Evidence map›Paper›PMID 38519848›Full record

Observational studyJournal of clinical nursing2024

Distribution and characteristics of bacteria on the hand during oropharyngeal swab collection: Which handwashing points are affected?

Nuo Chen, Wenbin He, Xiaoyan Chen, Yan Li, Xiaolin Cheng, Li Liu, Hua Qian, Fu Qiao, Fan Cheng, Yi Deng and 3 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of clinical nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 24% 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.

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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Observational
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

13 authors at 5 institutions in 1 country.

Nuo ChenSchool of Public Health and Management, Hubei University of Medicine, Shiyan, China.
Wenbin HeDepartment of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.ORCID 0000-0001-9009-5856
Xiaoyan ChenDepartment of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yan LiDepartment of Infection Prevention and Control Management, Zhongnan Hospital of Wuhan University, Wuhan, China.
Xiaolin ChengDepartment of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, China.
Li LiuDepartment of Building Science, Tsinghua University, Beijing, China.
Hua QianHubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, China.
Fu QiaoInfection Prevention and Control Department, West China Hospital, Sichuan University, Chengdu, China.
Fan ChengDepartment of Infection Prevention and Control Management, Zhongnan Hospital of Wuhan University, Wuhan, China.
Yi DengDepartment of Building Science, Tsinghua University, Beijing, China.
Wenwen WuSchool of Public Health and Management, Hubei University of Medicine, Shiyan, China.ORCID 0000-0002-7465-6606
Bilong FengDepartment of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, China.
Ying WangDepartment of Infection Prevention and Control Management, Zhongnan Hospital of Wuhan University, Wuhan, China.
Wuhan University · CNHubei Provincial Center for Disease Control and Prevention · CNHubei University of Medicine · CNSichuan University · CNTsinghua University · CN

Funding

Discipline Cultivation Fund (Nursing) of Zhongnan Hospital of Wuhan University ZNXKPY2022005National Institute of Hospital Administration Management No.52178080National Institute of Hospital Administration Management, of China No.GY2023049The State Key Laboratory of Green Building in Western China No.LSKF202104
6 · The paper itself

Abstract

aimsTo identify the contaminated areas of the hand collection and analyse the distribution characteristics of bacteria in the hand after swab collection.

designThis study used a cross-sectional design.

methodsA cross-sectional study sampling 50 pairs of hands (sampling hand and auxiliary hand) of healthcare workers was performed. Ten samples were collected from each participant. The optimal hand hygiene rates and bacterial colony counts of the whole hand and different hand sections without hand hygiene were identified as the primary outcomes.

resultsThe optimal hand hygiene rates of the sampling hand and auxiliary hand were 88.8% (222/250) and 91.6% (229/250), respectively. The lowest optimal hand hygiene rates for the sampling hand and the auxiliary hand were both on the dorsal side of the finger and the dorsum of the hand (86.0%, 86.0% vs. 90.0%, 86.0%); the optimal hand hygiene rates for both sites of the sampling hand were 86.0% (43/50), and the optimal hand hygiene rates for the auxiliary hand were 90.0% (45/50) and 86.0% (43/50). The bacteria colony counts did not differ between the sampling hands and auxiliary hand.

conclusionsThe dorsal side of the finger and dorsum of the hand were the most likely to be contaminated during oropharyngeal swab collection. Therefore, it is essential to pay extra attention to hand hygiene care of these two sites during the collection process to minimize the risk of cross-contamination. REPORTING

methodThe Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were adopted in this study.

Indexed as

HandHand DisinfectionOropharynxSpecimen HandlingAdultBacteriaCross-Sectional StudiesFemaleHand HygieneHealth PersonnelHumansMalecross‐contaminationhand hygieneoropharyngeal swabs

Identifiers

PMID38519848
PMCPMC11579574
OpenAlexW4393116890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.