Summary: The act of cleansing the hands with water or other liquid, with or without the inclusion of soap or other detergent, for the purpose of removing soil or microorganisms.
Publications330 found, 100 shown here
- Hand hygiene among physicians: performance, beliefs, and perceptionsDidier Pittet
Infection Control Program, University of Geneva Hospitals, Geneva, Switzerland
Ann Intern Med 141:1-8. 2004..Physician adherence to hand hygiene remains low in most hospitals...
- Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control ProgrammeD Pittet
Department of Internal Medicine, University of Geneva Hospitals, and Institute of Social and Preventive Medicine, University of Geneva, Switzerland
Lancet 356:1307-12. 2000..We attempted to promote hand hygiene by implementing a hospital-wide programme, with special emphasis on bedside, alcohol-based hand disinfection. We measured nosocomial infections in parallel...
- Handwashing and risk of respiratory infections: a quantitative systematic reviewTamer Rabie
Department of Infectious and Tropical Diseases, The Hygiene Centre, London School of Hygiene and Tropical Medicine, London, UK
Trop Med Int Health 11:258-67. 2006To determine the effect of handwashing on the risk of respiratory infection.
- Effect of washing hands with soap on diarrhoea risk in the community: a systematic reviewVal Curtis
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
Lancet Infect Dis 3:275-81. 2003..Our data sources were studies linking handwashing with diarrhoeal diseases...
- Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysisLorna Fewtrell
Centre for Research into Environment and Health, University of Wales, Aberystwyth, UK
Lancet Infect Dis 5:42-52. 2005..There is some evidence of publication bias in the findings from the hygiene and water treatment interventions...
- Impact of a school-based hygiene promotion and sanitation intervention on pupil hand contamination in Western Kenya: a cluster randomized trialLeslie E Greene
Center for Global Safe Water, Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Am J Trop Med Hyg 87:385-93. 2012b>Handwashing with soap effectively reduces exposure to diarrhea-causing pathogens...
- Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysisAllison E Aiello
Department of Epidemiology, Center for Social Epidemiology and Population Health, University of Michigan School of Public Health, 3659 SPH Tower, 109 Observatory, Ann Arbor, MI 48109 2029, USA
Am J Public Health 98:1372-81. 2008..Hand hygiene is clearly effective against gastrointestinal and, to a lesser extent, respiratory infections. Studies examining hygiene practices during respiratory illness and interventions targeting aerosol transmission are needed...
- Planned, motivated and habitual hygiene behaviour: an eleven country reviewValerie A Curtis
Hygiene Centre, London School of Hygiene ropical Medicine, Keppel Street, London WC1E 7HT, UK
Health Educ Res 24:655-73. 2009b>Handwashing with soap (HWWS) may be one of the most cost-effective means of preventing infection in developing countries. However, HWWS is rare in these settings...
- The World Health Organization hand hygiene observation methodHugo Sax
Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, 1211 Geneva 14, Switzerland
Am J Infect Control 37:827-34. 2009..Sample size estimates, survey analysis and report, and major bias and confounding factors associated with observation are discussed...
- Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for ProfJohn M Boyce
Hospital of Saint Raphael, New Haven, Connecticut, USA
MMWR Recomm Rep 51:1-45, quiz CE1-4. 2002..for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health-care settings...
- Knowledge, attitudes and practices (KAP) of hygiene among school children in Angolela, EthiopiaA P Vivas
Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health, Seattle, Washington 98195, USA
J Prev Med Hyg 51:73-9. 2010..This study evaluated the KAP of hygiene among rural school children in Ethiopia and assessed the extent to which proper knowledge of hygiene was associated with personal hygiene characteristics...
- Improving hygiene in home deliveries in rural Ghana: how to build on current attitudes and practicesZelee Hill
Centre for International Health and Development, Institute of Child Health, University College London, London, United Kingdom
Pediatr Infect Dis J 29:1004-8. 2010..There are few data from Africa. This study explored delivery practices in Ghana to identify behaviors for intervention and to determine behavioral influencers...
- Systematic review of studies on compliance with hand hygiene guidelines in hospital careVicki Erasmus
Department of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands
Infect Control Hosp Epidemiol 31:283-94. 2010..To assess the prevalence and correlates of compliance and noncompliance with hand hygiene guidelines in hospital care...
- Is structured observation a valid technique to measure handwashing behavior? Use of acceleration sensors embedded in soap to assess reactivity to structured observationPavani K Ram
University at Buffalo, Buffalo, New York 14221, USA
Am J Trop Med Hyg 83:1070-6. 2010Structured observation is often used to evaluate handwashing behavior...
- The effectiveness of interventions aimed at increasing handwashing in healthcare workers - a systematic reviewS Naikoba
Department of Public Health and Epidemiology, University of Nottingham, Nottingham, UK
J Hosp Infect 47:173-80. 2001b>Handwashing is widely accepted as being key to the prevention of hospital-acquired infection but the frequency of handwashing by healthcare workers has been found to be low...
- Systematic review: handwashing behaviour in low- to middle-income countries: outcome measures and behaviour maintenanceStephen M Vindigni
Emory University School of Medicine, Atlanta, GA, USA
Trop Med Int Health 16:466-77. 2011To describe global approaches to handwashing research in low- and middle-income communities, schools and health care settings using behavioural outcome measurement and temporal study design.
