Improving Children’s and Their Visitors’ Hand Hygiene Compliance

Lary, D; Calvert, Aaron; Nerlich, Brigitte; Segal, Joel; Vaughan, Natalie; Randle, Jacqueline; Hardie, Kim R.

doi:10.1101/355818

Cited by 2 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is critical to improve the professional prevention and control knowledge of the paediatric patients' family and caregivers. Lary et al[ 21 ] showed that health education can improve the implementation rate of children’s hand hygiene, which is consistent with the results in our study[ 21 ]. Further investigation is needed on how to improve other professional prevention and control measures.…”

Section: Discussionsupporting

confidence: 93%

Home quarantine compliance is low in children with fever during COVID-19 epidemic

Lou

Wang

et al. 2020

WJCC

View full text Add to dashboard Cite

BACKGROUND The coronavirus disease 2019 (COVID-19) outbreak began in China at the end of 2019. The disease is highly infectious. In order to prevent and control the epidemic situation, the state has issued a series of measures to guide the prevention and control of the epidemic. At the same time, it also introduced the measure of home isolation for children with fever. However, due to the nature of children, the implementation of the home isolation turned out to be quite difficult, and questions regarding the home isolation were brought out by parents when seeing doctors. For this reason, we decided to conduct this study. AIM To study factors that influence home quarantine compliance in children with fever during the COVID-19 epidemic. METHODS A total of 495 paediatric patients with respiratory tract infection and fever were selected from the general fever clinic at Xiamen Children’s Hospital from February 6-27, 2020. On day 8 after the hospital visit, follow-up was conducted by telephone to evaluate the compliance of home quarantine. RESULTS Among the ten quarantine measures, the proportion of families adhering to keeping 1.5 m distance, proper hand hygiene, wearing masks at home, and proper cough etiquette was very low (< 30% for each measure). Our analysis showed that compliance was related to gender and age of children, gender and age of primary caregiver, number of children in the family, and intensity of information on quarantine measures. We observed that compliance increased with the age of children. Compared with children whose caregivers were young adults, children with elderly caregivers were 2.461 times more likely to show poor compliance. Furthermore, children who received intensive information on quarantine measures had significantly better compliance. CONCLUSION Compliance of children with fever to quarantine measures at home is low during the COVID-19 epidemic. Strengthening education on the quarantine measures is critical to improve compliance, in particular in young children with elderly caregivers.

show abstract

Section: Discussionsupporting

confidence: 93%

Home quarantine compliance is low in children with fever during COVID-19 epidemic

Lou

Wang

et al. 2020

WJCC

View full text Add to dashboard Cite

show abstract

“…The study by Lary et al 14 is also at moderate risk of bias. Although the cluster randomized design was strong, minimal information was provided with respect to allocation procedures, baseline characteristics of participants, and potential for contamination.…”

Section: Risk Of Biasmentioning

confidence: 94%

“…Lary et al 14 implemented a cluster randomized controlled trial at a children's hospital in the United Kingdom. Six wards were randomized to one of two interventions or control.…”

Section: Studies Reporting Patient Hand Hygiene Ratesmentioning

confidence: 99%

Interventions to improve patient hand hygiene: a systematic review

Srigley

Furness

Gardam

2016

Journal of Hospital Infection

View full text Add to dashboard Cite

Nosocomial pathogens may be acquired by patients via their own unclean hands, but there has been relatively little emphasis on patient hand hygiene as a tool for preventing healthcare-associated infections (HCAIs). The aim of this systematic review was to determine the efficacy of patient hand hygiene interventions in reducing HCAIs and improving patient hand hygiene rates compared to usual care. Electronic databases and grey literature were searched to August 2014. Experimental and quasi-experimental studies were included if they evaluated a patient hand hygiene intervention conducted in an acute or chronic healthcare facility and included HCAI incidence and/or patient hand hygiene rates as an outcome. All steps were performed independently by two investigators. Ten studies were included, most of which were uncontrolled before-after studies (N=8). The majority of interventions (N=7) were multi-modal, with components similar to healthcare worker hand hygiene programmes, including education, reminders, audit and feedback, and provision of hand hygiene products. Six studies reported HCAI outcomes and four studies assessed patient hand hygiene rates; all demonstrated improvements but were at moderate to high risk of bias. In conclusion, interventions to improve patient hand hygiene may reduce the incidence of HCAIs and improve hand hygiene rates, but the quality of evidence is low. Future studies should use stronger designs and be more selective in their choice of outcomes.

show abstract

Improving Children’s and Their Visitors’ Hand Hygiene Compliance

Cited by 2 publications

References 18 publications

Home quarantine compliance is low in children with fever during COVID-19 epidemic

Home quarantine compliance is low in children with fever during COVID-19 epidemic

Interventions to improve patient hand hygiene: a systematic review

Contact Info

Product

Resources

About