ArticlePloS one2011
Effectiveness and limitations of hand hygiene promotion on decreasing healthcare-associated infections.
Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07280026 (Effectiveness of an Edge AI-based Augmented Reality System for Hand Hygiene Training), which is not on this map. Cited by 45 papers, 6 of them syntheses that pooled 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.
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.
Effectiveness of an Edge AI-based Augmented Reality System for Hand Hygiene Training: a Multi-centre, Mixed-methods Cluster Randomised Controlled Trial
Who cites it
45 citing papers in PubMed, 6 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- Hand hygiene practices for prevention of health care-associated infections associated with admitted infectious patients in the emergency department: a systematic review.Irish journal of medical science · 2023Pooled it
- Hand-hygiene-related clinical trials reported between 2014 and 2020: a comprehensive systematic review.The Journal of hospital infection · 2021Pooled it
- Healthcare-associated infections in intensive care units in Taiwan, South Korea, and Japan: recent trends based on national surveillance reports.Antimicrobial resistance and infection control · 2018Pooled it
- Interventions to improve hand hygiene compliance in patient care.The Cochrane database of systematic reviews · 2017Pooled it
- Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review.PloS one · 2016Pooled it
- epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England.The Journal of hospital infection · 2014Guideline
- Hand and environmental hygiene: respective roles for MRSA, multi-resistant gram negatives, Clostridioides difficile, and Candida spp.Antimicrobial resistance and infection control · 2024Review
- Rinse, gel, and foam - is there any evidence for a difference in their effectiveness in preventing infections?Antimicrobial resistance and infection control · 2024Review
- Ten years of hand hygiene excellence: a summary of outcomes, and a comparison of indicators, from award-winning hospitals worldwide.Antimicrobial resistance and infection control · 2024Article
- Prevalence of methicillin sensitive and resistant Staphylococcus aureus carriage among German emergency medical providers.GMS hygiene and infection control · 2024Article
- Hand Hygiene and Antimicrobial Resistance in the COVID-19 Era: An Observational Study.Antibiotics (Basel, Switzerland) · 2023Article
- Cost-effectiveness analysis of a hand hygiene monitoring system in a tertiary pediatric hospital in Mexico.Frontiers in public health · 2023Review
- Nursing strategies for the mechanically ventilated patient.Frontiers in veterinary science · 2023Review
- Predictors of Compliance to Hand Hygiene among Health Care Workers in Rwanda.Rwanda journal of medicine and health sciences · 2022Article
- Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019.The Lancet. Infectious diseases · 2022Article
- Hand hygiene compliance and its associated factors among health care providers in primary hospitals of Waghimira Zone, Northeast Ethiopia: a mixed study design.Antimicrobial resistance and infection control · 2022Article
- Compliance to hand hygiene and its determinant factors among Community Health Care Providers in Community Clinics: an observational study in Bangladesh.Journal of infection prevention · 2022Article
- Patient Safety in Anesthesia: Hand Hygiene and Perioperative Infection Control.Current anesthesiology reports · 2022Review
- Perform hand hygiene and the doors will open - the effectiveness of new system implementation on paediatric intensive care unit visitors' handwashing compliance.Epidemiology and infection · 2021Article
- COVID-19 Lesson for Respiratory Syncytial Virus (RSV): Hygiene Works.Children (Basel, Switzerland) · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLimited data describe the sustained impact of hand hygiene programs (HHPs) implemented in teaching hospitals, where the burden of healthcare-associated infections (HAIs) is high. We use a quasi-experimental, before and after, study design with prospective hospital-wide surveillance of HAIs to assess the cost effectiveness of HHPs. METHODS AND
findingsA 4-year hospital-wide HHP, with particular emphasis on using an alcohol-based hand rub, was implemented in April 2004 at a 2,200-bed teaching hospital in Taiwan. Compliance was measured by direct observation and the use of hand rub products. Poisson regression analyses were employed to evaluate the densities and trends of HAIs during the preintervention (January 1999 to March 2004) and intervention (April 2004 to December 2007) periods. The economic impact was estimated based on a case-control study in Taiwan. We observed 8,420 opportunities for hand hygiene during the study period. Compliance improved from 43.3% in April 2004 to 95.6% in 2007 (p<.001), and was closely correlated with increased consumption of the alcohol-based hand rub (r = 0.9399). The disease severity score (Charlson comorbidity index) increased (p = .002) during the intervention period. Nevertheless, we observed an 8.9% decrease in HAIs and a decline in the occurrence of bloodstream, methicillin-resistant Staphylococcus aureus, extensively drug-resistant Acinetobacter baumannii, and intensive care unit infections. The intervention had no discernable impact on HAI rates in the hematology/oncology wards. The net benefit of the HHP was US$5,289,364, and the benefit-cost ratio was 23.7 with a 3% discount rate.
conclusionsImplementation of a HHP reduces preventable HAIs and is cost effective.
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Registered trials
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.