Glow Gel Hand Washing in the Waiting Room: A Novel Approach to Improving Hand Hygiene Education

2011 ◽  
Vol 32 (7) ◽  
pp. 661-666 ◽  
Author(s):  
Anna B. Fishbein ◽  
Itza Tellez ◽  
Henry Lin ◽  
Christine Sullivan ◽  
Mary E. Groll
Keyword(s):  
Hand Hygiene ◽  
Hand Washing ◽  
Initial Visit ◽  
Short Term ◽  
Waiting Room ◽  
Healthcare Settings ◽  
Novel Approach ◽  
Hygiene Intervention ◽  
Hygiene Education

Objectives.To characterize handwashing behaviors of children and assess the efficacy of a waiting room-based hand hygiene intervention at improving handwashing ability.Design.Prospective randomized pilot study.Setting.Emergency department waiting room at a freestanding urban pediatric hospital.Participants.Children (8–18 years) and their parent.Intervention.Participants were randomized to glow gel hand washing without hand hygiene education or glow gel hand washing with hand hygiene education. After participants washed with glow gel, “dirty areas” were illuminated using a black light, and hands were scored. A questionnaire about handwashing behavior was administered. All subjects returned 2–4 weeks after intervention to repeat glow gel hand washing and the questionnaire.Results.Sixty pediatric patients and 57 parents were recruited, with 77% of patients returning for follow up. Patients were 50% male, 58% Latino, 28% African American, and 8% Caucasian. At the initial visit, 91% of children reported hand washing after using the bathroom and 78% reported hand washing before dinner. On the basis of objective scoring, all children improved handwashing ability when compared with the initial visit (P = .02) and were more likely to use warm water at follow up (P = .01). Parents did not significantly improve in handwashing ability (P = .73).Conclusion.Glow gel hand washing is an effective method to improve children's handwashing ability. This short-term intervention was effective even in the absence of specific hand hygiene education. This intervention could serve as a valuable public health measure to teach hand washing in healthcare settings.

SaniTwice: A Novel Approach to Hand Hygiene for Reducing Bacterial Contamination on Hands When Soap and Water Are Unavailable

2010 ◽  
Vol 73 (12) ◽  
pp. 2296-2300 ◽  
Author(s):  
SARAH L. EDMONDS ◽  
JAMES MANN ◽  
ROBERT R. McCORMACK ◽  
DAVID R. MACINGA ◽  
CHRISTOPHER M. FRICKER ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Hand Washing ◽  
Food Handling ◽  
E Coli ◽  
Log Reduction ◽  
Novel Approach ◽  
Standard Application ◽  
Paper Towels ◽  
Foodborne Infections

The risk of inadequate hand hygiene in food handling settings is exacerbated when water is limited or unavailable, thereby making washing with soap and water difficult. The SaniTwice method involves application of excess alcohol-based hand sanitizer (ABHS), hand “washing” for 15 s, and thorough cleaning with paper towels while hands are still wet, followed by a standard application of ABHS. This study investigated the effectiveness of the SaniTwice methodology as an alternative to hand washing for cleaning and removal of microorganisms. On hands moderately soiled with beef broth containing Escherichia coli (ATCC 11229), washing with a nonantimicrobial hand washing product achieved a 2.86 (±0.64)-log reduction in microbial contamination compared with the baseline, whereas the SaniTwice method with 62% ethanol (EtOH) gel, 62% EtOH foam, and 70% EtOH advanced formula gel achieved reductions of 2.64 ±0.89, 3.64 ±0.57, and 4.61 ±0.33 log units, respectively. When hands were heavily soiled from handling raw hamburger containing E. coli, washing with nonantimicrobial hand washing product and antimicrobial hand washing product achieved reductions of 2.65 ± 0.33 and 2.69 ± 0.32 log units, respectively, whereas SaniTwice with 62% EtOH foam, 70% EtOH gel, and 70% EtOH advanced formula gel achieved reductions of 2.87 ±0.42, 2.99 ± 0.51, and 3.92 ± 0.65 log units, respectively. These results clearly demonstrate that the in vivo antibacterial efficacy of the SaniTwice regimen with various ABHS is equivalent to or exceeds that of the standard hand washing approach as specified in the U.S. Food and Drug Administration Food Code. Implementation of the SaniTwice regimen in food handling settings with limited water availability should significantly reduce the risk of foodborne infections resulting from inadequate hand hygiene.

