Vous êtes sur la page 1sur 10

Traçabilité et Déchets d’activités de soins à risque

infectieux (DASRI) : Evaluation de l’apport de la


technologie RFID
Rémy Collomp, Patrick Chalindar, Sylvain Housseman, Alexandre Delanoe,
Céline Cridelich, Thomas Dantin, Olivier Bérard, Franck Muller, Sylvain
Poitrat, Géraldine Soccoja, et al.

To cite this version:


Rémy Collomp, Patrick Chalindar, Sylvain Housseman, Alexandre Delanoe, Céline Cridelich, et al..
Traçabilité et Déchets d’activités de soins à risque infectieux (DASRI) : Evaluation de l’apport de la
technologie RFID. Gestion et Ingénierie des SystèmEs Hospitaliers : GISEH 2010, Sep 2010, Clermont-
Ferrand, France. �hal-00613611�

HAL Id: hal-00613611


https://hal-mines-paristech.archives-ouvertes.fr/hal-00613611
Submitted on 5 Aug 2011

HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est


archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents
entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non,
lished or not. The documents may come from émanant des établissements d’enseignement et de
teaching and research institutions in France or recherche français ou étrangers, des laboratoires
abroad, or from public or private research centers. publics ou privés.
! "" # $ %
! " #
$ %&' ( % ) * + , % %- . "
/ . '0 ( 1 ) 2 %% # $ 3'2 . '23 '4

'(3 ( " 5 63 & 7 & 8 $ '2 " . ( 9 8


:* : 7 % ; < => ? # @ : @ - 7 8 < ' ' 3; A &28 ;B
. 3 09 7 ' " ( (" . ' 0 ( & 3 7 #% ( &
5 C '3& 7 $ "D ' ' "D ( 0 '(3 ( " 7
* ' 2 2 "D 00 ' ' ( '3& 3' ( 7 , % . E 7 - %
%&9 < ( ' " ' ( 0 0 ( 3'2 D'3 ( ' " 3 B' " ( ( ( (9 (
&'(3 (

&

((2 2 F 1 G2D (D 0 (( " ( ( " ( 3 '"2 ( '2 " ( 2 ( D ( 3 ( 2 '14 B (' ;


(D 0 ('2 " 3' " H " ( ! 0 ( 0 ( '2 ' (3' " 2! 1' ( 3 G2 (; 28
" H" !3 ' ' ( "' ( ((2 ( "D2 0 ( ' " F 1 3 2 3 "D '
(2 D 2 ' ( 2 ( ' 3 ' 0 "D2 0 " 3 " ( 3 ' ((2( " ( "' "
( ; 0 " ( '2 ( & ' '0 ( ' + 3 2 33' " ( 0 (3 (;
'2( '2( 3 '3'(' ( " ( " " 3 2( 3 ( 3 ' ((2( " ( " & ( "D ("
(' ( H (G2 B 2! '2 3 '"2 ( 3 " ( 3 ( 2 '8 " ( 3 'B (( ' ("
( 1 2! 2 &'(3 H ( 2 3 '4 " & & 33 G2 0
2 "( 3 ;

' <% F 1 7 B' 7 ' ((2( 7 & (7 +

( 3 ( ( ( ' ( ' I ( 3' G2 ( ' 3 ( 1


' ( " 3 '1 G2 " ( " & ( 2 '2 ( " (" 9 ( (; ( ( " & ( ('
3 2( " ( 3 ( ' "2 ( H ( (' " 2( " BB ( 0' ( " 2! "' (
(' ' ( 1 (; 9 ( B 9 ( "D ' " ( " & ( (' 24'2 "D&2 " 1 (B 9 (
"2( ( 2 & 3 '3 ;
( " & ( "D ( " (' ( = ?' 2 9 3 2 < 3 '"2 ( 3 ( G2 ( "
9 " (3 ( 2 3 ( ' 3 (D 3'( 3'2 ' 2 3 ' 3'2 D '
( 321 G2 ' 3 2 " ( (G2 ( ( ( ' 2! G2D ( 0 " ; : :
3 '1 9 ( B H B " ( ( " 3 ( 2 3 0 " (G2 ( (
" 1 G2 ( ( 2(( ( 3 ( ( 3'2 D& 3 '2 J 2 0 ' 1 02K
' 2 " (3 ( ( 2(( 3 B' ( " ( ' (; (' " ( &'(3 9 "
' 1 2! " ( " '33 " '" ( "L&'(3 ( ' H "' " ( (3
' 3 ' 3 ( & '& 3 " 3 '1 G2 ' 3 2( 02 ;

