The effect of hand-hygiene interventions on infectious disease-associated absenteeism in elementary schools: A systematic literature review

Publication date: Available online 24 February 2017
Source:American Journal of Infection Control
Author(s): Zhangqi Wang, Maria Lapinski, Elizabeth Quilliam, Lee-Ann Jaykus, Angela Fraser
BackgroundHand-hygiene interventions are widely used in schools but their effect on reducing absenteeism is not well known.MethodsThe aim of our literature review was to determine whether implementation of a hand-hygiene intervention reduced infectious disease-associated absenteeism in elementary schools. The eligible studies (N = 19), published between 1996 and 2014, were summarized and the methodologic quality of each was assessed.ResultsOur review indicated evidence is available to show hand-hygiene interventions had an effect on reducing acute gastrointestinal illness-associated absenteeism but inadequate evidence is available to show an effect on respiratory illness-associated absenteeism.ConclusionsThe methodologic quality assessment of eligible studies revealed common design flaws, such as lack of randomization, blinding, and attrition, which must be addressed in future studies to strengthen the evidence base on the effect of hand-hygiene interventions on school absenteeism.



http://ift.tt/2lCODQs