (8.3%) 9(75.0%) 2(16.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 1 (2.0%) 45(90.0%) 4(8.0%) ERGO-KINE 3 (4.5%) 55(82.1%) 9(13.4%) BRANCARDIERS 5 (31.3%) 10(62.5%) 1(6.3%) AMBULANCIERS 1 (4.0%) 20(80.0%) 4(16.0%) LABO 1 (2.0%) 43(87.8%) 5(10.2%) MANIP RADIO 5 (8.1%) 53(85.5%) 4(6.5%) ELEVE-ETUD 16 (4.4%) 325(89.0%) 24(6.6%) AUTRE TECHNIQUE 6 (10.3%) 31(53.4%) 21(36.2%) ADMINISTRATIF 4 (5.0%) 55(68.8%) 21(26.3%) AUTRES 19 (8.8%) 158(73.5%) 38(17.7%) NON RENSEIGNE 9 (16.1%) 28(50.0%) 19(33.9%) Total 397 (8.9%) 3388(75.6%) 696(15.5%)

19 Tableau 14 : les précautions standard sont nécessaires uniquement pour des soins spécifiques : CADRE IDE 5(3.1%) 127(79.9%) 27(17.0%) IDE 95 (7.0%) 1109(81.3%) 160(11.7%) IBODE 2 (6.1%) 26(78.8%) 5(15.2%) IADE 2 (4.0%) 39(78.0%) 9(18.0%) AS/AP 176 (14.6%) 787(65.4%) 240(20.0%) ASH 86 (18.2%) 271(57.3%) 116(24.5%) MEDECIN 4 (3.5%) 89(77.4%) 22(19.1%) INTERNE 0 (0.0%) 23(92.0%) 2(0.0%) CHIRUGIEN 0 (0.0%) 9(75.0%) 3(25.0%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 7 (14.0%) 40(80.0%) 3(6.0%) ERGO-KINE 7 (10.4%) 51(76.1%) 9(13.4%) BRANCARDIERS 2 (12.5%) 13(81.3%) 1(6.3%) AMBULANCIERS 1 (4.0%) 20(80.0%) 4(16.0%) LABO 3 (6.1%) 41(83.7%) 5(10.2%) MANIP RADIO 3 (4.8%) 55(88.7%) 4(6.5%) ELEVE-ETUD 25 (6.8%) 316(86.6%) 24(6.6%) AUTRE TECHNIQUE 5 (8.6%) 32(55.2%) 21(36.2%) ADMINISTRATIF 6 (7.5%) 53(66.3%) 21(26.3%) AUTRES 20 (9.3%) 156(72.6%) 39(18.1%) NON RENSEIGNE 9 (16.1%) 27(48.2%) 20(35.7%) Total 459 (10.2%) 3287(73.4%) 735(16.4%)

20 Tableau 15 : Avez vous reçu une formation sur les PS lors de votre formation initiale? : CADRE IDE 90(56.6%) 62(39.0%) 7(4.4%) IDE 838 (61.4%) 466(34.2%) 60(4.4%) IBODE 24 (72.7%) 9(27.3%) 0(0.0%) IADE 35 (70.0%) 12(24.0%) 3(6.0%) AS/AP 689 (57.3%) 430(35.7%) 84(7.0%) ASH 172 (36.4%) 255(53.9%) 46(9.7%) MEDECIN 21 (18.3%) 84(73.0%) 10(8.7%) INTERNE 15 (60.0%) 8(32.0%) 2(0.0%) CHIRUGIEN 3 (25.0%) 9(75.0%) 0(0.0%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 30 (60.0%) 20(40.0%) 0(0.0%) ERGO-KINE 14 (20.9%) 51(76.1%) 2(3.0%) BRANCARDIERS 3 (18.8%) 13(81.3%) 0(0.0%) AMBULANCIERS 13 (52.0%) 11(44.0%) 1(4.0%) LABO 3 (6.1%) 45(91.8%) 1(2.0%) MANIP RADIO 40 (64.5%) 20(32.3%) 2(3.2%) ELEVE-ETUD 290 (79.5%) 61(16.7%) 14(3.8%) AUTRE TECHNIQUE 20 (34.5%) 32(55.2%) 6(10.3%) ADMINISTRATIF 11 (13.8%) 62(77.5%) 7(8.8%) AUTRES 69 (32.1%) 130(60.5%) 16(7.4%) NON RENSEIGNE 19 (33.9%) 23(41.1%) 14(25.0%) Total 2400 (53.6%) 1806(40.3%) 275(6.1%)

21 Tableau 16 : Avez vous reçu une formation sur les PS depuis que vous êtes en activité? : CADRE IDE 100(62.9%) 49(30.8%) 10(6.3%) IDE 489 (35.9%) 785(57.6%) 90(6.6%) IBODE 17 (51.5%) 15(45.5%) 1(3.0%) IADE 22 (44.0%) 22(44.0%) 6(12.0%) AS/AP 470 (39.1%) 557(46.3%) 176(14.6%) ASH 199 (42.1%) 195(41.2%) 79(16.7%) MEDECIN 38 (33.0%) 65(56.5%) 12(10.4%) INTERNE 11 (44.0%) 14(56.0%) 0(0.0%) CHIRUGIEN 4 (33.3%) 6(50.0%) 2(16.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 16 (32.0%) 33(66.0%) 1(2.0%) ERGO-KINE 29 (43.3%) 35(52.2%) 3(4.5%) BRANCARDIERS 9 (56.3%) 7(43.8%) 0(0.0%) AMBULANCIERS 13 (52.0%) 10(40.0%) 2(8.0%) LABO 12 (24.5%) 33(67.3%) 4(8.2%) MANIP RADIO 19 (30.6%) 35(56.5%) 8(12.9%) ELEVE-ETUD 55 (15.1%) 193(52.9%) 117(32.1%) AUTRE TECHNIQUE 20 (34.5%) 27(46.6%) 11(19.0%) ADMINISTRATIF 21 (26.3%) 51(63.8%) 8(10.0%) AUTRES 67 (31.2%) 121(56.3%) 27(12.6%) NON RENSEIGNE 20 (35.7%) 18(32.1%) 18(32.1%) Total 1633 (36.4%) 2273(50.7%) 575(12.8%)

22 Tableau 17 : Selon vous, quelle est LA mesure la plus efficace pour limiter la transmission d agents infectieux dans un établissement de soins? : Profession MASQUE (%) GANTS (%) HYGIENE DES MAINS(%) SURBLOUSE (%) Non renseigné (%) CADRE IDE 0(0.0%) 1(0.6%) 156(98.1%) 0(0.0%) 2(1.3%) IDE 1 (0.1%) 23(1.7%) 1311(96.1%) 1(0.1%) 28(2.1%) IBODE 0 (0.0%) 1(3.0%) 32(97.0%) 0(0.0%) 0(0.0%) IADE 0 (0.0%) 1(2.0%) 49(98.0%) 0(0.0%) 0(0.0%) AS/AP 1 (0.1%) 69(5.7%) 1080(89.8%) 2(0.2%) 51(4.2%) ASH 5 (1.1%) 68(14.4%) 366(77.4%) 3(0.6%) 31(6.6%) MEDECIN 0 (0.0%) 1(0.9%) 107(93.0%) 0(0.0%) 7(6.1%) INTERNE 0 (0.0%) 3(12.0%) 21(84.0%) 0(0.0%) 1(0.0%) CHIRUGIEN 0 (0.0%) 0(0.0%) 12(100.0%) 0(0.0%) 0(0.0%) ANESTHESISTE 0 (0.0%) 0(0.0%) 2(66.7%) 1(33.3%) 0(0.0%) SAGE-FEMME 0 (0.0%) 1(2.0%) 49(98.0%) 0(0.0%) 0(0.0%) ERGO-KINE 1 (1.5%) 4(6.0%) 61(91.0%) 0(0.0%) 1(1.5%) BRANCARDIERS 1 (6.3%) 2(12.5%) 12(75.0%) 0(0.0%) 1(6.3%) AMBULANCIERS 2 (8.0%) 2(8.0%) 21(84.0%) 0(0.0%) 0(0.0%) LABO 0 (0.0%) 6(12.2%) 43(87.8%) 0(0.0%) 0(0.0%) MANIP RADIO 1 (1.6%) 6(9.7%) 54(87.1%) 1(1.6%) 0(0.0%) ELEVE-ETUD 1 (0.3%) 22(6.0%) 337(92.3%) 1(0.3%) 4(1.1%) AUTRE TECHNIQUE 4 (6.9%) 6(10.3%) 42(72.4%) 2(3.4%) 4(6.9%) ADMINISTRATIF 2 (2.5%) 12(15.0%) 61(76.3%) 0(0.0%) 5(6.3%) AUTRES 6 (2.8%) 21(9.8%) 177(82.3%) 0(0.0%) 11(5.1%) NON RENSEIGNE 1 (1.8%) 5(8.9%) 45(80.4%) 0(0.0%) 5(8.9%) Total 26 (0.6%) 254(5.7%) 4039(90.1%) 11(0.2%) 151(3.4%)