1/ 9
(% ) "
(%(% )

0 ' B F ( " B " (2 " "2 * ' 1 @, ( " BB ( 3 (" " & (<
8 ( " & ( "L " (' ( = ?7
8 ( " & ( "L " (' ( H (G2 B 2! = ?
8 ( " & ( (( ( 2! ;

( " & ( "D ( " (' ( H (G2 ( B 2! = ? 3'( " ( 3 '1 9 ( " ( 321 G2
"D& 0 9 " ( 2 < ( (' '23 ( & ( 3 G2 (;
' ( "2 (' " ' "2 (B "2 '2 2 2" " & 0 ( (' ( " 0 2!
3'2 ( 3 ( D '2 0 ( 3 'B (( ' (" ( = B 9 ( ' ? ( 3' ( & 0 (
" 0 ( ' " ( " & (;
3 '1 G2 " D ' " (" & ( ( 2 ' 1 3' " 3 ( =" 19
) ? M'2 (G2 3 2 28" H "2 (G2 "D B ' " ' ' ( "D "
"D !3'( ' =& 3 J ?; 2 ( ( (3' ( 1 ( ' ' " BB ( 2 (;

: : F 1 ' ' B' "2 2 " ( D ( 3 ( N ( ;

(%*% ) " " " + &

( (3' ( 1 ( G2 ' ( (' 1 " (; 3 G2 3 '"2 2


" " & ( ( (3' ( 1 0 " 2 ' ;
3 " <
- 0 ' 9( ('2 (3' ( 1
- " (3'( 3 ( '2 ' N 3 (" ( ' ( " G2 (;

(0 " ( 0' ( " ( 3 ( ' (3 ( (' ' 2 ( (3 (3 ( ;


' 1 " 3 ( '2 2 ( 1 (' ( 3 2 (( O 3 " <
- 3 (( 0 "D2 4 ' 3 ( 2 2" " ( " D& 3
- 2 ( ' " 3 ( ' ( 02 '2 ( '
- ( (2 & "D2 '2 2 " J 3 ' 4 1
- ( H " (3'( ' '2 ' " ( 02 ( ( (9 " ( 2
- P

2 3 'B ' ( ' 0 '0 3& G2 '2 ( H 2 " (3'( ' (' 3 (G2 ' ' 2(;
2( ( 3 'B (( ' (" ( ' ( 3& ( G2 2 2 3 2
4'2 2 6 B (D ( ('2& ;

0 ' = ::@? 3'( 2! 3& (" 2! 3 ( (( (


' 2( " ( " ( (H 2 ( 02 ( ( 02 (; G2 ' 2 23 '
" BB ( 2 (3 2 !( < ' 3' H 3' ' M '1 33' '' '2
' ! = ( " BB ( &'" (? '2 H 3& ;

& G2 ( ( 9 ( ( 3 '3 ( 0 ( ' (<


- ' 3' H 3' 0 2 ( 2 '3 ( ( ( (9 3 2( 'Q 2!
; 3 2 N 2 G2 " ' B" " ( " (3 33' H 2 ' ( 0 ;
- ( ' ( (( B' H D " " & 2 ( (3 0 ( G2 ( ' H
" ( & 2 ( B! ( " ( ( G2 ( (2 ( 3 (" ( ( ( & (P 2 I (
' ( 1 3 3 3'2 " ( O' ( " (( (3 ( " &9 (; ' ( " 2 (

