Evidence map›Paper›PMID 42216020›Full record

ArticleAntimicrobial resistance and infection control2026

From 'droplet' to 'respiratory' precautions: implementation and adherence monitoring in a Swiss tertiary care center, 2023-2025.

Aude Nguyen, Rebecca Grant, Valérie Goldstein, Marlène Fraccaro-Hamoneau, Monique Perez, Véronique Camus, Jonathan Sobel, Klara M Posfay-Barbe, Yoann Kronneberg, Stephan Harbarth and 1 more

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Aude NguyenInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Rebecca GrantInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Valérie GoldsteinInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Marlène Fraccaro-HamoneauInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Monique PerezInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Véronique CamusInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Jonathan SobelInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Klara M Posfay-BarbeDivision of General Pediatrics, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Yoann KronnebergDivision of Occupational Medicine, Geneva University Hospitals, Geneva, Switzerland.
Stephan HarbarthInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Marie-Céline ZanellaInfection Control Program and World Health Organization Collaborating Centre, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland. marie-celine.zanella@hug.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollowing updated 2023 guidance from the European Centre for Disease Prevention and Control (ECDC), and in parallel with recommendations from the Swiss Center for Infection Control, a tertiary care centre in Switzerland replaced droplet precautions with 'respiratory precautions' on 1 November 2023. A multifaceted strategy was implemented to facilitate the transition to this updated transmission-based precaution. We aimed to describe the implementation of and adherence to respiratory precautions between November 2023 and March 2025.

methodsFrom October 2023 to March 2024, a multifaceted, hospital-wide strategy was implemented to introduce changes in infection control policy with updated respiratory precautions, including standardized training, educational materials, a communication campaign, updated signage and prescription orders. Adherence to the updated respiratory precautions was audited during two periods: January-March 2024 and October 2024-March 2025.

resultsA total of 150 training sessions on infection control precautions were conducted for 1967/9410 (21%) healthcare workers and 2913 pocket cards summarizing updated precautions were distributed. Among 793 audits conducted, there was high adherence to recommended patient placement and signage (89-99%). Availability and suitability of placement for FFP2 respirators and eye protection were initially low but improved during the second audit (59% and 36%, respectively). FFP2 use was 76%, while use of eye protection remained low (38%), potentially due to limited availability and suitable placement.

conclusionsA structured, multifaceted strategy -combining training, audits, and feedback - supported the implementation of a change in respiratory precautions, achieving good adherence overall.

Indexed as

Cross InfectionGuideline AdherenceInfection ControlAdherence InterventionsHealth PersonnelHumansRespiratory Aerosols and DropletsSwitzerlandTertiary Care CentersDroplet precautionsHealthcare associated infectionsMaskPersonal protective equipmentRespiratory virus

Identifiers

PMID42216020
PMCPMC13613744

What OpenQuestion holds

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Registered trials

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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.