- Observed hand cleanliness and other measures of handwashing behavior in rural BangladeshAmal K Halder
International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
BMC Public Health 10:545. 2010We analyzed data from the baseline assessment of a large intervention project to describe typical handwashing practices in rural Bangladesh, and compare measures of hand cleanliness with household characteristics.
- Effects of hand hygiene campaigns on incidence of laboratory-confirmed influenza and absenteeism in schoolchildren, Cairo, EgyptMaha Talaat
US Naval Medical Research Unit No 3 NAMRU 3, Cairo, Egypt
Emerg Infect Dis 17:619-25. 2011..0001 for each illness). An intensive hand hygiene campaign was effective in reducing absenteeism caused by these illnesses...
- Compliance with antiseptic hand rub use in intensive care units: the Hawthorne effectTim Eckmanns
Institute of Hygiene and Environmental Medicine, Charite University Medicine Berlin, Berlin, Germany
Infect Control Hosp Epidemiol 27:931-4. 2006..To determine the influence the Hawthorne effect has on compliance with antiseptic hand rub (AHR) use among healthcare personnel...
- The effect of handwashing at recommended times with water alone and with soap on child diarrhea in rural Bangladesh: an observational studyStephen P Luby
International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh
PLoS Med 8:e1001052. 2011..We analyzed data from households that received no intervention in a large prospective project evaluation to assess the relationship between observed handwashing behavior and subsequent diarrhea.
- Compliance with handwashing in a teaching hospital. Infection Control ProgramD Pittet
University of Geneva Medical School and University of Geneva Hospitals, Switzerland
Ann Intern Med 130:126-30. 1999Transmission of microorganisms from the hands of health care workers is the main source of cross-infection in hospitals and can be prevented by handwashing.
- The World Health Organization Guidelines on Hand Hygiene in Health Care and their consensus recommendationsDidier Pittet
Infection Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
Infect Control Hosp Epidemiol 30:611-22. 2009....
- Should self-assessment methods be used to measure compliance with handwashing recommendations? A study carried out in a French university hospitalLeila Moret
Public Health Department, University Hospital, Nantes, France
Am J Infect Control 32:384-90. 2004..This study aims at comparing direct observation and self-assessment methods...
- Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubsGunter Kampf
Bode Chemie GmbH and Co, Scientific Affairs, Melanchthonstrasse 27, 22525 Hamburg, Germany
Clin Microbiol Rev 17:863-93, table of contents. 2004....
- Marketing hygiene behaviours: the impact of different communication channels on reported handwashing behaviour of women in GhanaBeth E Scott
Environmental Health Group, London, UK
Health Educ Res 23:392-401. 2008In 2003-04, a National Handwashing Campaign utilizing mass media and community events took place in Ghana. This article describes the results of the evaluation of the campaign in a sample of 497 women with children <5 years...
- Mandatory handwashing in elementary schools reduces absenteeism due to infectious illness among pupils: a pilot intervention studyInge Nandrup-Bus
Am J Infect Control 37:820-6. 2009The objective of this study was to determine the effect of mandatory, scheduled handwashing on actual absenteeism due to infectious illness in elementary school pupils in Denmark.
- Household characteristics associated with handwashing with soap in rural BangladeshStephen P Luby
International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh
Am J Trop Med Hyg 81:882-7. 2009b>Handwashing with soap prevents diarrhea and respiratory disease, but it is rarely practiced in high-need settings...
- Efficacy of an alcohol/chlorhexidine hand hygiene program in a hospital with high rates of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infectionPaul D R Johnson
Austin Health, Studley Road, Heidelberg, Victoria 3084, Australia
Med J Aust 183:509-14. 2005..To assess the effect of a multifaceted hand hygiene culture-change program on health care worker behaviour, and to reduce the burden of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infections...
- Perceptions and behaviors related to hand hygiene for the prevention of H1N1 influenza transmission among Korean university students during the peak pandemic periodJae Hyun Park
Department of Social and Preventive Medicine, Sungkyunkwan University College of Medicine, Suwon, Korea
BMC Infect Dis 10:222. 2010..This study was performed to better assess the perceptions, motivating factors, and behaviors associated with the use of hand washing to prevent H1N1 influenza transmission during the peak pandemic period in Korea...
- Mask use, hand hygiene, and seasonal influenza-like illness among young adults: a randomized intervention trialAllison E Aiello
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
J Infect Dis 201:491-8. 2010..Our study examined whether use of face masks and hand hygiene reduced the incidence of influenza-like illness (ILI)...
- Hygiene in the home: relating bugs and behaviourVal Curtis
Department of Infectious and Tropical Diseases, DCVBU ITD London School of Hygiene and Tropical Medicine, Kepple Street, London WCIE 7HT, UK
Soc Sci Med 57:657-72. 2003..A better understanding of the household transmission of the agents of IID using multidisciplinary methods is needed if effective hygiene promotion programmes are to be designed...
- Impact of routine intensive care unit surveillance cultures and resultant barrier precautions on hospital-wide methicillin-resistant Staphylococcus aureus bacteremiaSusan S Huang
Channing Laboratory, Brigham and Women s Hospital, Boston, MA 02115, USA
Clin Infect Dis 43:971-8. 2006..To our knowledge, the relative impact of these interventions has not previously been ascertained...
- Impact of the amount of hand rub applied in hygienic hand disinfection on the reduction of microbial counts on handsP Goroncy-Bermes
Schülke and Mayr GmbH, Norderstedt, Germany
J Hosp Infect 74:212-8. 2010..In conclusion, the applied volume for hygienic hand rub should not fall below 3 mL in order to achieve maximum benefit...
