Evidence map›Paper›PMID 27566873›Full record

ArticleAmerican journal of infection control2016

Is hand hygiene frequency associated with the onset of outbreaks in pediatric long-term care?

Bevin Cohen, Meghan Murray, Haomiao Jia, Olivia Jackson, Lisa Saiman, Natalie Neu, Gordon Hutcheon, Elaine Larson

Abstract read
In one paragraph

Article in American journal of infection control, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Bevin CohenColumbia University School of Nursing, New York, NY. Electronic address: bac2116@columbia.edu.
Meghan MurrayColumbia University School of Nursing, New York, NY.
Haomiao JiaColumbia University School of Nursing, New York, NY.
Olivia JacksonElizabeth Seton Pediatric Center, Yonkers, NY.
Lisa SaimanDepartment of Pediatrics, Columbia University Medical Center, New York, NY; Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY.
Natalie NeuDepartment of Pediatrics, Columbia University Medical Center, New York, NY.
Gordon HutcheonElizabeth Seton Pediatric Center, Yonkers, NY; Department of Pediatrics, New York Medical College, Valhalla, NY.
Elaine LarsonColumbia University School of Nursing, New York, NY.

Funding

Keep It Clean for Kids: The KICK ProjectR01HS021470 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LARSON, ELAINE LUCILLE · 2012 to 2015
$1.7M
AHRQ HHS R01 HS021470
6 · The paper itself

Abstract

backgroundStudies in adult long-term care facilities (LTCFs) have shown a correlation between hand hygiene (HH) and viral outbreak reduction, but no such studies have been conducted in pediatric LTCFs where the epidemiology of viral pathogens is different.

methodsWe compared electronically monitored facility-wide HH frequency in the weeks immediately prior to outbreaks of acute respiratory or gastrointestinal infections versus control weeks in a 137-bed pediatric LTCF from October 2012-August 2015. Control weeks were the 8-14 day (control 1) and 15-21 day (control 2) periods prior to the onset of each outbreak.

resultsThere was no difference in HH frequency in the weeks leading up to the outbreaks versus control weeks (odds ratio [OR], 1.0; 95% confidence interval CI, 1.00-1.001 using control 1 and OR, 1.0; 95% CI, 1.00-1.001 using control 2).

conclusionsOur findings differed from those in adult LTFCs, possibly because of the greater contact between residents and staff in the pediatric setting, increased susceptibility to viral pathogens because of immunologic immaturity, or differences in the types of pathogens prevalent in each setting. Although HH may be important for limiting the number of residents infected during outbreaks, we found no association between HH frequency and subsequent outbreak onset.

Indexed as

Disease OutbreaksHospitals, PediatricLong-Term CareAdolescentCase-Control StudiesChildChild, PreschoolCross InfectionFemaleGastroenteritisHand HygieneHumansInfantInfant, NewbornMaleRespiratory Tract InfectionsAcute respiratory infectionLong-term careOutbreaksPediatrics

Identifiers

PMID27566873
PMCPMC5135613

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.