23 Tableau 18 : Vous devez faire, dans la même chambre, une prise de sang à un patient A qui n a aucun signe d infection, et ensuite une autre prise de sang à un patient B qui a une hépatite C, quelles mesures de prévention prenez-vous? : Profession Cet ne releve pas de ma compétence (%) HDM pour les 2 patients et gant pour B(%) HDM et gants pour les 2 patients(%) Sans mesures particulières (%) Non renseigné (%) CADRE IDE 15(9.4%) 9(5.7%) 131(82.4%) 0(0.0%) 4(2.5%) IDE 9 (0.7%) 64(4.7%) 1271(93.2%) 0(0.0%) 20(1.5%) IBODE 1 (3.0%) 4(12.1%) 28(84.8%) 0(0.0%) 0(0.0%) IADE 2 (4.0%) 1(2.0%) 47(94.0%) 0(0.0%) 0(0.0%) AS/AP 955 (79.4%) 38(3.2%) 85(7.1%) 0(0.0%) 125(10.4%) ASH 337 (71.2%) 19(4.0%) 47(9.9%) 1(0.2%) 69(14.6%) MEDECIN 39 (33.9%) 12(10.4%) 57(49.6%) 0(0.0%) 7(6.1%) INTERNE 7 (28.0%) 2(8.0%) 16(64.0%) 0(0.0%) 0(0.0%) CHIRUGIEN 8 (66.7%) 1(8.3%) 2(16.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 0 (0.0%) 0(0.0%) 2(66.7%) 0(0.0%) 1(33.3%) SAGE-FEMME 0 (0.0%) 7(14.0%) 43(86.0%) 0(0.0%) 0(0.0%) ERGO-KINE 58 (86.6%) 0(0.0%) 1(1.5%) 0(0.0%) 8(11.9%) BRANCARDIERS 14 (87.5%) 0(0.0%) 2(12.5%) 0(0.0%) 0(0.0%) AMBULANCIERS 21 (84.0%) 0(0.0%) 2(8.0%) 0(0.0%) 2(8.0%) LABO 20 (40.8%) 1(2.0%) 28(57.1%) 0(0.0%) 0(0.0%) MANIP RADIO 25 (40.3%) 4(6.5%) 32(51.6%) 0(0.0%) 1(1.6%) ELEVE-ETUD 78 (21.4%) 9(2.5%) 272(74.5%) 0(0.0%) 6(1.6%) AUTRE TECHNIQUE 33 (56.9%) 2(3.4%) 6(10.3%) 0(0.0%) 17(29.3%) ADMINISTRATIF 60 (75.0%) 1(1.3%) 9(11.3%) 0(0.0%) 10(12.5%) AUTRES 127 (59.1%) 9(4.2%) 61(28.4%) 0(0.0%) 18(8.4%) NON RENSEIGNE 25 (44.6%) 2(3.6%) 14(25.0%) 0(0.0%) 15(26.8%) Total 1835 (41.0%) 185(4.1%) 2156(48.1%) 1(0.0%) 304(6.8%)

24 Tableau 19 : L'hygiène des mains doit être réalisée systématiquement avant un contact avec un patient : : CADRE IDE 153(96.2%) 1(0.6%) 5(3.1%) IDE 1308 (95.9%) 27(2.0%) 29(2.1%) IBODE 33 (100.0%) 0(0.0%) 0(0.0%) IADE 48 (96.0%) 1(2.0%) 1(2.0%) AS/AP 1140 (94.8%) 22(1.8%) 41(3.4%) ASH 441 (93.2%) 16(3.4%) 16(3.4%) MEDECIN 107 (93.0%) 3(2.6%) 5(4.3%) INTERNE 25 (100.0%) 0(0.0%) 0(0.0%) CHIRUGIEN 12 (100.0%) 0(0.0%) 0(0.0%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 50 (100.0%) 0(0.0%) 0(0.0%) ERGO-KINE 65 (97.0%) 1(1.5%) 1(1.5%) BRANCARDIERS 15 (93.8%) 1(6.3%) 0(0.0%) AMBULANCIERS 25 (100.0%) 0(0.0%) 0(0.0%) LABO 48 (98.0%) 0(0.0%) 1(2.0%) MANIP RADIO 60 (96.8%) 1(1.6%) 1(1.6%) ELEVE-ETUD 355 (97.3%) 4(1.1%) 6(1.6%) AUTRE TECHNIQUE 48 (82.8%) 2(3.4%) 8(13.8%) ADMINISTRATIF 68 (85.0%) 2(2.5%) 10(12.5%) AUTRES 198 (92.1%) 3(1.4%) 14(6.5%) NON RENSEIGNE 48 (85.7%) 0(0.0%) 8(14.3%) Total 4251 (94.9%) 84(1.9%) 146(3.3%)

25 Tableau 20 : L'hygiène des mains doit être réalisée systématiquement après un contact avec un patient : : CADRE IDE 155(97.5%) 1(0.6%) 3(1.9%) IDE 1326 (97.2%) 9(0.7%) 29(2.1%) IBODE 32 (97.0%) 1(3.0%) 0(0.0%) IADE 49 (98.0%) 0(0.0%) 1(2.0%) AS/AP 1130 (93.9%) 15(1.2%) 58(4.8%) ASH 443 (93.7%) 9(1.9%) 21(4.4%) MEDECIN 104 (90.4%) 2(1.7%) 9(7.8%) INTERNE 24 (96.0%) 0(0.0%) 1(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 50 (100.0%) 0(0.0%) 0(0.0%) ERGO-KINE 65 (97.0%) 0(0.0%) 2(3.0%) BRANCARDIERS 16 (100.0%) 0(0.0%) 0(0.0%) AMBULANCIERS 25 (100.0%) 0(0.0%) 0(0.0%) LABO 48 (98.0%) 0(0.0%) 1(2.0%) MANIP RADIO 62 (100.0%) 0(0.0%) 0(0.0%) ELEVE-ETUD 358 (98.1%) 1(0.3%) 6(1.6%) AUTRE TECHNIQUE 47 (81.0%) 1(1.7%) 10(17.2%) ADMINISTRATIF 69 (86.3%) 2(2.5%) 9(11.3%) AUTRES 199 (92.6%) 2(0.9%) 14(6.5%) NON RENSEIGNE 44 (78.6%) 3(5.4%) 9(16.1%) Total 4261 (95.1%) 46(1.0%) 174(3.9%)

26 Tableau 21 : L'hygiène des mains doit être réalisée systématiquement entre deux patients : : CADRE IDE 153(96.2%) 3(1.9%) 3(1.9%) IDE 1317 (96.6%) 13(1.0%) 34(2.5%) IBODE 32 (97.0%) 1(3.0%) 0(0.0%) IADE 48 (96.0%) 0(0.0%) 2(4.0%) AS/AP 1135 (94.3%) 15(1.2%) 53(4.4%) ASH 433 (91.5%) 17(3.6%) 23(4.9%) MEDECIN 96 (83.5%) 6(5.2%) 13(11.3%) INTERNE 24 (96.0%) 0(0.0%) 1(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 50 (100.0%) 0(0.0%) 0(0.0%) ERGO-KINE 65 (97.0%) 0(0.0%) 2(3.0%) BRANCARDIERS 15 (93.8%) 1(6.3%) 0(0.0%) AMBULANCIERS 23 (92.0%) 1(4.0%) 1(4.0%) LABO 48 (98.0%) 0(0.0%) 1(2.0%) MANIP RADIO 60 (96.8%) 2(3.2%) 0(0.0%) ELEVE-ETUD 359 (98.4%) 2(0.5%) 4(1.1%) AUTRE TECHNIQUE 42 (72.4%) 4(6.9%) 12(20.7%) ADMINISTRATIF 66 (82.5%) 2(2.5%) 12(15.0%) AUTRES 201 (93.5%) 0(0.0%) 14(6.5%) NON RENSEIGNE 45 (80.4%) 2(3.6%) 9(16.1%) Total 4227 (94.3%) 69(1.5%) 185(4.1%)