- A qualitative exploration of reasons for poor hand hygiene among hospital workers: lack of positive role models and of convincing evidence that hand hygiene prevents cross-infectionV Erasmus
Department of Public Health, University Medical Center Rotterdam, Rotterdam, The Netherlands
Infect Control Hosp Epidemiol 30:415-9. 2009..To study potential determinants of hand hygiene compliance among healthcare workers in the hospital setting...
- Impact of a hygiene curriculum and the installation of simple handwashing and drinking water stations in rural Kenyan primary schools on student health and hygiene practicesMinal K Patel
Epidemic Intelligence Service and Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
Am J Trop Med Hyg 87:594-601. 2012..We saw improvement in proper handwashing techniques after the school program was introduced...
- Health in our hands, but not in our heads: understanding hygiene motivation in GhanaBeth Scott
The Hygiene Centre, Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
Health Policy Plan 22:225-33. 2007..However, rates of handwashing across the globe are low, presenting a challenge for health promotion programmes...
- Measures to control and prevent Clostridium difficile infectionDale N Gerding
Hines Veterans Affairs Hospital, Hines, IL 60141, USA
Clin Infect Dis 46:S43-9. 2008..difficile, and use of barrier precautions reduces C. difficile transmission. Thorough handwashing with chlorhexidine or with soap and water has been shown to be effective in removing C...
- Difficulties in maintaining improved handwashing behavior, Karachi, PakistanStephen P Luby
International Centre for Diarrhoeal Disease, Bangladesh, Dhaka, Bangladesh
Am J Trop Med Hyg 81:140-5. 2009In an earlier study in Karachi, Pakistan, households that received free soap and handwashing promotion for 9 months reported 53% less diarrhea than controls...
- Hand washing among school children in Bogotá, ColombiaCatalina Lopez-Quintero
Braun School of Public Health and Community Medicine, Hebrew University, Hadassah, PO Box 12272, Jerusalem, Israel
Am J Public Health 99:94-101. 2009..We assessed hand-washing behaviors and intentions among school children in Bogotá, Colombia, to help identify and overcome barriers to proper hygiene practices...
- Povidone-iodine: use in hand disinfection, skin preparation and antiseptic irrigationPiyush Durani
Department of Plastic, Reconstructive and Burns Surgery, Nottingham City Hospital, Hucknall Road, Nottingham, UK
Int Wound J 5:376-87. 2008..This evidence suggests that the use of povidone-iodine as an agent of choice is dependent on the clinical need but is also likely to be influenced by personal preference...
- Hands, water, and health: fecal contamination in Tanzanian communities with improved, non-networked water suppliesAmy J Pickering
Emmet Interdisciplinary Program in Environment and Resources, School of Earth Sciences, Stanford University, Stanford, California 94305, USA
Environ Sci Technol 44:3267-72. 2010..The results suggest that reducing fecal contamination on hands should be investigated as a strategy for improving stored drinking water quality and health among households using non-networked water supplies...
- Ascariasis and handwashingIsaac Chun Hai Fung
Department of Infectious Disease Epidemiology, Imperial College London, St Mary s Campus, Norfolk Place, London W2 1PG, UK
Trans R Soc Trop Med Hyg 103:215-22. 2009This review summarises evidence of the effectiveness of handwashing and the use of soap as a public health intervention against Ascaris infection, in terms of both prevalence and intensity...
- Need for improved antimicrobial and infection control stewardship in Vietnamese intensive care unitsM Johansson
Division of Infectious Diseases, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linkoping University, Linkoping, Sweden
Trop Med Int Health 16:737-43. 2011..Survey of antibiotic consumption, microbial resistance and hygiene precautions in the intensive care units of three hospitals in northern Vietnam...
- Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HIPAC/SHEA/APIC/IDSA Hand Hygiene Task ForceJohn M Boyce
Hospital of Saint Raphael, New Haven
Am J Infect Control 30:S1-46. 2002..for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health-care settings...
- Impact of non-pharmaceutical interventions on URIs and influenza in crowded, urban householdsElaine L Larson
School of Nursing, Mailman School of Public Health, Columbia University, New York, NY 10032, USA
Public Health Rep 125:178-91. 2010....
- Introduction of an electronic monitoring system for monitoring compliance with Moments 1 and 4 of the WHO "My 5 Moments for Hand Hygiene" methodologyVincent C C Cheng
Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
BMC Infect Dis 11:151. 2011..Unlike previous electronic monitoring systems, MedSense operates in open cubicles with multiple beds and does not disrupt existing workflows...
- Compliance with hand hygiene guidelines: where are we in 2008?Janet P Haas
Westchester Medical Center in Valhalla, NY, USA
Am J Nurs 108:40-4; quiz 45. 2008..The authors emphasize as well that lasting improvement in hand hygiene is a collaborative effort that depends on the committed support of hospital administrators...
- Involving the patient to ask about hospital hand hygiene: a National Patient Safety Agency feasibility studyD Pittet
Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
J Hosp Infect 77:299-303. 2011..However, further work is required to refute the myth among HCWs that patient involvement undermines the doctor- or HCW-patient relationship...
