[Pandemic XXXX : training in the N  mes university hospital].

@entity1 @entity683
OBJECTIVE: The objective was to test the application of barrier precautions and hospital organization during an @entity683 pandemic, in accordance with the national program of @entity683 pandemic training and the "Influenza addendum" of the hospital guidelines in case of a major disaster. METHOD: A practical exercise was performed on December 18th 2007 in two areas of high viral density and one of low viral density. This exercise involved all the @entity1 in these areas, without disturbing the normal care activity. RESULTS: Two hundred and forty-five @entity1 were evaluated. Seventy-five per cent of whom had been trained in the hospital. Hand hygiene complied with pre-established procedures in 32% of cases, was acceptable in 44%, and deficient in 24%. Surgical mask application was unacceptable in 21% of cases. These precautions were well accepted by 36% of the personnel, accepted by 54%, and a burden for 10%. The poor sealing capacity of mask FFP2 (national allocation), depending on facial features, its poor tolerance, the lack of water stations, and the presence of groups of @entity1 were all noted. CONCLUSION: This exercise was rated as satisfactory with a good participation. However, it revealed unexpected dysfunctions such as application of barrier precautions. Also, that the FFP2 mask was not suitable for all @entity1 , especially for @entity1 , a problem in case of a pandemic. Finally, this exercise should lead to corrective actions and to completing the various training sessions initiated in other institutions.