2/ 9
3 ( " (3 ( 1 " ' 2 G2 B' 02 9 (2 2 I 2
B' ' ;
- ( 2! "D 33' ( ' ' ( (' '2 ( #& (2 # 9( 1 '2 ' B " ;
( 2 ' ( ' ( ('2 '0 3 2 ' 2 G2 0 " 2 2 ( '
3 G2 ; &' ! " D 3 "2 3' "D 33' ( ( 9( 3' "' I &' ( B' '
" ( 2 ' ' =3 '! " (" ( " ' ( (" ( 3'2 3 (' (
R0 (P?
- ( " &9 (; ' " ( 3 ( " &9 ( B' ' 0 R H D 33' ' ' " (
" & ( '! G2 ( 3 ( 0 (; ( " &9 ( D' 3 ( D'1 0 ' " ' ( ;
- '2 H 3& ; 2 " 3 '! ( 3 B " 3 2! & 1 2" ( " " (
3 (; 3 " 2 " 23 ' " ( ' 2 ( 3 ( ( ' ( H 3& (
'0 ( 3 ( ' (;

( (3B ( "2 ( 2 " BB2( ' 2 3 3' (2 D' 0 ( ' ( 'Q ( "2 " (3'( B "
' G2 " 3 " "2 ' 1 ' ( ' " ( ( ( 3 '"2 2 ( ( G2 "( "2 "
; 32 ( G2 G2 ( ( ( 'Q ( " ( B 9 ( "D ' ' " 2 '
2! " ( 33' ( ' ' ( 3' H 3' ;
9 0 '23 2 ( 2 " ' " ( " & ( " 3 'B (( ' (" ( ! F 1
2! " ( 3 ( 2 '8 " 2 0 '1 ( 'Q (; ( 1 (( (" ( 3 2
0 I 3 G2 ( " ( 0 ( ' " (" & (3' " ( (' ( 12 ' (;

(%,% ) & "

2 " ( ( 1 " B 2 2" ( 1 (( (" ( ; 3 " 3 G2


" ( " ( (' B G2 '1( ( ( H 2 G2 " (3 " ( 90 ( '2 2
' (( '2 " " (3' 1 " ( ( (( (; ( ( ' N " ( 3 (
" (G2 " ' ' ( ( (2 2 " ( " & ( (( G2 ( '2
' ' G2 ( " ( " & ( ' ' ( (2 2 "D ' " ( 1 2 '23 3 2(
'Q 2! G2 2 " ( " & ( (( G2 (; 0 ( ' " ( B 3 " ( !0 ( 3'( ( 2!
1 (( (" ( '(" ( ( (" B ' '0 ( (3 2 2' " =
::@?;

'2( ' ' ( ( '2 D 3' " F 1 '2 2 ' 0 "2 3 ' ((2( 12 ' '2
&'(3 G2D (D 0 (( " ( ( ( ( " ( 2( ' ( " ( 3 '"2 ( 2 ( (;

*% )
F 1 ' (3' " H D 3 2" H '2 D& ( ' G2 D2 ( ' ' ( ' "D2 2
' "D B' ' ( 0( ( = -#: ?; '2( 3'2 ' ( " ( 02 " BB ( F 1 ( " (
'14 B( 3 '3 ( < 9 M 3 '"2 '3 ' 3 ' " ; S2 G2 (' 3 " 1 8
3 (2 D' 0 ( ' = &' ! ( F ( 3 9 3 '"2 ( 0 ( ' " ( (G2 ( P? (2
( ( 9 "D B' ' 3'2 D 3 ' " ( & ' '0 ( ( ' ( " (3 ( 1 (;

F 1 (3 " ' (3 '2 ( 2 ( '3 ( ;


BB D " B ' 3 " B ( ' '" (H (" (( (9 (" ' 3 2(3
! 3 B' 3 D 33' 3' " ( B' ' (3 ( 2 1' ' ;
D'3 ( ' ( '1 2 0 R H ' (( " ( B 2! " (B 2 ( B2 ( '" ( ' " (
3 ' (( " ( ( '( D 2 ' " ( 3 B' (T 'U T 'U B D 33 '
3'(( 1 " 2 (' 2 ' ;

