Evidence map›Paper›PMID 22243622›Full record

Trial reportTrials2012

Hand washing with soap and water together with behavioural recommendations prevents infections in common work environment: an open cluster-randomized trial.

Carita Savolainen-Kopra, Jaason Haapakoski, Piia A Peltola, Thedi Ziegler, Terttu Korpela, Pirjo Anttila, Ali Amiryousefi, Pentti Huovinen, Markku Huvinen, Heikki Noronen and 6 more

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 30 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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.

NCT00981877 nacompletednot on this map

Probiotics in the Management of Acute Rotavirus Diarrhea in Bolivian Children: Randomized Double-blind, Controlled Trial Using Two Different Preparations

TypeinterventionalSponsorCentro Pediatrico Albina de PatinoRan2007 to 2008Enrolled76ConditionsDiarrhea, Rotavirus InfectionArmsGB (Florestor), GRALB, GC (placebo)
NCT03454009 nacompletednot on this mapstarted 2018, after this paper: background citation

Kent State University / Price Chopper Wellness Promotion Study

TypeinterventionalSponsorKent State UniversityRan2018 to 2018Enrolled195ConditionsAcute Respiratory Infection, Influenza-like Illness, Gastrointestinal InfectionArmsMultimodal hygiene intervention
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  5. A Systematic Review for Effective Preventive Public Education of Respiratory Infection.International journal of environmental research and public health · 2021
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  6. Hand-washing promotion for preventing diarrhoea.The Cochrane database of systematic reviews · 2021
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  8. Hand washing promotion for preventing diarrhoea.The Cochrane database of systematic reviews · 2015
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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

16 authors.

Carita Savolainen-KopraNational Institute for Health and Welfare (THL), Department of Infectious Disease Surveillance and Control, Intestinal Viruses Unit, PO Box 30, FIN-00271 Helsinki, Finland. carita.savolainen-kopra@thl.fi
Jaason Haapakoski
Piia A Peltola
Thedi Ziegler
Terttu Korpela
Pirjo Anttila
Ali Amiryousefi
Pentti Huovinen
Markku Huvinen
Heikki Noronen
Pia Riikkala
Merja Roivainen
Petri Ruutu
Juha Teirilä
Erkki Vartiainen
Tapani Hovi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHand hygiene is considered as an important means of infection control. We explored whether guided hand hygiene together with transmission-limiting behaviour reduces infection episodes and lost days of work in a common work environment in an open cluster-randomized 3-arm intervention trial.

methodsA total of 21 clusters (683 persons) were randomized to implement hand hygiene with soap and water (257 persons), with alcohol-based hand rub (202 persons), or to serve as a control (224 persons). Participants in both intervention arms also received standardized instructions on how to limit the transmission of infections. The intervention period (16 months) included the emergence of the 2009 influenza pandemic and the subsequent national hand hygiene campaign influencing also the control arm.

resultsIn the total follow-up period there was a 6.7% reduction of infection episodes in the soap-and water arm (p = 0.04). Before the onset of the anti-pandemic campaign, a statistically significant (p = 0.002) difference in the mean occurrence of infection episodes was observed between the control (6.0 per year) and the soap-and-water arm (5.0 per year) but not between the control and the alcohol-rub arm (5.6 per year). Neither intervention had a decreasing effect on absence from work.

conclusionsWe conclude that intensified hand hygiene using water and soap together with behavioural recommendations can reduce the occurrence of self-reported acute illnesses in common work environment. Surprisingly, the occurrence of reported sick leaves also increased in the soap-and water-arm.

trial registrationClinicalTrials.gov: NCT00981877 SOURCE OF

fundingThe Finnish Work Environment Fund and the National Institute for Health and Welfare.

Indexed as

AlcoholsDisinfectantsHand DisinfectionHealth BehaviorHygieneOccupational HealthSoapsWaterWorkplaceAbsenteeismAdultCommunicable Disease ControlCost of IllnessFinlandGelsHealth Knowledge, Attitudes, PracticeAlcoholsDisinfectantsGelsSoapsWater

Identifiers

PMID22243622
PMCPMC3296604

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.