ABSTRACT
Preventing associated with said nosocomial infections care, topic in health facilities. Despite the promotion of preventive measures, we find that they are not fully implemented. This study aims to describe the factors that impede the observance of hand hygiene with the paramedics, because of the rate attributable to nosocomial infections manu brought an estimated 1.4 million worldwide, from 4.9% in Europe and an average of 15% at the continental level. This is a quantitative descriptive study; through a questionnaire and an observation grid with paramedic services in medical and surgical intensive care, a comprehensive sampling arrested 35 participants. This study found a rate of 40% of participants who did not receive any further education on hand hygiene, resulting in an average knowledge observed in these participants on washing techniques 35% of hands. About intolerance, 20% say the drying and irritating detergents hand rub; statements of intolerance to hand hygiene products have never been subject to notification of pharmacovigilance. Factors influencing adherence to hand hygiene, 24% of participants reported inadequate hand hygiene products. 45% mentioned the workload.: The study revealed a satisfactory level of compliance with hand hygiene services resuscitation of this institution, comparable to that described in other studies and for continuous improvement of these practices, the recommendations of this study were offered as corrective and preventive measures adapted to the deficiencies observed