3/ 9
( 0 ( ' " ( (D 0 " B F 1 " ( ( " ( 3 ' ((2( " ( B 2!
3& ( G2 ( B' ' ( BB ( (" ( ( ( ( 3'(( 1 3( ; (
( (9 " F 1 "' 3 " ' 1 ( "' ( 2 (" 9 H ' ( 2 D 0
" D ( 1 "2 3 ' ((2( ' ' ( 2 ( 2 " ( '2 ( " 3 ' 0 "2 ( ( 9 '3
= ' ?; ( ' F 1 3' (2 D ( 1 "2 3 ' ((2( " " "2
' 2 " H (' ' B ;

,% ) # &" $
& ' '0 + 3 ( "2 B " ( ( ( G2 ( 2 I 3' " ( "' " (
; 3' 0 " 3 ' ((2( 3'2 I ' 3 B' 0R H + "
F 1 " ( 2 ( ' " ( ( " ( 3 '"2 ( " ( 2 (; 3 " (' 3 ( (
0 (3 33' 2! 2 ( & ' '0 ( ' 2 (" 9 ( ( G2 ;
'2( '2( 3 '3'(' ( " ( 3 '4 "D2 ( 2 &'"' '0 3 "D 2 3 ( D 3
" D 0 ' " + 2 0 " " ( ' ( & G2 ( 12"0 ( '0 ( ' (
( 2 (;

D I 3' " ( '2 ( & ' '0 ( "' D " B ' 3 " ' B G2 = + ? '
" BB ( 4 2! 3' (2 F 1 ( 2 ' 2 ' ; D 0 ' " + " (
3 ' ((2( " ( " 3 "D ' G2 "2 ( "2 3 " ( B' ' ( 3 2(
B 1 ( ( 2 ( ( '2 2 ' 0 "2 3 ' ((2( 3 3 H 3 ' " ( (G2 ( ( (
' ( 3 2 2 ' (( '' " ' " ( (" ( 2 ( 2 3 (;
9 N ( " ( 'Q ( " I B ;
( (2 ( "2( 'G2 ( 3 " ( 2" ( 3 " ( (' 3 ( ' 0 ( 1 ( D
2 " ' (( " '33 "D'2 ( (3 B G2 ( '14 "2 3 ( ;

-% ) " . / 0
'4 ( H 3 2 3' 2 2" ( 3 ( ( B "D !3
2 D 33' " + ' " ( "' " F 1 " & N " ' " (
& (" ( ( " ' ( H (G2 B 2! = ? " ( (' 0 3 2 33 ' &
0 '1 " 32 ( 3 '"2 2 =3 2 3 'B (( ' " ( &63 ? 42(G2DH D 2;

3 ( 2 B' ( ( " 3 '3'( 0 R H D ( " ( (2 ( "2 3 ' ? ( 3 "


(2 ( "D ' ' = & G2 ' 2 ' B' ' '0 ( G2 (P? H D & "2 '
2" 7 ? " ' "D2 02 " 3 G2 B' ' 0 G2 (2 2 " ( !3 ' 1 3
D ( 1 " ( ' ( ' (;

9 3 2( '( '3 G2 3 '4 ' 12 H D ' ' " 321 G2


"2 '33 "2 1 ; ' 3 ' 0 ( 0 2 "( 3 0 " ( 3 'B (( ' ("
( = " 3& (? " ( "2( ( = & ( M . 3 09 + M % % . E ?
" ( & & 2( = ' " ( ( " % ( &8 C '3&
"D ' ' "D ( 0 ?; 1 ( 3 36 " ' 3 '2 ' ( ' 2 (
2 ( ( 1 B "D2 B "2 ' ( 0' " ' 2 2 2 '3 ;

4/ 9
-%(% ' #

& 3 2" ( 2 0 '1 " ( '23 ( & ( " " " ( ' 2(
" ( 42(G2DH 2 ' 3 ' 2 2" ' (< D&63 ;
' T U ' (3' " H 2 & ' " 3 ( 12 ' ( ' ( 3 'B (( ' ("
( 1 2! 3& (( 2 ( 2 2" ' 2 2 "D 00 ' ' ( '3& 3' (;
' T &63 U ( ' ( 2 " # 2 ( " (' ( " 3& " D&63 & "
( ( 2 ( ((2 2 " & '& 3 ;