- Evaluation of the role of school children in the promotion of point-of-use water treatment and handwashing in schools and households--Nyanza Province, Western Kenya, 2007Elizabeth Blanton
Enteric Diseases Epidemiology Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, MS A 38, Atlanta, GA 30030, USA
Am J Trop Med Hyg 82:664-71. 2010We installed drinking water and handwashing stations in 17 rural schools and trained teachers to promote water treatment and hygiene to pupils. We gave schools flocculent-disinfectant powder and hypochlorite solution for water treatment...
- Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand hygiene culture-change program and subsequent successful statewide roll-outM Lindsay Grayson
Infectious Diseases and Clinical Epidemiology Department, Austin Health, Melbourne, Victoria, Australia
Med J Aust 188:633-40. 2008..To assess the efficacy of a multimodal, centrally coordinated, multisite hand hygiene culture-change program (HHCCP) for reducing rates of methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia and disease in Victorian hospitals...
- Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antisepticC A Muto
University of Virginia Health System, Charlottesville, VA 22908, USA
Am J Infect Control 28:273-6. 2000..The one most pleasing to the evaluators' hands was selected for the study. Baseline handwashing rates were assessed on 2 medical wards. Alcohol dispensers were mounted by every door on the 2 wards...
- A cluster-randomized controlled trial evaluating the effect of a handwashing-promotion program in Chinese primary schoolsAnna Bowen
National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
Am J Trop Med Hyg 76:1166-73. 2007Intensive handwashing promotion can reduce diarrheal and respiratory disease incidence. To determine whether less intensive, more scalable interventions can improve health, we evaluated a school-based handwashing program...
- Outbreak of Serratia marcescens in a neonatal intensive care unit: contaminated unmedicated liquid soap and risk factorsS Buffet-Bataillon
Unité d Hygiène Hospitalière, Pôle Microorganismes, CHU Pontchaillou, Rennes, France
J Hosp Infect 72:17-22. 2009..Prompt intervention and strict adherence to alcoholic hand disinfection were the key factors that led to the successful control of this outbreak...
- Lapses in measures recommended for preventing hospital-acquired infectionP N Chandra
Neonatal Unit, Department of Paediatrics, Mahatma Gandhi Institute of Medical Sciences, Sevagram Wardha, 442 102, India
J Hosp Infect 47:218-22. 2001..Lapse in handwashing by healthcare personnel was observed around 41% of the time, although mothers practiced their instructions ..
- Hand hygiene: simple and complexP A Jumaa
Department of Medical Microbiology, Faculty of Medicine and Health Sciences, United Arab Emirates University, P O Box 17666, Al Ain, United Arab Emirates
Int J Infect Dis 9:3-14. 2005..Interventions to increase compliance with hand hygiene practices must be appropriate for different cultural and social needs. New strategies to promote hand hygiene worldwide include the formation of public-private partnerships...
- The effect of a soap promotion and hygiene education campaign on handwashing behaviour in rural India: a cluster randomised trialAdam Biran
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, WC1E 7HT, London, UK
Trop Med Int Health 14:1303-14. 2009To investigate the effectiveness of a hygiene promotion intervention based on germ awareness in increasing handwashing with soap on key occasions (after faecal contact and before eating) in rural Indian households.
- Influence of rub-in technique on required application time and hand coverage in hygienic hand disinfectionGunter Kampf
Bode Chemie GmbH and Co, KG, Scientific Affairs, Hamburg, Germany
BMC Infect Dis 8:149. 2008..Finally, all subjects were instructed to cover both hands completely, irrespective of any specific steps ("responsible application"). Each rub-in technique was evaluated for untreated skin areas...
- Evaluation of a pre-existing, 3-year household water treatment and handwashing intervention in rural GuatemalaBenjamin Arnold
Division of Epidemiology, University of California, Berkeley, CA 94720 7360, USA
Int J Epidemiol 38:1651-61. 2009The promotion of household water treatment and handwashing with soap has led to large reductions in child diarrhoea in randomized efficacy trials...
- Consumer antibacterial soaps: effective or just risky?Allison E Aiello
Department of Epidemiology and Center for Social Epidemiology and Population Health, University of Michigan, Ann Arbor, Ann Arbor, MI 48104 2548, USA
Clin Infect Dis 45:S137-47. 2007....
- Experimental pretesting of hand-washing interventions in a natural settingGaby Judah
London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT, UK
Am J Public Health 99:S405-11. 2009..We pretested interventions derived from different domains of behavior change theory to determine their effectiveness at increasing hand washing with soap in a natural setting...
- The Lowbury lecture: behaviour in infection controlD Pittet
Infection Control Programme, University of Geneva Hospitals, Geneva, Switzerland
J Hosp Infect 58:1-13. 2004....
- The First Global Patient Safety Challenge "Clean Care is Safer Care": from launch to current progress and achievementsBenedetta Allegranzi
First Global Patient Safety Challenge, WHO World Alliance for Patient Safety, World Health Organization, Geneva, Switzerland
J Hosp Infect 65:115-23. 2007..The latter are currently undergoing testing in several pilot sites to evaluate feasibility, acceptability and sustainability...
- Understanding adherence to hand hygiene recommendations: the theory of planned behaviorS J Henly
Division of Disease Prevention and Control, Minnesota Department of Health, USA
Am J Infect Control 29:352-60. 2001..The correlation between self-reported and observed adherence to handwashing recommendations was low (r = 0.21)...
- Determinants of handwashing practices in Kenya: the role of media exposure, poverty and infrastructureWolf Peter Schmidt
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
Trop Med Int Health 14:1534-41. 2009..To explore how structural constraints such as lack of reliable water supply, sanitation, educational and other socio-economic factors limit the adoption of better hygiene...
