Alcohol-based hand-disinfection reduced children's absence from Swedish day care centers (original) (raw)
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Effectiveness of a Hand Hygiene Program at Child Care Centers: A Cluster Randomized Trial
Pediatrics, 2018
OBJECTIVES: Respiratory infections (RIs) are an important cause of morbidity and excessive antibiotic prescriptions in children attending day care centers (DCCs). We aimed to assess the effectiveness of an educational and hand hygiene program in DCCs and homes in reducing RI incidence and antibiotic prescriptions in children. METHODS: A cluster, randomized, controlled, and open study of 911 children aged 0 to 3 years attending 24 DCCs in Almería (Spain) with an 8-month follow-up. Two intervention groups of DCC families performed educational and hand hygiene measures, 1 with soap and water (SWG; n = 274), another with hand sanitizer (HSG; n = 339), and the control group (CG; n = 298) followed usual hand-washing procedures. RI episode rates were compared through multilevel Poisson regression models. The percentage of days missed were compared with Poisson exact tests. RESULTS: There were 5211 RI episodes registered. Children in the HSG had less risk of RI episodes (incidence rate rati...
Infection prevention at day-care centres: Feasibility and possible effects of intervention
Scandinavian Journal of Primary Health Care, 2006
Objective. To study the effect of an educationally oriented intervention programme, with the recommendations from the National Board of Health and Welfare as a base. Design. A prospective intervention study. Setting. Six day-care centres in Växjö, Sweden. Three centres comprised the intervention group and three constituted the control group. Subjects and main outcome measures. The parents and personnel completed a questionnaire on their views concerning information about infectious diseases. During a nine-month period, parents of all children reported every episode of absence, the number of days absent, the cause of absence, and any contact with doctors or prescription of antibiotics. Results. The guidelines were implementable in routine child day-care. Parents found regular information valuable and felt better informed about infectious diseases. Multilevel analyses showed no statistically significant results of the intervention. ''Infection-prone'' children had more sickness absence, doctor's consultations, and antibiotic prescriptions than those not ''infectionprone''. Conclusion. It is possible to implement an educationally oriented intervention programme directed against infectious diseases in child day-care. No significant effect of the intervention was found, which is why a larger intervention study is needed.
Sickness absence in daycare and reported hygiene routines
Primary Health Care Research & Development, 2010
The aim of the study was to evaluate the impact of hygiene routines and characteristics of the daycare centre (DCC) on sickness absence in preschool children. Background: In Sweden most children attend daycare outside home during daytime. Daycare outside home results in cognitive and social gains for the children, but it also increases the risk of infectious symptoms. About 17%-30% of the respiratory tract infections in preschool children are due to the daycare stay. Factors of importance for sickness absence in DCC have been studied earlier but no study has had a broader focus on routines and daycare characteristics at the same. Methods: In 2003-2004 a national sample of 138 DCCs were visited by a study nurses who assisted in filling in a questionnaire on hygiene routines and daycare characteristics. Thereafter the DCC reported sickness absence on group level during two weeks in the autumn and two weeks in the spring. Findings: Sickness absence was about 10% both in the autumn and in the spring. Only about 10% of the DCC had written rules about hand washing in children but almost all had unwritten rules. More than 50 children at the DCC and no regular contact with the child health centres were found to be of significant importance for sickness absence using a multiple logistic regression model.
Improving hand hygiene compliance in child daycare centres: a randomized controlled trial
SUMMARY Gastrointestinal and respiratory infections in children attending daycare centres (DCCs) are common and compliance with hand hygiene (HH) guidelines to prevent infections is generally low. An intervention was developed to increase HH compliance and reduce infections in DCCs. The objective of this paper was to evaluate the effectiveness of this intervention on HH compliance. The intervention was evaluated in a two-arm cluster randomized controlled trial in 71 DCCs in The Netherlands. Thirty-six DCCs received the intervention including: (1) HH products; (2) training about HH guidelines; (3) two team training sessions aimed at goal setting and formulating HH improvement activities; and (4) reminders and cues for action (posters/ stickers). Intervention DCCs were compared to 35 control DCCs that continued usual practice. HH compliance of caregivers and children was observed at baseline and at 1, 3 and 6 months follow-up. Using multilevel logistic regression, odds ratios (ORs) with 95% confidence intervals (CIs) were obtained for the intervention effect. Of 795 caregivers, 5042 HH opportunities for caregivers and 5606 opportunities for supervising children's HH were observed. At 1 month follow-up caregivers' compliance in intervention DCCs was 66% vs. 43% in control DCCs (OR 6·33, 95% CI 3·71–10·80), and at 6 months 59% vs. 44% (OR 4·13, 95% CI 2·33–7·32). No effect of the intervention was found on supervising children's HH (36% vs. 32%; OR 0·64, 95% CI 0·18–2·33). In conclusion, HH compliance of caregivers increased due to the intervention, therefore dissemination of the intervention can be considered.
2021
The risk of infection experienced by children (age < 5 years) who do not wash their hands properly becomes a serious threat to the health. Purpose: The study aims to explain handwashing interventions in child care facilities against the risk of infection. A systematic review was obtained from Scopus, PubMed, Science Direct, SAGE and ProQuest database, published between 2010-2020. The study design; Narrative analysis of the study's findings has been conducted. A total of 25 studies covered about comprehensive handwashing interventions (n=18) and behavior (n=7). The average number of participants more than one hundred respondents. Dealing with hand washing is essential in first aid to prevent the risk of infection in children aged < 5 years. Various interventions can have a significant effect on reducing the risk of infection although other interventions provide different successes.
World Journal of Pediatrics
Background Absenteeism amongst preschool children is often due to illnesses such as hand, foot, and mouth disease, acute gastroenteritis, cold and flu, which are easily spread amongst them. This is because of weak immunity and lack of knowledge on proper hand hygiene. This quasi-experimental study assessed the efficacy of an intervention consisting of a hand hygiene education programme, along with digital tools in bringing about a change in behaviour and health conditions amongst preschool children in Klang Valley, Malaysia. Methods A total of 377 school children, male and female, aged 5-6 years old, participated and were assigned to either the intervention or a control group. During the 2 months intervention period, children in the test group were trained on proper hand hygiene practices and techniques with the aid of the interactive android-based tablets. The numbers of absent days of all the children were recorded for 2 months before the intervention and during the intervention. Results In the test group, there was a 25% increase in the total number of absent days from the pre-intervention period to the intervention period, a much lesser increment observed as compared to that of control group in which the increase was much higher at 89%. Results showed a significant difference (P < 0•05) between the absenteeism rates for the test and control group during the intervention period. Conclusion These results suggest that proper education and intervention increase hand hygiene compliance, which may help decrease school absenteeism due to illness; however, a longer study duration may be necessary to evaluate the benefit further.
Infectious Disease Burden Related to Child Day Care in The Netherlands
The Pediatric Infectious Disease Journal, 2013
Background:Studying day care-associated infectiousdisease dynamics aids in formulating evidence-based guidelines for disease control, thereby supporting day care centers in their continuous efforts to provide their child population with a safe and hygienic environment. The objective of this study was to estimate the (excess)infectious disease burdenrelated to child day care attendance in the Netherlands.