Evidence map›Paper›PMID 32768662›Full record

ArticlePreventive veterinary medicine2020

Adoption of recommended hand hygiene practices to limit zoonotic disease transmission at agricultural fairs.

Sarah E Lauterbach, Sarah W Nelson, Alison M Martin, Michele M Spurck, Dimitria A Mathys, Dixie F Mollenkopf, Jacqueline M Nolting, Thomas E Wittum, Andrew S Bowman

Abstract read
In one paragraph

Article in Preventive veterinary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

9 authors.

Sarah E LauterbachThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: lauterbach.7@osu.edu.
Sarah W NelsonThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: nelson.514@osu.edu.
Alison M MartinThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: martin.2349@osu.edu.
Michele M SpurckThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: zentkomm@mail.uc.edu.
Dimitria A MathysThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: Mathysd@ohiodominican.edu.
Dixie F MollenkopfThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: mollenkopf.12@osu.edu.
Jacqueline M NoltingThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: nolting.4@osu.edu.
Thomas E WittumThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: wittum.1@osu.edu.
Andrew S BowmanThe Ohio State University, Department of Veterinary Preventive Medicine, 1920 Coffey Road, Columbus, OH, 43210, USA. Electronic address: bowman.214@osu.edu.

Funding

NIAID NIH HHS HHSN266200700007CNIAID NIH HHS HHSN272201400006C
6 · The paper itself

Abstract

Rapid transmission and spread of infectious pathogens are enhanced by the agricultural fair environment, where large numbers of livestock and people from numerous backgrounds congregate for several days. The transmission of influenza A virus and zoonotic enteric pathogens to fairgoers is a considerable risk and has occurred several times over the past decade. In an effort to mitigate zoonotic disease transmission in these settings, public health guidelines and recommendations including hand sanitation stations have been implemented. While hand hygiene recommendations to prevent the spread of zoonotic disease are well communicated, it is hypothesized that the adoption of these recommendations by agricultural fairs and fairgoers is low. To test this hypothesis, hand hygiene data collected from 658 agricultural fairs between 2012 and 2019 was analyzed to determine frequency and function of hand sanitation stations at the fairs, as well as utilization of educational signage. In addition, an observational study was performed to calculate the proportion of fairgoers who use hand sanitation stations at the fair. Lastly, samples were taken from working hand sanitation stations present at the exits of livestock barns and tested for the presence of influenza A virus and antimicrobial resistant coliform bacteria. Hand sanitation stations were present at most fairs (77.4 %) as recommended, but only 142 out of 2021 (7.0 %) visitors were observed using the stations. Health risk signage was displayed at more than half of fairs while the proper wash procedure was displayed at less than half. No influenza A virus was detected on any of the hand sanitation stations, however antimicrobial resistant coliform bacteria were recovered from 75.5 % of the sampled hand sanitation stations. Fairs should employ educational material along with functional hand sanitation stations in order to promote hand hygiene at fairs. Stations should be maintained and cleaned often to ensure effectiveness, as hand hygiene continues to be recommended to fairgoers when exiting animal barns to reduce zoonotic disease transmission.

Indexed as

Public HealthAgricultureAnimalsHand HygieneUnited StatesZoonosesAntimicrobial resistant bacteriaHand hygieneInfluenza A virusLivestockPublic healthZoonoses

Identifiers

PMID32768662
PMCPMC7494593

What OpenQuestion holds

Textmetadata
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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.