1. Future campaign based on the conclusions Results: - HH compliance nurses > medical doctors - HH compliance after contact > before contact - Pre-campaign compliance still increases after 3 camp - Post-campaign compliance remains stable after 3 camp - Impact of the campaign on HH compliance decreases  Impact on content of 4th HH campaign

2. Distribution of before-after differences in compliance per hospital

3. Future - Fourth campaign 2010-2011 Planning Measure before campaign nov 2010 Campaign: Jan-Feb 2011 Measure after campaign april 2011 Special target on physicians Focus groups to investigate reasons for non-adherence HH Poster with photo of chief of medical department « special » ppt presentation for physicians - To do: In depth statistical analysis Analysis of impact of nosocomial infection rates (MRSA, CRBSI) ….

4. Believes, attitudes and perceptions among physicians  95% CI = 95% Intervalle de confiance.  Pourcentage de réponse adéquate Pittet, D et al. Ann Intern Med 2004;141:1-8

5. Believes, attitudes and perceptions among physicians multivarieted analysis *95% CI = 95% Intervalle de confiance Psycho-social variables only Pittet, D et al. Ann Intern Med 2004;141:1-8

6. Model role Lankford M. et al Emerging Infectious disease 2003: 9: 217-223

7. Thank you for your attention!