27 Tableau 22 : L'hygiène des mains doit être réalisée systématiquement après le retrait des gants : la profession des répondants CADRE IDE 143(89.9%) 10(6.3%) 6(3.8%) IDE 1254 (91.9%) 65(4.8%) 45(3.3%) IBODE 25 (75.8%) 6(18.2%) 2(6.1%) IADE 45 (90.0%) 2(4.0%) 3(6.0%) AS/AP 1080 (89.8%) 54(4.5%) 69(5.7%) ASH 423 (89.4%) 29(6.1%) 21(4.4%) MEDECIN 83 (72.2%) 11(9.6%) 21(18.3%) INTERNE 21 (84.0%) 2(8.0%) 2(0.0%) CHIRUGIEN 8 (66.7%) 3(25.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 42 (84.0%) 8(16.0%) 0(0.0%) ERGO-KINE 52 (77.6%) 13(19.4%) 2(3.0%) BRANCARDIERS 13 (81.3%) 3(18.8%) 0(0.0%) AMBULANCIERS 22 (88.0%) 2(8.0%) 1(4.0%) LABO 39 (79.6%) 9(18.4%) 1(2.0%) MANIP RADIO 45 (72.6%) 14(22.6%) 3(4.8%) ELEVE-ETUD 344 (94.2%) 14(3.8%) 7(1.9%) AUTRE TECHNIQUE 37 (63.8%) 10(17.2%) 11(19.0%) ADMINISTRATIF 51 (63.8%) 13(16.3%) 16(20.0%) AUTRES 181 (84.2%) 14(6.5%) 20(9.3%) NON RENSEIGNE 45 (80.4%) 3(5.4%) 8(14.3%) Total 3957 (88.3%) 285(6.4%) 239(5.3%)

28 Tableau 23 : Les gants doivent être portés systématiquement pour chaque soin : : CADRE IDE 32(20.1%) 115(72.3%) 12(7.5%) IDE 257 (18.8%) 1032(75.7%) 75(5.5%) IBODE 8 (24.2%) 23(69.7%) 2(6.1%) IADE 19 (38.0%) 28(56.0%) 3(6.0%) AS/AP 375 (31.2%) 746(62.0%) 82(6.8%) ASH 321 (67.9%) 124(26.2%) 28(5.9%) MEDECIN 57 (49.6%) 44(38.3%) 14(12.2%) INTERNE 14 (56.0%) 10(40.0%) 1(0.0%) CHIRUGIEN 8 (66.7%) 4(33.3%) 0(0.0%) ANESTHESISTE 2 (66.7%) 1(33.3%) 0(0.0%) SAGE-FEMME 19 (38.0%) 30(60.0%) 1(2.0%) ERGO-KINE 9 (13.4%) 53(79.1%) 5(7.5%) BRANCARDIERS 11 (68.8%) 5(31.3%) 0(0.0%) AMBULANCIERS 20 (80.0%) 3(12.0%) 2(8.0%) LABO 37 (75.5%) 10(20.4%) 2(4.1%) MANIP RADIO 27 (43.5%) 34(54.8%) 1(1.6%) ELEVE-ETUD 72 (19.7%) 271(74.2%) 22(6.0%) AUTRE TECHNIQUE 34 (58.6%) 13(22.4%) 11(19.0%) ADMINISTRATIF 54 (67.5%) 12(15.0%) 14(17.5%) AUTRES 120 (55.8%) 81(37.7%) 14(6.5%) NON RENSEIGNE 25 (44.6%) 16(28.6%) 15(26.8%) Total 1521 (33.9%) 2656(59.3%) 304(6.8%)

29 Tableau 24 :Les gants doivent être portés systématiquement si risque de contact avec le sang ou autres liquides biologiques : CADRE IDE 155(97.5%) 0(0.0%) 4(2.5%) IDE 1317 (96.6%) 8(0.6%) 39(2.9%) IBODE 33 (100.0%) 0(0.0%) 0(0.0%) IADE 46 (92.0%) 0(0.0%) 4(8.0%) AS/AP 1115 (92.7%) 15(1.2%) 73(6.1%) ASH 419 (88.6%) 16(3.4%) 38(8.0%) MEDECIN 97 (84.3%) 2(1.7%) 16(13.9%) INTERNE 24 (96.0%) 0(0.0%) 1(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 49 (98.0%) 1(2.0%) 0(0.0%) ERGO-KINE 66 (98.5%) 0(0.0%) 1(1.5%) BRANCARDIERS 15 (93.8%) 1(6.3%) 0(0.0%) AMBULANCIERS 20 (80.0%) 1(4.0%) 4(16.0%) LABO 43 (87.8%) 2(4.1%) 4(8.2%) MANIP RADIO 59 (95.2%) 1(1.6%) 2(3.2%) ELEVE-ETUD 358 (98.1%) 1(0.3%) 6(1.6%) AUTRE TECHNIQUE 44 (75.9%) 0(0.0%) 14(24.1%) ADMINISTRATIF 62 (77.5%) 1(1.3%) 17(21.3%) AUTRES 184 (85.6%) 4(1.9%) 27(12.6%) NON RENSEIGNE 42 (75.0%) 1(1.8%) 13(23.2%) Total 4163 (92.9%) 54(1.2%) 264(5.9%)

30 Tableau 25 : Les gants doivent être portés systématiquement si risque de coupure ou piqure : CADRE IDE 144(90.6%) 7(4.4%) 8(5.0%) IDE 1270 (93.1%) 38(2.8%) 56(4.1%) IBODE 33 (100.0%) 0(0.0%) 0(0.0%) IADE 44 (88.0%) 2(4.0%) 4(8.0%) AS/AP 1066 (88.6%) 50(4.2%) 87(7.2%) ASH 398 (84.1%) 31(6.6%) 44(9.3%) MEDECIN 85 (73.9%) 9(7.8%) 21(18.3%) INTERNE 24 (96.0%) 0(0.0%) 1(0.0%) CHIRUGIEN 9 (75.0%) 1(8.3%) 2(16.7%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 47 (94.0%) 2(4.0%) 1(2.0%) ERGO-KINE 57 (85.1%) 6(9.0%) 4(6.0%) BRANCARDIERS 12 (75.0%) 4(25.0%) 0(0.0%) AMBULANCIERS 16 (64.0%) 4(16.0%) 5(20.0%) LABO 41 (83.7%) 5(10.2%) 3(6.1%) MANIP RADIO 56 (90.3%) 4(6.5%) 2(3.2%) ELEVE-ETUD 347 (95.1%) 11(3.0%) 7(1.9%) AUTRE TECHNIQUE 40 (69.0%) 3(5.2%) 15(25.9%) ADMINISTRATIF 61 (76.3%) 3(3.8%) 16(20.0%) AUTRES 178 (82.8%) 9(4.2%) 28(13.0%) NON RENSEIGNE 36 (64.3%) 5(8.9%) 15(26.8%) Total 3968 (88.6%) 194(4.3%) 319(7.1%)

