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A hand hygiene intervention to reduce infections in child daycare: a randomized controlled trial.
- Source :
-
Epidemiology and infection [Epidemiol Infect] 2015 Sep; Vol. 143 (12), pp. 2494-502. Date of Electronic Publication: 2015 Jan 08. - Publication Year :
- 2015
-
Abstract
- Infections are common in children attending daycare centres (DCCs). We evaluated the effect of a hand hygiene (HH) intervention for caregivers on the incidence of gastrointestinal and respiratory infections in children. The intervention was evaluated in a two-arm cluster randomized controlled trial. Thirty-six DCCs received the intervention including HH products, training sessions, and posters/stickers. Thirty-five control DCCs continued usual practice. Incidence of episodes of diarrhoea and the common cold in children was monitored by parents during 6 months. Using multilevel Poisson regression, incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were obtained. Diarrhoeal incidence was monitored in 545 children for 91 937 days. During follow-up, the incidence was 3·0 episodes per child-year in intervention DCCs vs. 3·4 in control DCCs (IRR 0·90, 95% CI 0·73-1·11). Incidence of the common cold was monitored in 541 children for 91 373 days. During follow-up, the incidence was 8·2 episodes per child-year in intervention DCCs vs. 7·4 in control DCCs (IRR 1·07, 95% CI 0·97-1·19). In this study, no evidence for an effect of the intervention was demonstrated on the incidence of episodes of diarrhoea and the common cold.
- Subjects :
- Child, Preschool
Common Cold epidemiology
Diarrhea epidemiology
Diarrhea microbiology
Female
Follow-Up Studies
Gastrointestinal Diseases epidemiology
Gastrointestinal Diseases microbiology
Humans
Incidence
Infant
Infant, Newborn
Male
Child Day Care Centers
Common Cold prevention & control
Diarrhea prevention & control
Gastrointestinal Diseases prevention & control
Hand Hygiene
Subjects
Details
- Language :
- English
- ISSN :
- 1469-4409
- Volume :
- 143
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Epidemiology and infection
- Publication Type :
- Academic Journal
- Accession number :
- 25566827
- Full Text :
- https://doi.org/10.1017/S095026881400329X