- Maternal and birth attendant hand washing and neonatal mortality in southern NepalVictor Rhee
Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205 2103, USA
Arch Pediatr Adolesc Med 162:603-8. 2008..More than 95% of neonatal deaths occur in developing countries, approximately 50% at home. Few data are available on the impact of hand-washing practices by birth attendants or caretakers on neonatal mortality...
- Comparing the performance of indicators of hand-washing practices in rural Indian householdsA Biran
London School of Hygiene and Tropical Medicine, London, UK
Trop Med Int Health 13:278-85. 2008....
- Discrepancy between self-reported and observed hand hygiene behaviour in healthcare professionalsE A Jenner
School of Nursing and Midwifery, University of Hertfordshire, Hatfield, UK
J Hosp Infect 63:418-22. 2006..The results suggest that hand hygiene interventions that target changes in attitudes, intentions or self-reported practice are likely to fail in terms of changing behaviour, and consideration is given to how this could be remedied...
- Preliminary analysis of the transmission dynamics of nosocomial infections: stochastic and management effectsB S Cooper
Department of Biological Sciences, University of Warwick, Coventry, UK
J Hosp Infect 43:131-47. 1999..Mathematical models can provide valuable insights into the non-linear interactions between a small number of processes, but for the very small populations found in hospital wards, a stochastic approach is essential...
- Effect of infection control measures on the frequency of upper respiratory infection in child care: a randomized, controlled trialL Roberts
National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
Pediatrics 105:738-42. 2000..We set out to discover whether transmission of respiratory infections in child care could be reduced by improved infection control procedures...
- Infection control as a major World Health Organization priority for developing countriesD Pittet
Infection Control Programme, University of Geneva Hospitals, Geneva, Switzerland
J Hosp Infect 68:285-92. 2008....
- Effect of education and performance feedback on handwashing: the benefit of administrative support in Argentinean hospitalsVictor Daniel Rosenthal
Department of Infectious Diseases and Hospital Epidemiology, Bernal Medical Center, Buenos Aires, Argentina
Am J Infect Control 31:85-92. 2003..Many peer-reviewed studies show that handwashing (HW) significantly reduces hospital infections and mortality...
- Findings from a household randomized controlled trial of hand washing and face masks to reduce influenza transmission in Bangkok, ThailandJames M Simmerman
International Emerging Infections Program, Thailand MOPH US CDC Collaboration, Nonthaburi, Thailand
Influenza Other Respir Viruses 5:256-67. 2011..Evidence is needed on the effectiveness of non-pharmaceutical interventions (NPIs) to reduce influenza transmission...
- The effect of handwashing with water or soap on bacterial contamination of handsMaxine Burton
Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK
Int J Environ Res Public Health 8:97-104. 2011b>Handwashing is thought to be effective for the prevention of transmission of diarrhoea pathogens...
- Alcohol-based handrub: evaluation of technique and microbiological efficacy with international infection control professionalsAndreas E Widmer
Division of Hospital Epidemiology, University of Basel Hospitals, Basel, Switzerland
Infect Control Hosp Epidemiol 25:207-9. 2004..The goal of this study was to evaluate the influence of technique on the efficacy of the alcohol-based handrub...
- Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 9. Washing and drying of hands to reduce microbial contaminationEwen C D Todd
Department of Advertising Public Relations and Retailing, Michigan State University, East Lansing, Michigan 48824, USA
J Food Prot 73:1937-55. 2010..The newer dryers with high-speed air blades can achieve dryness in 10 to 15 s without hand rubbing...
- Facemasks and hand hygiene to prevent influenza transmission in households: a cluster randomized trialBenjamin J Cowling
School of Public Health and University of Hong Kong, Cyberport 3, Pokfulam, Hong Kong SAR
Ann Intern Med 151:437-46. 2009..Few data are available about the effectiveness of nonpharmaceutical interventions for preventing influenza virus transmission...
- Essential health care package for children--the 'Fit for School' program in the PhilippinesBella Monse
Department of Education, Health and Nutrition Centre, Cagayan de Oro, Philippines, Philippines
Int Dent J 60:85-93. 2010..The programme is a partnership project between the Philippine Department of Education and the Local Government Units with support for capacity development activities from the German Development Cooperation and GlaxoSmithKline...
- Prevalence of preventive behaviors and associated factors during early phase of the H1N1 influenza epidemicJoseph T F Lau
Centre for Health Behaviours Research, School of Public Health and Primary Care Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
Am J Infect Control 38:374-80. 2010..The community plays an important role in controlling influenza A/H1N1. There is a dearth of data investigating adoption of preventive behaviors in the initial phase of the A/H1N1 pandemic...
- Liquid versus gel handrub formulation: a prospective intervention studyOusmane Traore
Infection Control Programme, University of Geneva Hospitals, 24 Rue Micheli du Crest, 1211 Geneva 14, Switzerland
Crit Care 11:R52. 2007..Alcohol-based handrub is the new standard for hand hygiene action worldwide and usually requires a system change for its successful introduction in routine care. Product acceptability by HCWs is a crucial step in this process...
- Variability in the Hawthorne effect with regard to hand hygiene performance in high- and low-performing inpatient care unitsErol Kohli
Dartmouth Institute for Health Policy and Clinical Practice, New Hampshire, USA
Infect Control Hosp Epidemiol 30:222-5. 2009..OBJECTIVE. To determine the impact of known observers on hand hygiene performance in inpatient care units with differing baseline levels of hand hygiene compliance...
