Evidence map›Paper›PMID 14996673›Full record

Trial reportAnnals of internal medicine2004

Effect of antibacterial home cleaning and handwashing products on infectious disease symptoms: a randomized, double-blind trial.

Elaine L Larson, Susan X Lin, Cabilia Gomez-Pichardo, Phyllis Della-Latta

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 8 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 8 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Hand-washing promotion for preventing diarrhoea.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Pooled it
  4. Hand washing promotion for preventing diarrhoea.The Cochrane database of systematic reviews · 2015
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Antibacterial cleaning products and drug resistance.Emerging infectious diseases · 2005
    Trial
  15. Trial
  16. Trial
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Elaine L LarsonColumbia University and Columbia University Medical Center, New York, New York 10032, USA. ELL23@Columbia.edu
Susan X Lin
Cabilia Gomez-Pichardo
Phyllis Della-Latta
Columbia University Irving Medical Center · US

Funding

HOME HYGIENE INTERVENTION (COMPETING SUPPLEMENT)R01NR005251 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LARSON, ELAINE LUCILLE · 2000 to 2002
$799k
NINR NIH HHS 1 R01 NR05251NINR NIH HHS R01 NR005251
6 · The paper itself

Abstract

backgroundDespite the widespread household use of cleaning and personal hygiene products containing antibacterial ingredients, their effects on the incidence of infectious disease symptoms have not been studied.

objectiveTo evaluate the effect of antibacterial cleaning and handwashing products for consumers on the occurrence of infectious disease symptoms in households.

designRandomized, double-blind clinical trial.

settingNorthern Manhattan inner-city neighborhood, New York.

participants238 primarily Hispanic households (1178 persons) that included at least one preschool-age child.

interventionsHouseholds were randomly assigned to use either antibacterial or nonantibacterial products for general cleaning, laundry, and handwashing. All products were commercially available, but the packaging was blinded and the products were provided free to participants. MEASUREMENTS: Hygiene practices and infectious disease symptoms were monitored by weekly telephone calls, monthly home visits, and quarterly interviews for 48 weeks.

resultsSymptoms were primarily respiratory: During 26.2% (717 of 2736) of household-months, 23.3% (640 of 2737) of household-months, and 10.2% (278 of 2737) of household-months, one or more members of the household had a runny nose, cough, or sore throat, respectively. Fever was present during 11% (301 of 2737) of household-months, vomiting was present in 2.2% (61 of 2737), diarrhea was present in 2.5% (69 of 2737), and boils or conjunctivitis were present in 0.77% (21 of 2737). Differences between intervention and control groups were not significant for any symptoms (all unadjusted and adjusted relative risks included 1.0) or for numbers of symptoms (overall incidence density ratio, 0.96 [95% CI, 0.82 to 1.12]).

conclusionsThe tested antibacterial products did not reduce the risk for symptoms of viral infectious diseases in households that included essentially healthy persons. This does not preclude the potential contribution of these products to reducing symptoms of bacterial diseases in the home.

Indexed as

Hand DisinfectionHousehold ProductsAdolescentAdultAnti-Bacterial AgentsBacterial InfectionsChildChild, PreschoolDouble-Blind MethodFemaleHumansInfantInfant, NewbornInfection ControlMaleMiddle AgedAnti-Bacterial Agents

Identifiers

PMID14996673
PMCPMC2082058
OpenAlexW1979025446

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.