Evidence map›Paper›PMID 17279223›Full record

ArticleCanadian family physician Medecin de famille canadien2006

Promoting best practices for control of respiratory infections: collaboration between primary care and public health services.

William Hogg, Patricia Huston, Carmel Martin, Raphael Saginur, Adriana Newbury, Eileen Vilis, Enrique Soto

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Strengthening the integration of primary care in pandemic response plans: a qualitative interview study of Canadian family physicians.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. [Recherchée : une meilleure formation en santé publique pour les médecins de famille].Canadian family physician Medecin de famille canadien · 2016
    Article
  11. Wanted: better public health training for family physicians.Canadian family physician Medecin de famille canadien · 2016
    Article
  12. Article
  13. The issue of public health.Canadian family physician Medecin de famille canadien · 2009
    Article
  14. Article
  15. Integrating public health and primary care.Healthcare policy = Politiques de sante · 2007
    Article
  16. Controlling droplet-transmitted respiratory infections: best practices and cost.Canadian family physician Medecin de famille canadien · 2006
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

William HoggDepartment of Family Medicine, University of Ottawa, Ontario, Canada. whogg@uottawa.ca
Patricia Huston
Carmel Martin
Raphael Saginur
Adriana Newbury
Eileen Vilis
Enrique Soto
University of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effectiveness of a short-term intervention to promote best practices for control of respiratory infections in primary care physicians' offices.

designBefore-after observational study.

settingFamily physicians' offices in Ottawa, Ont.

participantsGeneral practitioners and office staff.

interventionsFour infection-control practices (use of masks, alcohol-based hand gel, and signs, and asking patients to sit at least 1 m apart in the waiting room) were observed, and 2 reported infection-control practices (disinfecting surfaces and use of hand-gel dispensers in examining rooms) were audited before the intervention and 6 weeks after the intervention.

main outcome measuresPercentage of patients asked to use masks and alcohol-based hand gel, number of relevant signs, and percentage of patients asked to sit at least 1 m away from other patients. Percentage of surfaces disinfected and percentage of physicians using hand-gel dispensers in examining rooms.

resultsOf 242 practices invited, 53 agreed to participate (22% response rate), and within those practices, 143/151 (95%) physicians participated. Signs regarding respiratory infection control measures increased from 15.4% to 81.1% following the intervention (P < .001). At least 1 patient with cough and fever was given a mask in 17% of practices before the intervention; during the observation period after the intervention, at least 1 patient was given a mask in 66.7% of practices (P < .001). Patients were instructed to use alcohol-based hand gel in 24.5% of practices before the intervention and in 79.2% of practices after it (P < .001). Instruction to sit at least 1 m from others in the waiting area was given in 39.6% of practices before the intervention and in 52.8% of practices following the intervention (P < .001). Before the intervention, the percentage of practices using all 4 audited primary prevention measures was 3.8%; after the intervention, 52.8% of practices were using them (P < .001), demonstrating a 49% increase in adoption of best practices.

conclusionA multifaceted intervention by public health nurses successfully promoted best practices for control of respiratory infections in primary care offices. Collaboration between public health services and primary care can promote best practices and warrants further study and development in areas of common interest.

Indexed as

AlcoholsCanadaFamily PracticeFemaleGelsHand DisinfectionHealth Care SurveysHumansInfection ControlInterprofessional RelationsMaleMasksOffice VisitsPatient Education as TopicPhysicians' OfficesPrimary PreventionAlcoholsGels

Identifiers

PMID17279223
PMCPMC1783740
OpenAlexW2128647487

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.