Evidence map›Paper›PMID 25637115›Full record

ArticleAmerican journal of infection control2015

Face touching: a frequent habit that has implications for hand hygiene.

Yen Lee Angela Kwok, Jan Gralton, Mary-Louise McLaws

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in American journal of infection control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04337541 (Reduction in COVID-19 Infection Using Surgical Facial Masks Outside the Healthcare System), which is not on this map. Cited by 155 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed, 5 pooled it
2.5field-weighted citation impact, top 11% 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.

NCT04337541 nacompletednot on this mapstarted 2020, after this paper: background citation

Reduction in COVID-19 Infection Using Surgical Facial Masks Outside the Healthcare System

TypeinterventionalSponsorRigshospitalet, DenmarkRan2020 to 2020Enrolled6,000ConditionsCOVID-19ArmsSurgical facial mask
3 · Its place in the literature

Who cites it

155 citing papers in PubMed, 5 syntheses or guidelines pooled it, 409 citations in OpenAlex.

  1. Pooled it
  2. Nationality and body location alter human skin microbiome.Applied microbiology and biotechnology · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
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  7. Improving Hand Hygiene Behavior Using a Novel Theory-Based Intervention During the COVID-19 Pandemic.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
    Trial
  8. Trial
  9. Review
  10. Article
  11. Article
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  19. Eyeglasses and risk of COVID-19 transmission-analysis of the Virus Watch Community Cohort study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    Article
  20. Article

95 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Yen Lee Angela KwokSchool of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.
Jan GraltonSchool of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.
Mary-Louise McLawsSchool of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia. Electronic address: m.mclaws@unsw.edu.au.
UNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited literature on the frequency of face-touching behavior as a potential vector for the self-inoculation and transmission of Staphylococcus aureus and other common respiratory infections.

methodsA behavioral observation study was undertaken involving medical students at the University of New South Wales. Their face-touching behavior was observed via videotape recording. Using standardized scoring sheets, the frequency of hand-to-face contacts with mucosal or nonmucosal areas was tallied and analyzed.

resultsOn average, each of the 26 observed students touched their face 23 times per hour. Of all face touches, 44% (1,024/2,346) involved contact with a mucous membrane, whereas 56% (1,322/2,346) of contacts involved nonmucosal areas. Of mucous membrane touches observed, 36% (372) involved the mouth, 31% (318) involved the nose, 27% (273) involved the eyes, and 6% (61) were a combination of these regions.

conclusionIncreasing medical students' awareness of their habituated face-touching behavior and improving their understanding of self-inoculation as a route of transmission may help to improve hand hygiene compliance. Hand hygiene programs aiming to improve compliance with before and after patient contact should include a message that mouth and nose touching is a common practice. Hand hygiene is therefore an essential and inexpensive preventive method to break the colonization and transmission cycle associated with self-inoculation.

Indexed as

HabitsHand HygieneFaceHumansOccupational HealthStudents, MedicalFace touchingHand hygiene complianceMedical studentsSelf-inoculation

Identifiers

PMID25637115
PMCPMC7115329
OpenAlexW2047381373

What OpenQuestion holds

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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.