- Frequency and duration of handwashing in an intensive care unitM Graham
Clinical Microbiology Department, Sir Charles Gairdner Hospital, Nedlands, Western Australia
Am J Infect Control 18:77-81. 1990..Increasing the accessibility of hand decontamination facilities did result in a slight increase in handwashing compliance.
- Limited impact of sustained simple feedback based on soap and paper towel consumption on the frequency of hand washing in an adult intensive care unitMarvin J Bittner
Section of Infectious Diseases, Veterans Affairs Medical Center, Omaha, Nebraska 68105 1873, USA
Infect Control Hosp Epidemiol 23:120-6. 2002..To determine whether hand washing would increase with sustained feedback based on measurements of soap and paper towel consumption...
- Factors influencing hand washing behaviour in primary schools: process evaluation within a randomized controlled trialCatherine R Chittleborough
School of Social and Community Medicine, University of Bristol, Bristol BS8 2PS, UK
Health Educ Res 27:1055-68. 2012..The effectiveness of educational interventions at improving hand hygiene in primary schools may be improved by changing priorities of staff and increasing accessibility to quality facilities...
- The COACH prompting system to assist older adults with dementia through handwashing: an efficacy studyAlex Mihailidis
Department of Occupational Science and Occupational Therapy, University of Toronto, 160 500 University Ave, Toronto, ON, M5G 1V7, Canada
BMC Geriatr 8:28. 2008..The device, called COACH, uses artificial intelligence to autonomously guide an older adult with dementia through the ADL using audio and/or audio-video prompts...
- A multifaceted approach to changing handwashing behaviorE L Larson
Georgetown University School of Nursing, Washington DC 20005, USA
Am J Infect Control 25:3-10. 1997BACKGROUND: Few interventions to influence handwashing have had measurable effects. This prospective quasi-experimental study was designed to address predisposing, enabling, and reinforcing factors to improve frequency of handwashing...
- Handwashing and gloving practice among health care workers in medical and surgical wards in a tertiary care centre in Riyadh, Saudi ArabiaMona M Basurrah
Shobra Primary Health Care Centre, Ministry of Health, The Department of Internal Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Scand J Infect Dis 38:620-4. 2006We evaluated the adherence to handwashing and gloving practice among health care workers (HCWs) in 5 medical and 5 surgical wards of a 1250-bed hospital in Riyadh...
- Helping hands: a cluster randomised trial to evaluate the effectiveness of two different strategies for promoting hand hygiene in hospital nursesAnita Huis
Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre Nijmegen, The Netherlands
Implement Sci 6:101. 2011..Yet, compliance rates are generally below 50% of all opportunities for hand hygiene. This study aims at evaluating the short- and long-term effects of two different strategies for promoting hand hygiene in hospital nurses...
- Measuring handwashing performance in health service audits and research studiesD J Gould
School of Nursing and Midwifery, City University, 24 Chiswell Street, London, UK
J Hosp Infect 66:109-15. 2007b>Handwashing is regarded as the most effective way of controlling healthcare-associated infection...
- Handwashing program for the prevention of nosocomial infections in a neonatal intensive care unitSau Pin Won
Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine No 7, Chung Shan South Road, Taipei, 100, Taiwan
Infect Control Hosp Epidemiol 25:742-6. 2004..To evaluate the effects of a hand hygiene program on compliance with hand hygiene and the rate of nosocomial infections in a neonatal intensive care unit (NICU)...
- Evidence-based model for hand transmission during patient care and the role of improved practicesDidier Pittet
Infection Control Programme, University of Geneva Hospitals, Geneva, Switzerland
Lancet Infect Dis 6:641-52. 2006..3) organisms must be capable of surviving on health-care workers' hands for at least several minutes; (4) handwashing or hand antisepsis by the health-care worker must be inadequate or omitted entirely, or the agent used for hand ..
- Preventing nosocomial infections: improving compliance with standard precautions in an Indonesian teaching hospitalD O Duerink
Department of Infectious Diseases, Leiden University Medical Centre, Leiden, The Netherlands
J Hosp Infect 64:36-43. 2006..Compliance with safe handling of needles improved slightly due to introduction of the one-handed method for safe recapping of used needles...
- Variability in hand contamination based on serial measurements: implications for assessment of hand-cleansing behavior and disease riskPavani K Ram
University at Buffalo, 3435 Main Street, Buffalo, NY 14221, USA
Am J Trop Med Hyg 84:510-6. 2011..Because hand contamination measured at random cannot reliably predict hand contamination at times of potential pathogen transmission, single random hand rinses are not valid proxy measures for handwashing behavior.
- Using peer feedback to improve handwashing and glove usage among Thai health care workersW Moongtui
Faculty of Nursing, Chiangmai University, Thailand
Am J Infect Control 28:365-9. 2000..The purpose of this study was to evaluate the effectiveness of a peer feedback program (PFP) on handwashing and glove wearing (HW/GW) among Thai health care workers...
- Effectiveness of alcohol-based hand rubs for removal of Clostridium difficile spores from handsUmair Jabbar
Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois, USA
Infect Control Hosp Epidemiol 31:565-70. 2010..Alcohol is not effective against Clostridium difficile spores. We examined the retention of C. difficile spores on the hands of volunteers after ABHR use and the subsequent transfer of these spores through physical contact...