31 Tableau 26 : Les gants doivent être portés systématiquement lors des soins si les mains du soignant comportent des lésions cutanées : distribution selon la profession des répondants CADRE IDE 153(96.2%) 0(0.0%) 6(3.8%) IDE 1295 (94.9%) 22(1.6%) 47(3.4%) IBODE 33 (100.0%) 0(0.0%) 0(0.0%) IADE 46 (92.0%) 1(2.0%) 3(6.0%) AS/AP 1105 (91.9%) 23(1.9%) 75(6.2%) ASH 419 (88.6%) 19(4.0%) 35(7.4%) MEDECIN 92 (80.0%) 4(3.5%) 19(16.5%) INTERNE 24 (96.0%) 0(0.0%) 1(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 48 (96.0%) 2(4.0%) 0(0.0%) ERGO-KINE 64 (95.5%) 0(0.0%) 3(4.5%) BRANCARDIERS 15 (93.8%) 1(6.3%) 0(0.0%) AMBULANCIERS 19 (76.0%) 2(8.0%) 4(16.0%) LABO 44 (89.8%) 2(4.1%) 3(6.1%) MANIP RADIO 57 (91.9%) 3(4.8%) 2(3.2%) ELEVE-ETUD 358 (98.1%) 1(0.3%) 6(1.6%) AUTRE TECHNIQUE 42 (72.4%) 1(1.7%) 15(25.9%) ADMINISTRATIF 62 (77.5%) 2(2.5%) 16(20.0%) AUTRES 181 (84.2%) 6(2.8%) 28(13.0%) NON RENSEIGNE 37 (66.1%) 3(5.4%) 16(28.6%) Total 4109 (91.7%) 92(2.1%) 280(6.2%)

32 Tableau 27 : Pour un acte dans l environnement immédiat d un patient présentant une infection respiratoire et une toux, portez vous un masque? : Profession Je mets systématiquement un masque (%) Uniquement si acte trachéobronchique (%) Non, ce n est pas nécessaire (%) Non renseigné (%) CADRE IDE 91(57.2%) 55(34.6%) 8(5.0%) 4(2.5%) IDE 731 (53.6%) 520(38.1%) 78(5.7%) 35(2.6%) IBODE 25 (75.8%) 7(21.2%) 1(3.0%) 0(0.0%) IADE 39 (78.0%) 11(22.0%) 0(0.0%) 0(0.0%) AS/AP 723 (60.1%) 335(27.8%) 90(7.5%) 53(4.4%) ASH 292 (61.7%) 110(23.3%) 32(6.8%) 39(8.2%) MEDECIN 47 (40.9%) 54(47.0%) 9(7.8%) 5(4.3%) INTERNE 7 (28.0%) 18(72.0%) 0(0.0%) 0(0.0%) CHIRUGIEN 9 (75.0%) 2(16.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 1 (33.3%) 1(33.3%) 0(0.0%) 1(33.3%) SAGE-FEMME 41 (82.0%) 7(14.0%) 1(2.0%) 1(2.0%) ERGO-KINE 37 (55.2%) 25(37.3%) 3(4.5%) 2(3.0%) BRANCARDIERS 16 (100.0%) 0(0.0%) 0(0.0%) 0(0.0%) AMBULANCIERS 20 (80.0%) 4(16.0%) 0(0.0%) 1(4.0%) LABO 33 (67.3%) 3(6.1%) 2(4.1%) 10(20.4%) MANIP RADIO 40 (64.5%) 16(25.8%) 4(6.5%) 2(3.2%) ELEVE-ETUD 255 (69.9%) 94(25.8%) 10(2.7%) 6(1.6%) AUTRE TECHNIQUE 36 (62.1%) 6(10.3%) 1(1.7%) 15(25.9%) ADMINISTRATIF 45 (56.3%) 9(11.3%) 5(6.3%) 21(26.3%) AUTRES 130 (60.5%) 38(17.7%) 17(7.9%) 29(13.5%) NON RENSEIGNE 33 (58.9%) 14(25.0%) 2(3.6%) 6(10.7%) Total 2652 (59.2%) 1329(29.7%) 263(5.9%) 231(5.2%)

33 Tableau 28 : Lorsque vous ne portez pas de gants lors d un soin, alors que cela est recommandé.pourquoi? 1- En raison de mon domaine d'intervention je ne porte pas de gants : CADRE IDE 60(37.7%) 66(41.5%) 33(20.8%) IDE 210 (15.4%) 850(62.3%) 304(22.3%) IBODE 8 (24.2%) 16(48.5%) 9(27.3%) IADE 4 (8.0%) 34(68.0%) 12(24.0%) AS/AP 349 (29.0%) 556(46.2%) 298(24.8%) ASH 152 (32.1%) 173(36.6%) 148(31.3%) MEDECIN 28 (24.3%) 42(36.5%) 45(39.1%) INTERNE 1 (4.0%) 17(68.0%) 7(0.2%) CHIRUGIEN 2 (16.7%) 5(41.7%) 5(41.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 6 (12.0%) 32(64.0%) 12(24.0%) ERGO-KINE 24 (35.8%) 30(44.8%) 13(19.4%) BRANCARDIERS 6 (37.5%) 8(50.0%) 2(12.5%) AMBULANCIERS 7 (28.0%) 10(40.0%) 8(32.0%) LABO 19 (38.8%) 16(32.7%) 14(28.6%) MANIP RADIO 7 (11.3%) 41(66.1%) 14(22.6%) ELEVE-ETUD 74 (20.3%) 241(66.0%) 50(13.7%) AUTRE TECHNIQUE 13 (22.4%) 10(17.2%) 35(60.3%) ADMINISTRATIF 43 (53.8%) 4(5.0%) 33(41.3%) AUTRES 77 (35.8%) 72(33.5%) 66(30.7%) NON RENSEIGNE 12 (21.4%) 14(25.0%) 30(53.6%) Total 1103 (24.6%) 2239(50.0%) 1139(25.4%)

34 Tableau 29 : Lorsque vous ne portez pas de gants lors d un soin, alors que cela est recommandé.pourquoi? 2- Je gagne en dexterité : CADRE IDE 52(32.7%) 68(42.8%) 39(24.5%) IDE 737 (54.0%) 463(33.9%) 164(12.0%) IBODE 17 (51.5%) 9(27.3%) 7(21.2%) IADE 29 (58.0%) 13(26.0%) 8(16.0%) AS/AP 179 (14.9%) 665(55.3%) 359(29.8%) ASH 41 (8.7%) 245(51.8%) 187(39.5%) MEDECIN 29 (25.2%) 40(34.8%) 46(40.0%) INTERNE 9 (36.0%) 11(44.0%) 5(0.1%) CHIRUGIEN 2 (16.7%) 5(41.7%) 5(41.7%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 30 (60.0%) 15(30.0%) 5(10.0%) ERGO-KINE 13 (19.4%) 30(44.8%) 24(35.8%) BRANCARDIERS 1 (6.3%) 11(68.8%) 4(25.0%) AMBULANCIERS 4 (16.0%) 10(40.0%) 11(44.0%) LABO 18 (36.7%) 19(38.8%) 12(24.5%) MANIP RADIO 26 (41.9%) 25(40.3%) 11(17.7%) ELEVE-ETUD 89 (24.4%) 219(60.0%) 57(15.6%) AUTRE TECHNIQUE 5 (8.6%) 16(27.6%) 37(63.8%) ADMINISTRATIF 4 (5.0%) 29(36.3%) 47(58.8%) AUTRES 33 (15.3%) 98(45.6%) 84(39.1%) NON RENSEIGNE 10 (17.9%) 12(21.4%) 34(60.7%) Total 1331 (29.7%) 2003(44.7%) 1147(25.6%)