scholarly journals Scientific Evidence Supports the Use of Alcohol Based Hand Sanitizers as an Effective Alternative to Handwashing in Retail Food and Foodservice Settings When Heavy Soiling is Not Present on Hands

2020 ◽  
Author(s):  
John M. Boyce ◽  
Donald W. Schaffner
Keyword(s):  
Hand Hygiene ◽  
Scientific Evidence ◽  
Food Service ◽  
Hand Washing ◽  
World Health ◽  
Healthcare Personnel ◽  
General Interest ◽  
Healthcare Settings ◽  
Model Food ◽  
Retail Food

Suboptimal food worker health and hygiene has been a common contributing factor in foodborne disease outbreaks for many years. Despite clear FDA Model Food Code recommendations for hand washing and glove use, food worker compliance with handwashing recommendations has remained poor for more than 20 years. Food workers’ compliance with recommended handwashing is adversely impacted by a number of barriers, including complaints of time pressure, inadequate number and/or location of handwashing sinks and handwashing supplies, lack of food knowledge and training regarding handwashing, the belief that wearing gloves obviates the need for hand washing, insufficient management commitment, and adverse skin effects caused by frequent handwashing. While many of the issues related to poor handwashing practices in food service facilities are the same as those in healthcare settings, a new approach to healthcare hand hygiene was deemed necessary over 15 years ago due to persistently low compliance rates among healthcare personnel. Evidence-based hand hygiene guidelines for healthcare settings were published by both CDC in 2002 and by the World Health Organization in 2009. Despite similar low handwashing compliance rates among retail food establishment workers, no changes in the Food Code indications for handwashing have been made since 2001. In direct contrast to healthcare settings, where frequent use of alcohol-based hand sanitizers (ABHSs) in lieu of handwashing has improved hand hygiene compliance rates and reduced infections, the Food Code continues to permit the use of ABHSs only after hands have been washed with soap and water. This general interest manuscript provides clear evidence to support modifying the FDA Model Food Code to  allow the use of ABHS as an acceptable alternative to handwashing in situations where heavy soiling is not present . Emphasis on the importance of handwashing when hands are heavily soiled and appropriate use of gloves are still indicated.

scholarly journals The E-Nurture Project: A Hybrid Virtual Neonatal Follow Up Model for 2021

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 139
Author(s):  
Paige Terrien Church ◽  
Rudaina Banihani ◽  
Jo Watson ◽  
Wan Ting Nancy Chen ◽  
Marilyn Ballantyne ◽  
...  
Keyword(s):  
Short Term ◽  
School Based ◽  
Novel Approach ◽  
History Of ◽  
Virtual Platform

Neonatal follow-up has long focused on a model of surveillance and identification of short-term outcomes. This model has long become outdated, with evidence documenting the need for longer follow-up with known school-based challenges and significant gaps in knowledge by educators. This article reviews the history of neonatal follow-up and demonstrates a novel approach to neonatal follow-up, built largely with a hybrid virtual platform, which then became essential with the declaration of the pandemic in 2020.

Disinfection of the Radiologist Workstation and Radiologist Hand Hygiene: A Single Institution Practice Quality Improvement Project

2017 ◽  
Vol 68 (3) ◽  
pp. 270-275 ◽  
Author(s):  
Jeffrey S. Quon ◽  
Marc Dilauro ◽  
John G. Ryan
Keyword(s):  
Hand Hygiene ◽  
Hand Washing ◽  
Single Institution ◽  
Rank Tests ◽  
Chi Square ◽  
Improvement Project ◽  
Signed Rank ◽  
The Impact ◽  
Question Survey

Purpose The purpose of this study was to evaluate the workstation disinfection rates and hand hygiene of radiologists and trainees at shared departmental workstations and assess the impact of education and reminder placards on daily habits. Methods A 10-question survey was administered to all staff radiologists, fellows, and residents at our institution. The questions pertained to workstation disinfection, hand hygiene habits, and accessibility to disinfectant wipes and hand sanitizer stations. Subsequently, a short educational PowerPoint presentation was emailed to the department and small reminder placards were placed at each workstation. A follow-up survey was administered. Chi-square and Wilcoxon signed-rank tests were used to analyse the results. Results The percentage of participants who disinfect their workstations 1-2 times/week, 3-4 times/week or everyday increased from 53.4% (45 of 84 participants) to 74.3% (55 of 74 participants; P = .01), while the number who disinfect their workstation <1 time/week or never decreased from 46.4% (39 of 84 participants) to 25.7% (19 of 74 participants; P = .01). Hand washing before working at the workstation increased from 41.6% (35 of 84 participants) to 48.7% (36 of 74 participants; P = .76) and hand washing after working at the workstation increased from 50.0% (42 of 84 participants) to 56.8% (42 of 74 participants; P = .49). Conclusions At our institution, the implementation of daily reminder placards at each workstation and the administration of an educational PowerPoint presentation improved the rate of radiologist workstation disinfection.