- The impact of an education program on hand hygiene compliance and nosocomial infection incidence in an urban neonatal intensive care unit: an intervention study with before and after comparisonOnno K Helder
Department of Pediatrics, Division of Neonatology, Erasmus MC Sophia Children s Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands
Int J Nurs Stud 47:1245-52. 2010..Appropriate hand hygiene is singled out as the most important measure in preventing these infections. However, hand hygiene compliance among healthcare professionals remains low despite the well-known effect on infection reduction...
- Effectiveness of alcohol-based hand disinfectants in a public administration: impact on health and work performance related to acute respiratory symptoms and diarrhoeaNils Olaf Hübner
Institute of Hygiene and Environmental Medicine, Walter Rathenau Strasse 49 A 17487 Greifswald, Germany
BMC Infect Dis 10:250. 2010..Hand disinfection is acknowledged as key element for infection control, but its effect in open, work place settings is unclear...
- A double-blind, randomized study to assess the effectiveness of different moisturizers in preventing dermatitis induced by hand washing to simulate healthcare useC Williams
Skin Research Centre, University of Leeds, Leeds LS1 3EX, UK
Br J Dermatol 162:1088-92. 2010..However, irritant contact dermatitis of the hands as a result of repeated hand washing is a potential complication that may be preventable by the regular use of an emollient...
- Can intensive use of alcohol-based hand rubs lead to passive alcoholization?Vincent Bessonneau
Environment and Health Research Laboratory, French School of Public Health, Rennes, France
Int J Environ Res Public Health 7:3038-50. 2010..Thus, in order to answer the question posed in the title, studies on spatial and temporal variability of alcohol emission from ABHRs in real world situations and studies on certain high risk individuals are needed...
- Three kinds of psychological determinants for hand-washing behaviour in KenyaRobert Aunger
London School of Hygiene and Tropical Medicine, ITD, Keppel Street, London, United Kingdom
Soc Sci Med 70:383-91. 2010..We suggest that those developing hygiene promotion programmes should consider the possible existence of multiple types of strategies for increasing hand-washing behaviour...
- Measuring rates of hand hygiene adherence in the intensive care setting: a comparative study of direct observation, product usage, and electronic counting devicesAlexandre R Marra
Intensive Care Unit, Hospital Israelita Albert Einstein, Statistics Department, Instituto Israelita de Ensino e Pesquisa, Sao Paulo, Brazil
Infect Control Hosp Epidemiol 31:796-801. 2010..To compare 3 measures of hand hygiene adherence-direct observation, product usage, and electronic counting devices-in an intensive care unit...
- Ethyl glucuronide, ethyl sulfate, and ethanol in urine after sustained exposure to an ethanol-based hand sanitizerGary M Reisfield
Departments of Psychiatry, University of Florida College of Medicine, Gainesville, FL 32606, USA
J Anal Toxicol 35:85-91. 2011..Our data suggest that EtS may be an important complementary biomarker in distinguishing ethanol consumption from dermal exposure...
- Prompts for Handwashing with GelStephen Lane; Fiscal Year: 2003The aim of this study is to demonstrate the feasibility of an automated prompting device called Prompts for Handwashing with Gel (PHG)...
- Waterless hand sanitizer for diarrhea prevention in a humanitarian emergencyPavani Kalluri Ram; Fiscal Year: 2013..Repeatedly, handwashing has been shown to be infrequent at times relevant to pathogen transmission...
- Childhood Illness and Risk Perception: Opportunity to Improve HandwashingPavani Kalluri Ram; Fiscal Year: 2010..A meta-analysis of studies on handwashing with soap from low-, middle-, and high-income countries estimated a summary diarrhea risk reduction of 47%...
- NURSING INTERVENTIONS FOR PRESERVING MEALTIME BEHAVIORSSUZANNE VAN ORT; Fiscal Year: 1991..The chain of behaviors is comprised of units of activity that include handwashing in preparation for the meal, the eating or feeding activities themselves, toileting, handwashing and ..
- Prompts for Handwashing EffectivenessStephen Lane; Fiscal Year: 2003..The overall aim of this study is to demonstrate the efficacy of an automated prompting device called Prompts for Handwashing Effectiveness, which will increase the duration of handwashing at Biloxi Specialty Hospital in Biloxi, ..
- SURGERY SPACE ALTERATION AND RODENT MICROISOLATIONIAN HENTALL; Fiscal Year: 1992....
- NOSOCOMIAL INFECTION CONTROL THROUGH HANDWASHING PROMPTSStephen Lane; Fiscal Year: 2001..hand washing compliance and nosocomial infection rates as they are without any prompts, to determine baseline handwashing and infection rate. The test period will determine rates with prompts, to determine improvement in these...
- HOME HYGIENE INTERVENTIONElaine Larson; Fiscal Year: 2002..Logistic regression, Liang-Zeger regression, and Chi Square analyses will be used to test differences in rates of transmission of symptoms and changes in quantity, types and resistance patterns of microbial flora of the hands. ..
- Impact of Hand Hygiene Guideline on Infections and CostsElaine Larson; Fiscal Year: 2005..abstract_text> ..
- Stopping URIs and FLU in the Family: the Stuffy TrialElaine Larson; Fiscal Year: 2008....
- Interdisciplinary Research:Antimicrobial Resistance(RMI)Elaine Larson; Fiscal Year: 2006..In the final year, plans for a sustainable Consortium on antimicrobial resistance will be formalized. [unreadable] [unreadable]..