35 Tableau 30 : Lorsque vous ne portez pas de gants lors d un soin, alors que cela est recommandé.pourquoi? 3-Si je juge que le soin comporte peu de risque : Distribution selon la profession du répondant CADRE IDE 39(24.5%) 77(48.4%) 43(27.0%) IDE 538 (39.4%) 615(45.1%) 211(15.5%) IBODE 14 (42.4%) 12(36.4%) 7(21.2%) IADE 13 (26.0%) 26(52.0%) 11(22.0%) AS/AP 408 (33.9%) 501(41.6%) 294(24.4%) ASH 93 (19.7%) 204(43.1%) 176(37.2%) MEDECIN 36 (31.3%) 30(26.1%) 49(42.6%) INTERNE 7 (28.0%) 13(52.0%) 5(0.1%) CHIRUGIEN 2 (16.7%) 5(41.7%) 5(41.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 24 (48.0%) 17(34.0%) 9(18.0%) ERGO-KINE 18 (26.9%) 26(38.8%) 23(34.3%) BRANCARDIERS 4 (25.0%) 8(50.0%) 4(25.0%) AMBULANCIERS 7 (28.0%) 9(36.0%) 9(36.0%) LABO 12 (24.5%) 22(44.9%) 15(30.6%) MANIP RADIO 17 (27.4%) 34(54.8%) 11(17.7%) ELEVE-ETUD 89 (24.4%) 221(60.5%) 55(15.1%) AUTRE TECHNIQUE 8 (13.8%) 13(22.4%) 37(63.8%) ADMINISTRATIF 3 (3.8%) 29(36.3%) 48(60.0%) AUTRES 46 (21.4%) 90(41.9%) 79(36.7%) NON RENSEIGNE 9 (16.1%) 11(19.6%) 36(64.3%) Total 1388 (31.0%) 1965(43.9%) 1128(25.2%)

36 Tableau 31 :Lorsque vous ne portez pas de gants lors d un soin, alors que cela est recommandé.pourquoi? 4-Il m'arrive d'oublier : CADRE IDE 24(15.1%) 88(55.3%) 47(29.6%) IDE 301 (22.1%) 817(59.9%) 246(18.0%) IBODE 4 (12.1%) 21(63.6%) 8(24.2%) IADE 15 (30.0%) 26(52.0%) 9(18.0%) AS/AP 196 (16.3%) 673(55.9%) 334(27.8%) ASH 58 (12.3%) 245(51.8%) 170(35.9%) MEDECIN 25 (21.7%) 37(32.2%) 53(46.1%) INTERNE 6 (24.0%) 13(52.0%) 6(0.1%) CHIRUGIEN 3 (25.0%) 4(33.3%) 5(41.7%) ANESTHESISTE 2 (66.7%) 1(33.3%) 0(0.0%) SAGE-FEMME 14 (28.0%) 26(52.0%) 10(20.0%) ERGO-KINE 14 (20.9%) 29(43.3%) 24(35.8%) BRANCARDIERS 5 (31.3%) 8(50.0%) 3(18.8%) AMBULANCIERS 4 (16.0%) 11(44.0%) 10(40.0%) LABO 11 (22.4%) 23(46.9%) 15(30.6%) MANIP RADIO 13 (21.0%) 38(61.3%) 11(17.7%) ELEVE-ETUD 74 (20.3%) 235(64.4%) 56(15.3%) AUTRE TECHNIQUE 5 (8.6%) 17(29.3%) 36(62.1%) ADMINISTRATIF 4 (5.0%) 27(33.8%) 49(61.3%) AUTRES 35 (16.3%) 96(44.7%) 84(39.1%) NON RENSEIGNE 6 (10.7%) 15(26.8%) 35(62.5%) Total 819 (18.3%) 2450(54.7%) 1212(27.0%)

37 Tableau 32 :Lorsque vous ne portez pas de gants lors d un soin, alors que cela est recommandé.pourquoi? 5- Je trouve ça plus confortable : CADRE IDE 26(16.4%) 86(54.1%) 47(29.6%) IDE 394 (28.9%) 729(53.4%) 241(17.7%) IBODE 7 (21.2%) 17(51.5%) 9(27.3%) IADE 10 (20.0%) 29(58.0%) 11(22.0%) AS/AP 161 (13.4%) 685(56.9%) 357(29.7%) ASH 40 (8.5%) 252(53.3%) 181(38.3%) MEDECIN 13 (11.3%) 48(41.7%) 54(47.0%) INTERNE 5 (20.0%) 14(56.0%) 6(0.1%) CHIRUGIEN 1 (8.3%) 6(50.0%) 5(41.7%) ANESTHESISTE 2 (66.7%) 1(33.3%) 0(0.0%) SAGE-FEMME 21 (42.0%) 20(40.0%) 9(18.0%) ERGO-KINE 10 (14.9%) 33(49.3%) 24(35.8%) BRANCARDIERS 1 (6.3%) 11(68.8%) 4(25.0%) AMBULANCIERS 3 (12.0%) 11(44.0%) 11(44.0%) LABO 19 (38.8%) 19(38.8%) 11(22.4%) MANIP RADIO 13 (21.0%) 37(59.7%) 12(19.4%) ELEVE-ETUD 74 (20.3%) 229(62.7%) 62(17.0%) AUTRE TECHNIQUE 4 (6.9%) 16(27.6%) 38(65.5%) ADMINISTRATIF 2 (2.5%) 28(35.0%) 50(62.5%) AUTRES 28 (13.0%) 103(47.9%) 84(39.1%) NON RENSEIGNE 5 (8.9%) 14(25.0%) 37(66.1%) Total 839 (18.7%) 2388(53.3%) 1254(28.0%)

38 Tableau 33 :Lorsque vous ne portez pas de gants lors d un soin, alors que cela est recommandé.pourquoi? 6- C'est par habitude : CADRE IDE 15(9.4%) 96(60.4%) 48(30.2%) IDE 238 (17.4%) 861(63.1%) 265(19.4%) IBODE 1 (3.0%) 23(69.7%) 9(27.3%) IADE 13 (26.0%) 26(52.0%) 11(22.0%) AS/AP 99 (8.2%) 733(60.9%) 371(30.8%) ASH 54 (11.4%) 243(51.4%) 176(37.2%) MEDECIN 14 (12.2%) 47(40.9%) 54(47.0%) INTERNE 2 (8.0%) 17(68.0%) 6(0.1%) CHIRUGIEN 1 (8.3%) 6(50.0%) 5(41.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 17 (34.0%) 22(44.0%) 11(22.0%) ERGO-KINE 6 (9.0%) 37(55.2%) 24(35.8%) BRANCARDIERS 0 (0.0%) 12(75.0%) 4(25.0%) AMBULANCIERS 4 (16.0%) 10(40.0%) 11(44.0%) LABO 11 (22.4%) 25(51.0%) 13(26.5%) MANIP RADIO 13 (21.0%) 37(59.7%) 12(19.4%) ELEVE-ETUD 14 (3.8%) 288(78.9%) 63(17.3%) AUTRE TECHNIQUE 7 (12.1%) 15(25.9%) 36(62.1%) ADMINISTRATIF 2 (2.5%) 28(35.0%) 50(62.5%) AUTRES 23 (10.7%) 106(49.3%) 86(40.0%) NON RENSEIGNE 8 (14.3%) 13(23.2%) 35(62.5%) Total 543 (12.1%) 2647(59.1%) 1291(28.8%)

39 Tableau 34 : Lorsqu'il y a un risque de projection ou d'aérosolisation de sang, ou tout autre produit d'origine humaine (aspiration trachéo-bronchique, endoscopie, intubation,...), le soignant doit porter : 1- UN MASQUE : CADRE IDE 155(97.5%) 1(0.6%) 3(1.9%) IDE 1293 (94.8%) 38(2.8%) 33(2.4%) IBODE 32 (97.0%) 0(0.0%) 1(3.0%) IADE 50 (100.0%) 0(0.0%) 0(0.0%) AS/AP 1092 (90.8%) 46(3.8%) 65(5.4%) ASH 382 (80.8%) 21(4.4%) 70(14.8%) MEDECIN 108 (93.9%) 1(0.9%) 6(5.2%) INTERNE 25 (100.0%) 0(0.0%) 0(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 49 (98.0%) 1(2.0%) 0(0.0%) ERGO-KINE 63 (94.0%) 3(4.5%) 1(1.5%) BRANCARDIERS 16 (100.0%) 0(0.0%) 0(0.0%) AMBULANCIERS 20 (80.0%) 1(4.0%) 4(16.0%) LABO 40 (81.6%) 2(4.1%) 7(14.3%) MANIP RADIO 59 (95.2%) 1(1.6%) 2(3.2%) ELEVE-ETUD 357 (97.8%) 5(1.4%) 3(0.8%) AUTRE TECHNIQUE 34 (58.6%) 3(5.2%) 21(36.2%) ADMINISTRATIF 50 (62.5%) 0(0.0%) 30(37.5%) AUTRES 165 (76.7%) 5(2.3%) 45(20.9%) NON RENSEIGNE 42 (75.0%) 2(3.6%) 12(21.4%) Total 4047 (90.3%) 130(2.9%) 304(6.8%)