(3 (' '0 ( 3 '4 $0 " ( 3 (<


? B ' " ( !0 ( " ( 1 (' ( (2 ( ' ( 0 & G2 '0 ( G2
' ' G2 7
? '33 " ( '2 ( (( ( ' 0 ' " & ' '0 + 2 2" (
" BB ( 3' ( "D 33' " 3 (( 0 " ( '2 2 ' 0 "2 3 ' ((2( ( G2 '0 "
F 1
? G2 3 " ( ( 2 2 ( " (3'( B + < & 2 ( 3& ( 3' "D 33' ' ' ( (
" 2( "D ' 2 ( " (' ( 3& &'(3 9 ( 7
#? ( ' "2 3 ' 7
$? " ' " ( 3 '3'( ' ( "D ' ' .2 " 3 G2 ;

%'2 2 ' 0 " ( 3 ( " ( 2 ' (( ' ( ( (2 " BB ( ' (;

+ 02 < ! 3 "2 2 " ( " ( 3 'B (( ' (" ( " ( " "2 3 '4

-%*% $ / &

9 "D 2 ' 3' (2 B ( 1 " ( 3 "2 B' ' "D2 (' 2 '
0 & ' '0 + " F 1 " ( 3 '"2 ( H D&63 2 0 " " (
"' (T & G2 U T 3 1 " ( 2 ( U;

( 9 ( 2( 3'2 B ( 1 & G2 (' <

5/ 9
• % 2! "D & " 2
• J (( " 2
• % 2! "D & "D 2
• J (( "D 2
• % 2! "D & G2 0
• % 2! "D & ' !'

D 3 1 " ( 2(( 2 H (<


• 3 3 3 2 2" '1( ' 3 ( ( ' "2 23 9( "D2
& ' " 3 (' ( =" #;#?
• ' 3 3 D 3 1 "
• D2 ( ' " (' 2 ' & ' '0 G2 !3 2! "D 3 ' " ' 2( F ( "
' 1 " 2 8 2

9 9 "D 2 ' 3' (2 3 B' ( ' 2 &'" 2 " (' " 3


" ( 2! 3 " (= ' ' 3 ? ( ' # ! ( < ' B' 'Q ' 0 ( ' (G2 ;
( !3 2! " F 1 3 3 "2 2 0 '1 ;
J (8H8 ( "2 ' 3 ( ' 3 ( 'Q ( " ( < 'Q B 'Q &2 ( 3
B' ' ;
' ( 2" H ( ( 'Q ( (2 ( !3 ( 3 2 " (2 "D
( ' &'" ) =2 " (2 V ' 1 " ' ( ( ( 1 ( G2 + ?;
&'" ) '2 ) ( " '( 0 3 H " ' N ( 'Q ( 3 3 2
(2 ( 3 ( (2 (<
? " ( 3 ' " ( 3 ' ((2( " B ' " ( ( " ( (('2 ( ' (' ( =&2 (
'1 9 ( & ' '0 G2 (? 7 ? 2 "2 'Q " ( (('2 ( " ( ( ( 7 ? & & " (
2 ( "2 2 ( " 'Q V 33' 3 '"2 '2 3 ( ' 7 #? 2 "2 'Q " ( 3 '"2 (
( ;
B 2 2 ' "2 0R H & ' '0 + H2 ' ' 8 ' B' (
& & ' 3 (' D& ( ' G2 " ( 3 ( " ( "' (" 2 ;

+ 02 < 2 ' 2 " (' " 3 B' ( ' '' 3

Coût

Risque Organisationnel

Conformité
Traçabilité

6/ 9
-%,% ' & # $

D2 3' " 2 . "2( & & 3 ' ( 3' "D 2 D 3 "


