Mandatory handwashing in elementary schools reduces absenteeism due to infectious illness among pupils: A pilot intervention study

American Journal of Infection Control

Volumn 37, Issue 10, 2009, Pages 820-826

  Nandrup Bus, Inge ^a  

^a Fredensborg County ^*  (Denmark)

Author keywords

elementary school; Hand washing; infectious illness absenteeism; intervention; mandatory; pupils

Indexed keywords

ABSENTEEISM; ADOLESCENT; ARTICLE; CHILD; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; GASTROINTESTINAL INFECTION; GROUPS BY AGE; HAND WASHING; HUMAN; INFECTION; INFECTION PREVENTION; MAJOR CLINICAL STUDY; MALE; PRESCHOOL CHILD; PRIMARY SCHOOL; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY TRACT INFECTION; SCHOOL CHILD; SCHOOL HYGIENE;

ABSENTEEISM; ADOLESCENT; CHILD; CHILD, PRESCHOOL; COMMUNICABLE DISEASE CONTROL; DENMARK; FEMALE; HANDWASHING; HUMANS; INTERVENTION STUDIES; MALE; PILOT PROJECTS; PUPIL; SCHOOLS;

EID: 71249144741     PISSN: 01966553     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajic.2009.06.012     Document Type: Article

References (36)

1. Buckeye Institute for Public Policy Solutions. Public choices, private costs: an analysis of spending and achievement in Ohio public schools. Buckeye Inst J 21 (1998) 1-56
2. Centers for Disease Control and Prevention. Summary health statistics for US children: National Health Interview Survey, 2007. Vital and Health Statistics, series 10, no. 239 (2007), National Center for Health Statistics, Hyattsville (MD)
3. Nandrup-Bus I. What are the reasons for elementary school absenteeism? How often do pupils wash their hands during school hours?. Danish J Nurs 108 (2008) 50-57
4. Larson E. A causal link between handwashing and risk of infection? Examination of the evidence. Infect Control Hosp Epidemiol 9 (1988) 28-36
5. Ehrenkranz N.J., and Alfonso B.C. Failure of bland soap handwash to prevent hand transfer of patient bacteria to urethral catheters. Infect Control Hosp Epidemiol 12 (1991) 654-662
6. Bryan J.L., Cohran J., and Larson E.L. Handwashing: a ritual revisited. Crit Care Nurs Clin North Am 7 (1995) 617-625
7. Danish Standards Association. Infection control in the health care sector, 2002. Part 2: requirements for handwashing practice for the vention of nosocomial infections, DS 2451-2.
8. World Health Organization. Hospital infection control guidance: care for patients with probable SARS. Available from: http://www.who.int/csr/surveillance/infectioncontrol/en/print.html. Accessed September 1, 2009.
9. White C.G., Shinder F.S., Shinder A.L., and Dyer D.L. Reduction of illness absenteeism in elementary schools using an alcohol-free instant hand sanitizer. J Sch Nurs 17 (2001) 258-265
10. Aiello A.E., Larson E.L., and Sedlak R. Personal health, bringing good hygiene home. Am J Infect Control 36 (2008) S152-S165
11. Ladegård M., and Stage V. Hand hygiene and sickness in children attending day care centers: an intervention study. J Danish Med Assoc 161 (1999) 4396-4400
12. Matti U., and Merja M. An open randomized controlled trial of infection prevention in child day care centers. Pediatr Infect Dis J 18 (1999) 672-677
13. Niffenegger J.P. Proper handwashing promotes wellness in child care. J Pediatr Health Care 11 (1997) 26-31
14. Roberts L., Smith W., Jorm L., Patel M., Douglas R.M., and McGilchrist C. Effect of infection control measures on the frequency of upper respiratory infection in child care: a randomized controlled trial. Pediatrics 105 (2000) 738-742
15. Sandora T.J., Taveras E.M., Shih M.-C., Resnick E.A., Lee G.M., Ross-Degnan D., et al. A randomized, controlled trial of a multifaceted intervention including alcohol-based hand sanitizer and hand hygiene education to reduce illness transmission in the home. Pediatrics 116 (2005) 587-594
16. White C., Kolble R., Carlson R., Lipson N., Dolan M., Ali Y., et al. The effect of hand hygiene on illness rate among students in university residence halls. Am J Infect Control 31 (2003) 364-370
17. Hasle H., and Viskum B. Illness in children attending day nurseries. J Danish Med Assoc 151 (1989) 2148-2150
18. Søe A.-L., and Hammershøy E.M. Absence on account of infectious illness among children attending day institutions in a county. J Danish Med Assoc 153 (1991) 104-106
19. Uldall P. Forms of care and children's infections, I: occurrence and causal factors. J Danish Med Assoc 152 (1990) 2345-2348
20. Kofoed G.B., Nielsen A.M., and Keiding L.M. The impact of selected environmental factors on the morbidity of children in day care centers. J Danish Med Assoc 164 (2002) 5759-5764
21. Pedersen UT. Ministry of Education and Research. Executive order no. 768 of May 7, 2006 after law no. 360 from May 19, 2004.
22. Dyer D.L., Shinder A., and Shinder F. Alcohol-free instant hand sanitizer reduces elementary school illness absenteeism. Fam Med 32 (2000) 633-638
23. Master D., Longe S.H., and Dickson H. Scheduled handwashing in an elementary school population. Fam Med 29 (1997) 336-339
24. Guinan M., McGuckin M., and Ali U. The effect of a comprehensive handwashing program on absenteeism in elementary schools. Am J Infect Control 30 (2002) 217-220
25. Hammond B., Ali Y., Fendler E., et al. Effect of hand sanitizer use on elementary school absenteeism. Am J Infect Control 28 (2000) 340-346
26. Morton J.L., and Schultz A.A. Healthy hands: use of alcohol gel as an adjunct to handwashing in elementary school children. J Sch Nurs 20 (2004) 161-167
27. Rabie T., and Curtis V. Handwashing and risk of respiratory infections: a quantitative systematic review. Trop Med Int Health 11 (2006) 258-267
28. Infect Control Nurs Assoc, www.icna.co.uk. Learn to wash your hands well. Available from: http://www.abena.dk. Accessed September 1, 2009.
29. Raths L.E., Harmin M., and Simon S.B. Values and teaching (1965), Charles E. Merrill, Columbus (OH)
30. Cox D.R., and Snell E.J. The analysis of binary data. 2nd ed (1989), Chapman & Hall, London
31. Curtis V., and Cairncross S. Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. Lancet Infect Dis 3 (2003) 275-281
32. Ejemot R.I., Ehiri J.E., Meremikwu M.M., and Critchley J.A. Hand washing for preventing diarrhoea. Cochrane Database Syst Rev 1 (2008) CD004265
33. Bloomfield S.F., Aiello A.E., Cookson B., O'Boyle C., and Larson E.L. The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings including handwashing and alcohol-based hand sanitizers. Am J Infect Control 35 (2007) S27-S64
34. Meadows E., and Le Saux N. A systematic review of the effectiveness of antimicrobial rinse-free hand sanitizers for prevention of illness-related absenteeism in elementary school children. BMC Public Health 4 (2004) 50
35. Day R.A., St Arnaud S., and Monsma M. Effectiveness of a handwashing program. Clin Nurs Res 2 (1993) 24-40
36. Zimakoff J.D.A., Kjelsberg A.-B.B., and Larsen S.O. A multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by staff in fifteen hospitals in Denmark and Norway. Am J Infect Control 20 (1992) 58-64