40 Tableau 35 : Lorsqu'il y a un risque de projection ou d'aérosolisation de sang, ou tout autre produit d'origine humaine (aspiration trachéo-bronchique, endoscopie, intubation,...), le soignant doit porter : 2- DES LUNETTES DE PROTECTION : CADRE IDE 147(92.5%) 10(6.3%) 2(1.3%) IDE 1146 (84.0%) 156(11.4%) 62(4.5%) IBODE 30 (90.9%) 2(6.1%) 1(3.0%) IADE 46 (92.0%) 3(6.0%) 1(2.0%) AS/AP 844 (70.2%) 217(18.0%) 142(11.8%) ASH 222 (46.9%) 139(29.4%) 112(23.7%) MEDECIN 96 (83.5%) 10(8.7%) 9(7.8%) INTERNE 22 (88.0%) 2(8.0%) 1(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 49 (98.0%) 1(2.0%) 0(0.0%) ERGO-KINE 55 (82.1%) 10(14.9%) 2(3.0%) BRANCARDIERS 15 (93.8%) 1(6.3%) 0(0.0%) AMBULANCIERS 22 (88.0%) 0(0.0%) 3(12.0%) LABO 39 (79.6%) 3(6.1%) 7(14.3%) MANIP RADIO 52 (83.9%) 7(11.3%) 3(4.8%) ELEVE-ETUD 317 (86.8%) 38(10.4%) 10(2.7%) AUTRE TECHNIQUE 27 (46.6%) 7(12.1%) 24(41.4%) ADMINISTRATIF 46 (57.5%) 6(7.5%) 28(35.0%) AUTRES 124 (57.7%) 31(14.4%) 60(27.9%) NON RENSEIGNE 33 (58.9%) 8(14.3%) 15(26.8%) Total 3347 (74.7%) 651(14.5%) 483(10.8%)

41 Tableau 36 : Lorsqu'il y a un risque de projection ou d'aérosolisation de sang, ou tout autre produit d'origine humaine (aspiration trachéo-bronchique, endoscopie, intubation,...), le soignant doit porter : 3- UNE SURBLOUSE OU TABLIER : CADRE IDE 141(88.7%) 13(8.2%) 5(3.1%) IDE 1202 (88.1%) 113(8.3%) 49(3.6%) IBODE 26 (78.8%) 4(12.1%) 3(9.1%) IADE 36 (72.0%) 12(24.0%) 2(4.0%) AS/AP 1042 (86.6%) 73(6.1%) 88(7.3%) ASH 361 (76.3%) 32(6.8%) 80(16.9%) MEDECIN 90 (78.3%) 13(11.3%) 12(10.4%) INTERNE 20 (80.0%) 4(16.0%) 1(0.0%) CHIRUGIEN 10 (83.3%) 1(8.3%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 49 (98.0%) 1(2.0%) 0(0.0%) ERGO-KINE 61 (91.0%) 5(7.5%) 1(1.5%) BRANCARDIERS 14 (87.5%) 2(12.5%) 0(0.0%) AMBULANCIERS 14 (56.0%) 6(24.0%) 5(20.0%) LABO 37 (75.5%) 4(8.2%) 8(16.3%) MANIP RADIO 55 (88.7%) 5(8.1%) 2(3.2%) ELEVE-ETUD 340 (93.2%) 21(5.8%) 4(1.1%) AUTRE TECHNIQUE 31 (53.4%) 5(8.6%) 22(37.9%) ADMINISTRATIF 47 (58.8%) 3(3.8%) 30(37.5%) AUTRES 154 (71.6%) 15(7.0%) 46(21.4%) NON RENSEIGNE 41 (73.2%) 3(5.4%) 12(21.4%) Total 3775 (84.2%) 335(7.5%) 371(8.3%)

42 Tableau 37 : Lorsqu'il y a un risque de projection ou d'aérosolisation de sang, ou tout autre produit d'origine humaine (aspiration trachéo-bronchique, endoscopie, intubation,...), le soignant doit porter : 4- DES SURCHAUSSURES : CADRE IDE 32(20.1%) 111(69.8%) 16(10.1%) IDE 287 (21.0%) 937(68.7%) 140(10.3%) IBODE 6 (18.2%) 21(63.6%) 6(18.2%) IADE 12 (24.0%) 30(60.0%) 8(16.0%) AS/AP 312 (25.9%) 669(55.6%) 222(18.5%) ASH 106 (22.4%) 240(50.7%) 127(26.8%) MEDECIN 33 (28.7%) 58(50.4%) 24(20.9%) INTERNE 5 (20.0%) 17(68.0%) 3(0.1%) CHIRUGIEN 1 (8.3%) 9(75.0%) 2(16.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 23 (46.0%) 24(48.0%) 3(6.0%) ERGO-KINE 23 (34.3%) 39(58.2%) 5(7.5%) BRANCARDIERS 5 (31.3%) 9(56.3%) 2(12.5%) AMBULANCIERS 8 (32.0%) 11(44.0%) 6(24.0%) LABO 13 (26.5%) 25(51.0%) 11(22.4%) MANIP RADIO 12 (19.4%) 42(67.7%) 8(12.9%) ELEVE-ETUD 70 (19.2%) 272(74.5%) 23(6.3%) AUTRE TECHNIQUE 16 (27.6%) 18(31.0%) 24(41.4%) ADMINISTRATIF 28 (35.0%) 18(22.5%) 34(42.5%) AUTRES 55 (25.6%) 89(41.4%) 71(33.0%) NON RENSEIGNE 12 (21.4%) 20(35.7%) 24(42.9%) Total 1061 (23.7%) 2661(59.4%) 759(16.9%)

43 Tableau 38 : Lorsqu'il y a un risque de projection ou d'aérosolisation de sang, ou tout autre produit d'origine humaine (aspiration trachéo-bronchique, endoscopie, intubation,...), le soignant doit porter : 5- UNE CHARLOTTE : CADRE IDE 39(24.5%) 105(66.0%) 15(9.4%) IDE 371 (27.2%) 863(63.3%) 130(9.5%) IBODE 18 (54.5%) 14(42.4%) 1(3.0%) IADE 29 (58.0%) 14(28.0%) 7(14.0%) AS/AP 370 (30.8%) 630(52.4%) 203(16.9%) ASH 125 (26.4%) 228(48.2%) 120(25.4%) MEDECIN 52 (45.2%) 38(33.0%) 25(21.7%) INTERNE 7 (28.0%) 17(68.0%) 1(0.0%) CHIRUGIEN 4 (33.3%) 7(58.3%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 27 (54.0%) 21(42.0%) 2(4.0%) ERGO-KINE 19 (28.4%) 41(61.2%) 7(10.4%) BRANCARDIERS 8 (50.0%) 7(43.8%) 1(6.3%) AMBULANCIERS 12 (48.0%) 7(28.0%) 6(24.0%) LABO 13 (26.5%) 25(51.0%) 11(22.4%) MANIP RADIO 17 (27.4%) 40(64.5%) 5(8.1%) ELEVE-ETUD 97 (26.6%) 250(68.5%) 18(4.9%) AUTRE TECHNIQUE 23 (39.7%) 12(20.7%) 23(39.7%) ADMINISTRATIF 26 (32.5%) 19(23.8%) 35(43.8%) AUTRES 65 (30.2%) 85(39.5%) 65(30.2%) NON RENSEIGNE 15 (26.8%) 18(32.1%) 23(41.1%) Total 1341 (29.9%) 2441(54.5%) 699(15.6%)