D 0 ' " ( & ' '0 ( + " ( ( 2 ( " ( ; BB ( '2 ( & ' '0 (
3 2 ' ( B 2! '0 ( ( 3 ' ((2( 3& ( G2 ( B' ' (; 2( 2 ( ( & (
" '0 ( ' 3 2 I " B ( B' ' " ( &' ! & ' '0 G2 ( " 2 2 ( ' " 2
3 ' ;
B "D 2 & G2 ' B 02 ' ( 2 ' H ( "( ( 3 2 I 2 ( ; '
' (( 3 " 3 '1 9 D ( 3 ( " ( 2 ; BB D ! ( G2 " ( 2" (
" D '"2 ' " ( & ' '0 ( + " ( " ( & N ( '0 ( G2 ( 2 ( " ( 33 ' & ( "
0 ( ' " (' G2 ( 3'2 ( ('2" =W 0 " . (&X ::# ; ::- '2 ;
::-?; D ! ( G2 G2 G2 ( 2! 2 ( ( 2 ' H ( " ( ( 3'2 2 D 3
" ( & ' '0 ( + " ( ( & N ( '0 ( G2 ( = ; ::# . 2 ::$ ; ::-?; 2!
3 '4 ( " & & (' '2 ( H D " ( 33 ' ( " ( 0 " " ( 12 ' = ;
::-? " ( ( 2 " ( = '2(( ? ; ::- ::@?;

3 ' (( H " B H ' 3 " " ( " ( 3 ' ((2( 2" ( " (
'" ( " 3 '"2 2 B' ' 2 2 ( 2 '2 " ( 2 ' H (
" ( (; D ( H 3 G2 ( " 2 ( " 3 B' (' " B ( B "D 2 ( '2 ( (2
( (( ;
B' ( 3 ( " 3 ( 3 'B (( ' ( 2 " 2! 9 ' (( H " B H
" '33 ( " BB (( '( "D 3 ' " ( & ' '0 ( + ; BB D'BB + (2
& ( 9( & " (B &' ! "D2 & ' '0 3 2 I ( 2 2 3'2 3 '4 ; (
& ' '0 ( + 3 2 33' " ( & 0 ( 3 'B' "( 2! 3 ' ((2( 2 (; ( 3 ' ((2( '
" '33 ( ( 2 2 ( B' ' " ( & ' '0 ( '" H 1 (; 3 ( 9( 3'
3'2 3 '4 32 (G2 D ( H '2 ( 2 ( 4'2 ( " & ' '0 (' " B (; D'2 "
( 2 ' ( 2 ( B "D 2 ( " BB ( ( '( B( 2! " BB ( 3 ' (;
" 9 3 ' (( B 2 3 8 2" 3' (2 '" ( ' ( 2 ' "2 " 3 ' " (
& ' '0 ( " B ( (2 3 ' ((2( 0 '1 ; BB ( & ' '0 ( + 3 2 ' " ( 33' (
3 2( 3' ( (2 ( ( 9 0 '1 3 33' 2 3 ' &' ( ;

-%-% "" # #

3 '4 ( 2 3 '4 & ' '0 G2 = + ? " ( 3 ' ( (2 ( '2 2! 2( 0 (


(2 ( ' 3' ( (' 2!
' (3' "H2 33 ' & 2( 0 ( G2 (2 3 3 ' " ( B2 2 ( 2 ( 2 (
"D'1( ' "D ( " ( ' 3' ( " ( 2( 0 ( B H D !3 ' ;
12 ( " " 3 ( B ( "D' " (' " ( 3& ( "D !3 '
3 '1 9 ( "D2( 0 B 2 & 0 " '2 ( 3 '1 9 ( "D2( 0 B H 3 3 ' "
& ' '0 " ( (G2 ( ' ! (; B " ( 3 '3'( ' ( "D ( "2 '2 "D2( 0 ( H 3 "
' 3 " ( 3& ( " " 3' ( ' 1' (;

(D 0 "D2 G2I & '0 3& G2 3'2 G2 B ( 3 3 ( 2" ( " ( 2 ( 2( B H


D !3 ' 3'2 3 (B ( 3& ( " " 3 ' ;
3'32 ' ( ' (3' " H ' 2 2 "D2( 0 ( " B ( 3 D !3 '
<
• 3 2 ( =3 ( 2' " ' ?
• 3 'B (( ' (" ( = " ( " ( ( 1' ' ( "D ( (7 3& ( ( ( "2
?
• 3 (' " B 9 "D ' " ( =3 ( "2 ( " (( 0 "
( B 2 (?;