- Staff Hand Hygiene and Nosocomial Infections in NeonatesElaine Larson; Fiscal Year: 2003....
- Evalulation of Echinacea in a Human Rhinovirus ChallengeRonald Turner; Fiscal Year: 2003....
- Effectiveness of School Based Supervised Asthma TherapyLynn Gerald; Fiscal Year: 2006..Our long-term collaborative relationships and current work within our city school systems provide a strong foundation for this proposal. [unreadable] [unreadable]..
- Strategies for Group A Streptococcal PreventionGrace Lee; Fiscal Year: 2008..During her K Award, she hopes to establish herself as a multidisciplinary researcher in the fields of decision sciences, infectious disease modeling, and health policy. [unreadable] [unreadable]..
- Rural Trial of Clinic Order Entry with Decision SupportMatthew Samore; Fiscal Year: 2006..The cost impact of the intervention will be measured to allow a comprehensive assessment of the value of this HIT. [unreadable] [unreadable]..
- Incidence, risk factors, and consequences of neonatal hypothermia in NepalLUKE MULLANY; Fiscal Year: 2008..Examination of alternate cutoffs for defining hypothermia severity may improve design of low-cost technologies for identification and subsequent management of hypothermic infants in the community. [unreadable] [unreadable] [unreadable]..
- A randomized trial of influenza vaccination of Hutterite childrenMark Loeb; Fiscal Year: 2006..We believe that the trial we propose will lead to important data that can inform policy on influenza immunization strategy. [unreadable] [unreadable] [unreadable]..
- Randomized Study to Decrease Smoking in College StudentsBeti Thompson; Fiscal Year: 2004..Durability and dissemination of the program will be structured into the project. Departments of Health in Oregon and Washington are supporting this project and contributing in-kind resources. ..
- CESSATION IN HEAVY SMOKERS USING NRT AND ADJUVANT VIDEOBeti Thompson; Fiscal Year: 2001..With an anticipated difference of 10 percentage points between the two arms, a .05 level of significance, and 80 percent power, approximately 200 heavy smokers will need to be recruited to each arm of the study. ..
- Oral and Vaginal Microbes, Human Genotype, and Preterm BirthDawn P Misra; Fiscal Year: 2010..For this proposal we have the great advantage of exploring these hypotheses using already collected specimens and data as part of completed studies of preterm birth. ..
- Susceptibility Testing, Treatment Choices, and Outcomes of MDR-GNB InfectionsLisa Maragakis; Fiscal Year: 2009..This research is designed to better understand how providers use information from various microbiology laboratory testing methods to choose treatments and to identify strategies that lead to the best patient outcomes. ..
- Lethal synergism between influenza and pneumococcusJonathan McCullers; Fiscal Year: 2003....
- Promoting Mamography Usage with an Individualized Approach to Message FramingJohn Updegraff; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Influenza-pneumococcal synergism: role of neuraminidaseJonathan McCullers; Fiscal Year: 2004....
- COMMUNITY RANDOMIZED TRIAL OF HISPANIC CANCER PREVENTIONBeti Thompson; Fiscal Year: 2003..The sample sizes take into account intraclass correlation and are sufficient to examine differences among Hispanics as well as the entire Valley population. The analysis is based on intent to treat. ..
- Building Minority Cancer Research Capacity: NMSU & FHCRCBeti Thompson; Fiscal Year: 2006..This will be accomplished initially by conducting 5 pilot projects during the first three years of the grant with others to follow in years 4 and 5. ..
- Prevention of Healthcare-Associated Drug-Resistant GNRLisa Maragakis; Fiscal Year: 2006..Maragakis with the skills she needs to develop into an independent clinical investigator in epidemiologic research for the prevention of healthcare-associated infections. ..
- Infection Risk of Urinary Collection StrategiesSanjay Saint; Fiscal Year: 2006..Since approximately 40% of elderly Americans will enter a nursing home at some point, identification of those at risk of infection could have considerable health, quality of life, and economic consequences. ..
- 3rd Orthomyxoviruses Research ConferenceJonathan McCullers; Fiscal Year: 2005..The purpose of this proposal is to provide funds that will allow promising young investigators to interact with their peers and develop a commitment to this area of research. ..
- Device use in Nursing Homes: Reducing Risk of InfectionLona Mody; Fiscal Year: 2007..abstract_text> ..
- Evaluation of Traumatic Injuries in HCV During SurgeryDENISE KORNIEWICZ; Fiscal Year: 2004..Multivariate analysis will be conducted and logistic regression to determine the factors predictive of needlestick/sharp injuries to OR personnel. ..
- Synergism Between Influenza Virus and PneumococcusJonathan McCullers; Fiscal Year: 2009....
- 2nd Orthomyxoviruses Research ConferenceJonathan McCullers; Fiscal Year: 2003..The purpose of this proposal is to provide funds that will allow promising young investigators to interact with their peers and develop a commitment to this area of research. ..
- co-Trimoxazole in Zambian Infants (TZI)CHRISTOPHER GILL; Fiscal Year: 2007..abstract_text> ..
- GBS: Epidemiologic Characterization for Gene DiscoveryBetsy Foxman; Fiscal Year: 2007..A better understanding of the molecular epidemiology and the identification of new GBS virulence genes will facilitate the discover of new therapies and prevention strategies for GBS disease. ..