44 Tableau 39 : Lorsqu'il y a un risque de projection ou d'aérosolisation de sang, ou tout autre produit d'origine humaine (aspiration trachéo-bronchique, endoscopie, intubation,...), le soignant doit porter : 6- DES GANTS : CADRE IDE 149(93.7%) 5(3.1%) 5(3.1%) IDE 1314 (96.3%) 20(1.5%) 30(2.2%) IBODE 31 (93.9%) 0(0.0%) 2(6.1%) IADE 46 (92.0%) 1(2.0%) 3(6.0%) AS/AP 1087 (90.4%) 27(2.2%) 89(7.4%) ASH 372 (78.6%) 19(4.0%) 82(17.3%) MEDECIN 98 (85.2%) 4(3.5%) 13(11.3%) INTERNE 23 (92.0%) 0(0.0%) 2(0.0%) CHIRUGIEN 10 (83.3%) 1(8.3%) 1(8.3%) ANESTHESISTE 3 (100.0%) 0(0.0%) 0(0.0%) SAGE-FEMME 49 (98.0%) 1(2.0%) 0(0.0%) ERGO-KINE 64 (95.5%) 2(3.0%) 1(1.5%) BRANCARDIERS 15 (93.8%) 0(0.0%) 1(6.3%) AMBULANCIERS 21 (84.0%) 0(0.0%) 4(16.0%) LABO 41 (83.7%) 0(0.0%) 8(16.3%) MANIP RADIO 56 (90.3%) 3(4.8%) 3(4.8%) ELEVE-ETUD 353 (96.7%) 6(1.6%) 6(1.6%) AUTRE TECHNIQUE 33 (56.9%) 4(6.9%) 21(36.2%) ADMINISTRATIF 48 (60.0%) 1(1.3%) 31(38.8%) AUTRES 170 (79.1%) 2(0.9%) 43(20.0%) NON RENSEIGNE 44 (78.6%) 0(0.0%) 12(21.4%) Total 4028 (89.9%) 96(2.1%) 357(8.0%)

45 Tableau 40 : Lorsqu'il y a un risque de projection ou d'aérosolisation de sang, ou tout autre produit d'origine humaine (aspiration trachéo-bronchique, endoscopie, intubation,...), le soignant doit porter : 7- AUTRE CHOSE : CADRE IDE 2(1.3%) 78(49.1%) 79(49.7%) IDE 19 (1.4%) 662(48.5%) 683(50.1%) IBODE 0 (0.0%) 17(51.5%) 16(48.5%) IADE 0 (0.0%) 24(48.0%) 26(52.0%) AS/AP 29 (2.4%) 505(42.0%) 669(55.6%) ASH 16 (3.4%) 188(39.7%) 269(56.9%) MEDECIN 1 (0.9%) 41(35.7%) 73(63.5%) INTERNE 1 (4.0%) 16(64.0%) 8(0.2%) CHIRUGIEN 0 (0.0%) 4(33.3%) 8(66.7%) ANESTHESISTE 1 (33.3%) 2(66.7%) 0(0.0%) SAGE-FEMME 1 (2.0%) 24(48.0%) 25(50.0%) ERGO-KINE 1 (1.5%) 34(50.7%) 32(47.8%) BRANCARDIERS 0 (0.0%) 9(56.3%) 7(43.8%) AMBULANCIERS 0 (0.0%) 9(36.0%) 16(64.0%) LABO 0 (0.0%) 22(44.9%) 27(55.1%) MANIP RADIO 1 (1.6%) 34(54.8%) 27(43.5%) ELEVE-ETUD 6 (1.6%) 178(48.8%) 181(49.6%) AUTRE TECHNIQUE 2 (3.4%) 20(34.5%) 36(62.1%) ADMINISTRATIF 0 (0.0%) 26(32.5%) 54(67.5%) AUTRES 0 (0.0%) 83(38.6%) 132(61.4%) NON RENSEIGNE 2 (3.6%) 14(25.0%) 40(71.4%) Total 82 (1.8%) 1991(44.4%) 2408(53.7%)

46 Tableau 41 Lors de la toilette au lit d un patient, portez vous un tablier? : Profession La toilette au lit n entre pas dans mes fonctions (%) selon l état du patient et les gestes à réaliser (%) selon les gestes à réaliser(%) toujours(%) jamais (%) Non renseigné (%) CADRE IDE 75(47.2%) 39(24.5%) 8(5.0%) 26(16.4%) 7(4.4%) 3(1.9%) IDE 140 (10.3%) 491(36.0%) 131(9.6%) 202(14.8%) 357(26.2%) 34(2.5%) IBODE 26 (78.8%) 3(9.1%) 1(3.0%) 0(0.0%) 0(0.0%) 3(9.1%) IADE 33 (66.0%) 9(18.0%) 0(0.0%) 4(8.0%) 0(0.0%) 4(8.0%) AS/AP 44 (3.7%) 510(42.4%) 76(6.3%) 225(18.7%) 306(25.4%) 35(2.9%) ASH 209 (44.2%) 77(16.3%) 14(3.0%) 43(9.1%) 65(13.7%) 63(13.3%) MEDECIN 94 (81.7%) 4(3.5%) 1(0.9%) 0(0.0%) 4(3.5%) 10(8.7%) INTERNE 21 (84.0%) 0(0.0%) 1(4.0%) 0(0.0%) 0(0.0%) 3(0.1%) CHIRUGIEN 9 (75.0%) 0(0.0%) 0(0.0%) 0(0.0%) 1(8.3%) 2(16.7%) ANESTHESISTE 1 (33.3%) 0(0.0%) 0(0.0%) 0(0.0%) 0(0.0%) 2(66.7%) SAGE-FEMME 31 (62.0%) 4(8.0%) 6(12.0%) 3(6.0%) 5(10.0%) 1(2.0%) ERGO-KINE 48 (71.6%) 6(9.0%) 1(1.5%) 1(1.5%) 2(3.0%) 8(11.9%) BRANCARDIERS 14 (87.5%) 0(0.0%) 0(0.0%) 0(0.0%) 0(0.0%) 2(12.5%) AMBULANCIERS 16 (64.0%) 1(4.0%) 1(4.0%) 1(4.0%) 1(8.0%) 3(12.0%) LABO 47 (95.9%) 0(0.0%) 0(0.0%) 0(0.0%) 1(2.0%) 1(2.0%) MANIP RADIO 54 (87.1%) 3(4.8%) 0(0.0%) 1(1.6%) 1(1.6%) 2(3.2%) ELEVE-ETUD 16 (4.4%) 141(38.6%) 20(5.5%) 36(9.9%) 142(38.9%) 10(2.7%) AUTRE TECHNIQUE 25 (43.1%) 0(0.0%) 0(0.0%) 4(6.9%) 1(1.7%) 27(46.6%) ADMINISTRATIF 51 (63.8%) 1(1.3%) 0(0.0%) 0(0.0%) 0(0.0%) 28(35.0%) AUTRES 89 (41.4%) 34(15.8%) 3(1.4%) 21(9.8%) 32(14.9%) 31(14.4%) NON RENSEIGNE 15 (26.8%) 12(21.4%) 3(5.4%) 6(10.7%) 5(8.9%) 15(26.8%) Total 1058(23.6%) 1336(29.8%) 266(5.9%) 573(12.8%) 931(20.8%) 287(6.4%)

47 Tableau 42 : Concernant les matériels souillés : 1-Le matériel piquant/tranchant (ex : aiguilles) doit être posé dans un plateau, dans la chambre du patient, aussitôt après le soin : : CADRE IDE 13(8.2%) 139(87.4%) 7(4.4%) IDE 100 (7.3%) 1209(88.6%) 55(4.0%) IBODE 10 (30.3%) 19(57.6%) 4(12.1%) IADE 5 (10.0%) 43(86.0%) 2(4.0%) AS/AP 315 (26.2%) 688(57.2%) 200(16.6%) ASH 121 (25.6%) 215(45.5%) 137(29.0%) MEDECIN 20 (17.4%) 75(65.2%) 20(17.4%) INTERNE 3 (12.0%) 18(72.0%) 4(0.1%) CHIRUGIEN 1 (8.3%) 8(66.7%) 3(25.0%) ANESTHESISTE 0 (0.0%) 2(66.7%) 1(33.3%) SAGE-FEMME 3 (6.0%) 46(92.0%) 1(2.0%) ERGO-KINE 15 (22.4%) 27(40.3%) 25(37.3%) BRANCARDIERS 7 (43.8%) 8(50.0%) 1(6.3%) AMBULANCIERS 5 (20.0%) 13(52.0%) 7(28.0%) LABO 3 (6.1%) 40(81.6%) 6(12.2%) MANIP RADIO 7 (11.3%) 49(79.0%) 6(9.7%) ELEVE-ETUD 47 (12.9%) 301(82.5%) 17(4.7%) AUTRE TECHNIQUE 12 (20.7%) 17(29.3%) 29(50.0%) ADMINISTRATIF 16 (20.0%) 26(32.5%) 38(47.5%) AUTRES 42 (19.5%) 113(52.6%) 60(27.9%) NON RENSEIGNE 9 (16.1%) 30(53.6%) 17(30.4%) Total 754 (16.8%) 3087(68.9%) 640(14.3%)