7/ 9
&'" " 2 " ( "' ( !3 ' ' 2 ( D'1( ' " (
33 'B' " ( 23 9( " ( 2 ( " ( ( 2! "D !3 ' =3& ( ( " (' ( ("
( B "D ' ?;
'( " ( (2 ( " D G2I G2 ( ( D G2I G2 ( 3
( ( ( G2 ( "D2( 0 ? 3 D 2" "D 3 " D 0 ' " ( & ' '0 ( + " ( ( 2 (" (
?;

1% 0 " "
(" & (" ( ( " (' ( ' 2! 3 '"2 ( 3 (3 ( 2 '8 (' (
0 "( '21 ( " 0 (' ' " ( " & ( 1 G2 2 (G2 3 (2 D '
(' " ' (;
2 " ( 2 ( 3' ( " 3 ( !( 3 2 I ( 3 ; 3 " 2
33 ' D B G2 ' ( "D !3 (3 ' ( 0 (;

'( ! 0 ( "2 ( (8H8 ( " ( '2 ( & ' '0 ( + (' " 3'2 ' B
' ( 2 ' (2 "2 3 ' ((2( T U 3 ( " ( ( 0 '1 3( ' '14 B
3 3 ( 2 ( ' " ( " BB ( 2( ( "2 0 " 321 ;
" '2 "2 3 ' 3 "D 2 3 ( D 3 " + " ( ( ' " ' (
3 G2 (; ( "' ( ( ' 2 ( 1 ( 3 ( 2 ( ' ( 1 (( ( " (
G2D " H " ( ' (8H8 ( " ( '" (" 0 ( ' " ( ;

2% 3 # "
" (' /. = ::#?; B' ' & ' '0 B' " 0 " ' ' ( " " ( " 20 (;
!3 3 20 B; 37 =$?<##@8$$;
) ;= ::#?; %& ! 0 ' ; + '2 " ( ' ( 'B "' (< ( 2" ; '" &; '
$7 #=#*?< -;
)' 1 0 " 0& 3'2 + ) 0 & ; = ::*?; ( 'B 3 '(3 (
(( &'" ' 3 ' & ( B 'B & & ' & 3 3 ' ((; / S2 & ;
+ 17 -= ?<@8 *;
'' 3 . O ' 0 "' ' / '2( 2 ( S2 /+ = ::-?;
. ( ' " ( ( ( ( 2 2 " ( 1 (( ( " ( < ' ' 2
3 B' ; (G2 ( S2 2 " (' ( 7 J = ? 7 42 ::-
'' 3 '2 & 32 J / '2( S2 /+= ::,?; ' 0 "
3 B' 3 1 ( "2 0 " ( (G2 ( < 33 ' 2 2 "2 " ; '0 ( G2 Y
0 ; ::,;
; 'K ; = ::@?
33' " & & 3'2 +' " ' " 'B G2 ( : 3;
; = ::@? T ( 1 0Z ( " ' 3 ( 8 ' < " & G2 2
0 3 ' 23 ' ' '0 G2 3 2" ' ' G2 U B +; =" ;?
!8 8 ' " (2" =H 3 N ?;
; ; = ::-? T 02 ' " ( + <
"2 3 3 " (3' ( 1 0 "2 3 '"2 2 U !" # # $% & ( 12 ,8 42
' $ 3;
. 8 ) &'3 " 0 % )' 1 ; = ::,? (2 0 &2 8 '
3 '1 1 ( " 20 3 3 ' < 3 ' ( 2 ' ( 2" ; & ' ( " " (3'( ' ; *;
. 2 . = ::$? + (233 & 0 & & (( B' " ( ;
2 2' " = ? = ::@?; 2 " B ' " ( 1 (( (" ( J : :;

