[Hospital alcohol withdrawal : who, when, how].

Alcohol consumption in Europe (and more specifically in Belgium) raises a major paradox: social alcohol or the scourge of the century? There are diagnostic criteria for recognizing substance use disorder (TUS) (according to the DSM-V). Healthcare professionals are daily confronted with this problem. This article looks at three key questions relating to hospital alcohol withdrawal, based on a specific situation. Only 10-30 % of alcohol withdrawals take place in hospital. There are clearly defined indications for hospitalization. It seems essential to work with patients on their objectives and to help them develop their motivation. It is in this context that pre-admission appointments are important. Pharmacologically, long-acting benzodiazepines are used in withdrawal, as are vitamin supplements and hydration. Hygiene and dietary rules are also reminded to the patient.