48 Tableau 43 :2-Le matériel piquant/tranchant doit être recapuchonné avec précaution aussitôt après le soin : : CADRE IDE 7(4.4%) 146(91.8%) 6(3.8%) IDE 22 (1.6%) 1297(95.1%) 45(3.3%) IBODE 2 (6.1%) 28(84.8%) 3(9.1%) IADE 0 (0.0%) 45(90.0%) 5(10.0%) AS/AP 372 (30.9%) 640(53.2%) 191(15.9%) ASH 213 (45.0%) 118(24.9%) 142(30.0%) MEDECIN 12 (10.4%) 83(72.2%) 20(17.4%) INTERNE 1 (4.0%) 22(88.0%) 2(0.0%) CHIRUGIEN 2 (16.7%) 8(66.7%) 2(16.7%) ANESTHESISTE 0 (0.0%) 2(66.7%) 1(33.3%) SAGE-FEMME 1 (2.0%) 48(96.0%) 1(2.0%) ERGO-KINE 23 (34.3%) 20(29.9%) 24(35.8%) BRANCARDIERS 7 (43.8%) 7(43.8%) 2(12.5%) AMBULANCIERS 12 (48.0%) 7(28.0%) 6(24.0%) LABO 3 (6.1%) 39(79.6%) 7(14.3%) MANIP RADIO 4 (6.5%) 52(83.9%) 6(9.7%) ELEVE-ETUD 36 (9.9%) 312(85.5%) 17(4.7%) AUTRE TECHNIQUE 14 (24.1%) 13(22.4%) 31(53.4%) ADMINISTRATIF 27 (33.8%) 16(20.0%) 37(46.3%) AUTRES 45 (20.9%) 111(51.6%) 59(27.4%) NON RENSEIGNE 18 (32.1%) 24(42.9%) 14(25.0%) Total 821 (18.3%) 3039(67.8%) 621(13.9%)

49 Tableau 44 :3-Le matériel piquant/tranchant doit, systématiquement, être jeté immédiatement sans recapuchonnage dans un conteneur adapté, résistant aux perforations : : CADRE IDE 155(97.5%) 1(0.6%) 3(1.9%) IDE 1327 (97.3%) 10(0.7%) 27(2.0%) IBODE 32 (97.0%) 0(0.0%) 1(3.0%) IADE 49 (98.0%) 0(0.0%) 1(2.0%) AS/AP 935 (77.7%) 108(9.0%) 160(13.3%) ASH 284 (60.0%) 68(14.4%) 121(25.6%) MEDECIN 102 (88.7%) 3(2.6%) 10(8.7%) INTERNE 25 (100.0%) 0(0.0%) 0(0.0%) CHIRUGIEN 11 (91.7%) 0(0.0%) 1(8.3%) ANESTHESISTE 2 (66.7%) 0(0.0%) 1(33.3%) SAGE-FEMME 50 (100.0%) 0(0.0%) 0(0.0%) ERGO-KINE 39 (58.2%) 8(11.9%) 20(29.9%) BRANCARDIERS 11 (68.8%) 4(25.0%) 1(6.3%) AMBULANCIERS 17 (68.0%) 3(12.0%) 5(20.0%) LABO 44 (89.8%) 3(6.1%) 2(4.1%) MANIP RADIO 59 (95.2%) 0(0.0%) 3(4.8%) ELEVE-ETUD 339 (92.9%) 17(4.7%) 9(2.5%) AUTRE TECHNIQUE 28 (48.3%) 2(3.4%) 28(48.3%) ADMINISTRATIF 36 (45.0%) 8(10.0%) 36(45.0%) AUTRES 148 (68.8%) 9(4.2%) 58(27.0%) NON RENSEIGNE 40 (71.4%) 4(7.1%) 12(21.4%) Total 3734 (83.3%) 248(5.5%) 499(11.1%)

50 Tableau 45 :4-Le transport de prélèvements biologiques, de linge souillé et de matériels souillés se fait dans des emballages étanches et fermés : : CADRE IDE 150(94.3%) 3(1.9%) 6(3.8%) IDE 1262 (92.5%) 63(4.6%) 39(2.9%) IBODE 31 (93.9%) 1(3.0%) 1(3.0%) IADE 48 (96.0%) 0(0.0%) 2(4.0%) AS/AP 1000 (83.1%) 57(4.7%) 146(12.1%) ASH 331 (70.0%) 15(3.2%) 127(26.8%) MEDECIN 95 (82.6%) 4(3.5%) 16(13.9%) INTERNE 21 (84.0%) 3(12.0%) 1(0.0%) CHIRUGIEN 10 (83.3%) 0(0.0%) 2(16.7%) ANESTHESISTE 2 (66.7%) 0(0.0%) 1(33.3%) SAGE-FEMME 49 (98.0%) 1(2.0%) 0(0.0%) ERGO-KINE 47 (70.1%) 2(3.0%) 18(26.9%) BRANCARDIERS 14 (87.5%) 1(6.3%) 1(6.3%) AMBULANCIERS 18 (72.0%) 2(8.0%) 5(20.0%) LABO 41 (83.7%) 1(2.0%) 7(14.3%) MANIP RADIO 56 (90.3%) 0(0.0%) 6(9.7%) ELEVE-ETUD 334 (91.5%) 20(5.5%) 11(3.0%) AUTRE TECHNIQUE 31 (53.4%) 0(0.0%) 27(46.6%) ADMINISTRATIF 43 (53.8%) 1(1.3%) 36(45.0%) AUTRES 155 (72.1%) 3(1.4%) 57(26.5%) NON RENSEIGNE 43 (76.8%) 2(3.6%) 11(19.6%) Total 3782 (84.4%) 179(4.0%) 520(11.6%)

51 Tableau 46 : 5-Le matériel souillé doit être évacué de la chambre aussitôt après le soin : : CADRE IDE 144(90.6%) 7(4.4%) 8(5.0%) IDE 1250 (91.6%) 72(5.3%) 42(3.1%) IBODE 29 (87.9%) 2(6.1%) 2(6.1%) IADE 40 (80.0%) 5(10.0%) 5(10.0%) AS/AP 1013 (84.2%) 56(4.7%) 134(11.1%) ASH 341 (72.1%) 15(3.2%) 117(24.7%) MEDECIN 93 (80.9%) 8(7.0%) 14(12.2%) INTERNE 19 (76.0%) 5(20.0%) 1(0.0%) CHIRUGIEN 7 (58.3%) 1(8.3%) 4(33.3%) ANESTHESISTE 2 (66.7%) 0(0.0%) 1(33.3%) SAGE-FEMME 46 (92.0%) 1(2.0%) 3(6.0%) ERGO-KINE 41 (61.2%) 7(10.4%) 19(28.4%) BRANCARDIERS 14 (87.5%) 1(6.3%) 1(6.3%) AMBULANCIERS 18 (72.0%) 1(4.0%) 6(24.0%) LABO 34 (69.4%) 5(10.2%) 10(20.4%) MANIP RADIO 54 (87.1%) 2(3.2%) 6(9.7%) ELEVE-ETUD 345 (94.5%) 7(1.9%) 13(3.6%) AUTRE TECHNIQUE 31 (53.4%) 0(0.0%) 27(46.6%) ADMINISTRATIF 45 (56.3%) 0(0.0%) 35(43.8%) AUTRES 151 (70.2%) 9(4.2%) 55(25.6%) NON RENSEIGNE 44 (78.6%) 1(1.8%) 11(19.6%) Total 3762 (84.0%) 205(4.6%) 514(11.5%)