8/ 9
'2(( ; = ::,?; (2 " D 33' " ( + " ( 2 " ( 2 ' <
3 3 F2; (3 3 0 % "2 36 ;
'2(( 1( 2O9 8 9( & 1 ' 'B ; = ::@? 2 ' ( " ( ' (233'
'' < ( 0 & 3 ( 'B 2( 0 + & ' '0 ( X & ) '1 ( ' (
' ) 33; ,8 # / ::@ ' ' ' 20 ;
'2(( 1( + 2O9 8 9( 2B ( 'B ; = ::-? ( ' " ( %
" ( 0 ( ' "L2 ( ' "L & ' ( 1 ' '0 G2 (< ( 2 ' 3'2 " H " ( ' * &+'$,-
(* &. + ' ) 33; *,8 ,# 3 1 ::- 2( 2 (( ;
'2(( 1( + 2O9 8 9( '' 3 B " ( & 1 ' ;
= ::-? ( 0 & 3 'B + & ' '0 ( & & 33 ' (< (3 ( 2( 0 ( 2 '
&( &. )% . @3 0 ( 1 ::- (
+ ;
/ ( / ; = ::$?; + ' 3 ( ( + 0 '3 " 20 '2 B 0; % X(;
7=# ,?<$8-;
E; & 0 +; " 2 0 E; %; = ::#? [ !3 ' 0 & 3 'B + ' (233 & " (\ ::#
] 2 ' ' B ;
&2 & 0 + 1'& "1 0 ]; = ::*?; ( 0 ' ' 0" ' (( ((
BB ( 1 (& " X' B 'X(; 2 3 ' ; : ;
Ouzan D, Collomp R, Mousnier A.(2000) Que devient le matériel usagé (aiguilles, flacons,
seringues, stylos) après injection d’interféron à domicile ? . ( ' ' '0 G2 ) ' '0 G2
::: 7 #= :?<@**
(' '0 ( & 3 / " ;= ::*? ' 3 X & " " 2( 'B ) '"
" ' " ( ' 2 " '08 < '1( ' ( 2" ; 2 + ' (; 3 07
#-= ?< $8 ;
3(' ;= ::#?; + " 1 '" (8 3' & 0( B 3 ;/
& B 0; + 7 -=#?< 8@;
'' . / &2 & ] + & (' ' &( & " / W '& ]& '
) ( ] . "& %W;= ::*?; " ' " (3 ( 0 ' ( " 3' " ( " 20 ( 1 B' "
B 3 0 1 '" & ' '0 & 3& ; "; 3 @7 #$=*?<# *8 #;
1 ; = @@@?; ( # " (' (" 3 B' ; 3' ;
0 ' ; ) ( '( ; ; /' " ; )'2 0 ' ( ; 4 ; = @@@?; . ( ' 3 ( (<
&'" ) '2 ( " ' ( + "2 ( " ' ( "L 0 ( ' ;
' ; = :: ?; ( 9 "D B' ' B' " (2 2 F 1 " ( (< I ( " BB 2 ( "
( ^2 " ( ( &63 2!; %&9( (" 0 ( ' ! ( ;
1( 2O9 8 9( ; = ::-? ( 2 ' 33 ' & ' 2 & 3 'B '"2 0 +
& ' '0 ( & 8 (233 & ; /& 0,,- =/ & 0,,-) 33; ,# 8 ,#@
1 ::- ;
& "' (2" % 2 % +24 2W E 0 E ' ' " ;= ::*?; ' ( 2 ' 'B
( B 0 ( ( B' " 20 2( 1 2( 0 + 0; 2" & % & ' B' ; <,,:;
/'21 '' 3 S2 /+ + ( & ; + ' & " ( 3 ' 'B ( ' &
" B ' 'B ( ( B' 0 < 3 '3'( 'B 12 " 0 0 0 " (& 0 'X "0
3 ( ' 'B 3 ' (( (; 2" & % & ' B' ; ::,7 @ < -:8#;
] ( J ( & /W ; = ::*?; " ' B G2 " B ' 33 ' ( &'(3 ' (;
'(3 %'3; 2 7 -#= ?< 8-;
E'2 0 ;= ::*?; (12 0 &'(3 ' 1 ( + 1 '" ( ' 3 ' ( B ; / & ( & ;
$7 * = #?< # 8$

9/ 9

Vous aimerez peut-être aussi