2005
DOI: 10.1542/peds.2005-0199
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A Randomized, Controlled Trial of a Multifaceted Intervention Including Alcohol-Based Hand Sanitizer and Hand-Hygiene Education to Reduce Illness Transmission in the Home

Abstract: A multifactorial intervention emphasizing alcohol-based hand sanitizer use in the home reduced transmission of GI illnesses within families with children in child care. Hand sanitizers and multifaceted educational messages may have a role in improving hand-hygiene practices within the home setting.

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Cited by 142 publications
(103 citation statements)
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“…3,[14][15][16][17] Home-based hand sanitizer interventions have also been found to reduce respiratory and gastrointestinal illness transmission among households with children enrolled in daycare. 18,19 Alcohol-based hand sanitizers have limited efficacy against some enteric pathogens, such as the sporeforming bacteria Clostridium difficile and Norwalk virus. 20,21 However, because of its broad effectiveness, proven improved disinfection capabilities over plain soap, and ease of use, the World Health Organization (WHO) now recommends alcoholbased hand sanitizer as the preferred hand cleaning method for most clinical situations in healthcare facilities around the world.…”
Section: Introductionmentioning
confidence: 99%
“…3,[14][15][16][17] Home-based hand sanitizer interventions have also been found to reduce respiratory and gastrointestinal illness transmission among households with children enrolled in daycare. 18,19 Alcohol-based hand sanitizers have limited efficacy against some enteric pathogens, such as the sporeforming bacteria Clostridium difficile and Norwalk virus. 20,21 However, because of its broad effectiveness, proven improved disinfection capabilities over plain soap, and ease of use, the World Health Organization (WHO) now recommends alcoholbased hand sanitizer as the preferred hand cleaning method for most clinical situations in healthcare facilities around the world.…”
Section: Introductionmentioning
confidence: 99%
“…Other studies have shown the benefits of effective hand sanitation including reducing the spread of diarrhea and gastrointestinal illnesses by almost 50% (Hilburn et al, 2003;Sandora et al, 2005). Commercial hand sanitizers, which generally contain 60% to 70% ethanol or isopropanol, are one of the most effective agents for reducing the number of viable pathogens on the hands even with artificial fingernails (Guilhermetti, Hernandes, Fukushigue, Garcia, & Cardoso, 2001;McNeil, Foster, Hedderwick, & Kauffman, 2001;Rotter, 1999).…”
Section: Hand Sanitizer History and Efficacymentioning
confidence: 99%
“…According to the CDC (2009), Larson (1995), and the World Health Organization (2009) simple hand washing is one of the most effective methods to prevent the spread of infectious diseases. Numerous studies have indicated a strong and consistent association between personal hand hygiene and reduced gastrointestinal disease, respiratory illness, and absenteeism among working personnel (Butz, Larson, Fosarelli, & Yolken, 1990;CDC, 2011;Hall, Wikswo, Pringle, Gould, & Parashar, 2014;Sandora et al, 2005).…”
Section: Chapter 1 -Introductionmentioning
confidence: 99%
“…666,705,740,809 It is important to emphasize that educational programmes alone are inadequate for long-lasting improvement, and other behaviourmodifying strategies must be included in a multifaceted approach in order to achieve change. 657,684,701,750,767,809,815,816 There is also clear evidence that adequate physical facilities for hand cleansing could affect the success of the programme itself and must certainly be in place. 335,810,817 However, these considerations do not negate the critical role of the formal education programme for achieving better adherence to hand hygiene.…”
Section: Organizing An Educational Programme To Promote Hand Hygienementioning
confidence: 99%
“…429,489,645,735 The beneficial effects of hand hygiene promotion on the risk of cross-transmission have also been reported in surveys conducted in schools or day-care centres, 454,[891][892][893][894][895][896] as well as in community settings. 248,249,449,754,815,830,[897][898][899][900] While none of the studies conducted in the health-care setting represented randomized controlled trials, they provide substantial evidence that increased hand hygiene compliance is associated with reduced HCAI rates. Indeed, only very few studies concluded that hand hygiene promotion had no impact on HCAI.…”
Section: Impact Of Improved Hand Hygienementioning
confidence: 99%