scholarly journals Associations Between Hand Hygiene Education and Self-Reported Hand-Washing Behaviors Among Korean Adults During MERS-CoV Outbreak

2018 ◽  
Vol 46 (1) ◽  
pp. 157-164 ◽  
Author(s):  
Jieun Yang ◽  
Eun-Cheol Park ◽  
Sang Ah Lee ◽  
Sang Gyu Lee
Keyword(s):  
Older Adults ◽  
Hand Hygiene ◽  
Infectious Diseases ◽  
Multiple Linear Regression Model ◽  
Hand Washing ◽  
Lower Income ◽  
Total Study Population ◽  
Korean Adults ◽  
Promotional Materials ◽  
Hygiene Education

Background. Hand washing is an effective way to prevent transmission of infectious diseases. Education and promotional materials about hand washing may change individuals’ awareness toward hand washing. Infectious disease outbreak may also affect individuals’ awareness. Aims. Our study aimed to examine associations between hand-washing education and self-reported hand-washing behaviors among Korean adults during the year of the Middle East respiratory syndrome (MERS) outbreak. Methods. Data from the 2015 Community Health Survey were used for this study. The total study population comprised 222,599 individuals who were older than 20 years of age. A multiple linear regression model was used to investigate associations between hand hygiene education and self-reported hand-washing behaviors. Subgroup analyses stratified by age, sex, income, and MERS outbreak regions were also performed. Results. Individuals who received hand-washing education or saw promotional materials related to hand washing had significantly higher scores for self-reported use of soap or sanitizer (β = 0.177, P < .0001) and self-reported frequency of hand washing (β = 0.481, P < .0001) than those who did not have such experiences. The effect of hand-washing education on self-reported behavior change was greater among older adults, women, and lower income earners. The effect of hand hygiene education on self-reported use of soap or sanitizer was similar regardless of whether the participants lived in MERS regions. Conclusion. Our findings emphasize the importance of education or promotions encouraging hand washing, especially for older adults, women, and lower income earners. In addition, MERS outbreak itself affected individuals’ awareness of hand-washing behaviors. Well-organized campaigns that consider these factors are needed to prevent infectious diseases.

scholarly journals An Appeal to Incorporate Hand Hygiene Education into Standard Elementary School Curriculum

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S411-S411
Author(s):  
Jasmine Watson ◽  
Alexandria Owens ◽  
Kavita Imrit-Thomas ◽  
Miranda Malone ◽  
Andy Tobias ◽  
...  
Keyword(s):  
Elementary School ◽  
Hand Hygiene ◽  
Disease Risk ◽  
School Curriculum ◽  
Hand Washing ◽  
Second Grade ◽  
Post Intervention ◽  
Preventative Strategy ◽  
Hygiene Education ◽  
The Impact

Abstract Background The Center for Disease Control and Prevention reports that 160 million school days are lost each year due to infectious illnesses. Hand hygiene is one of the most effective ways to prevent illness that can lead to absenteeism among school-aged children, yet few schools have a formal education program as a preventative strategy. Methods A Pilot Hand Hygiene experiment was initiated for 90 second grade students at a Virginia Beach Public School. The experiment was designed to bring awareness and to satisfy a scientific module requirement. Students cultured their hands on general purpose agar plates with the assistance of physicians and a microbiologist. The proper hand washing technique was demonstrated. Students were equally divided into two groups: hand washing group and sanitizer group. They were instructed to re-culture hands after intervention. Students observed cultures for five days and documented results. Results Overall, student observation of decreased microbial growth was an average of 91% (Figure 1). Education improved compliance, which resulted in a favorable behavioral change on average of 89% (Figure 2). There was a 71% decrease in incidence of illness-related absences 30 days after the hand hygiene intervention (Figure 3). In three out of five classes, hand sanitizer was more effective when compared with hand washing. In addition, a random sample of cultures were incubated in a microbiology lab to identify the common microbes among the second-grade elementary school population. It revealed both resident and transient flora. Post-intervention, there was a rise in coagulase-negative Staphylococci resident flora. This indicated a successful decrease in transient flora, which is most likely to cause illness. Conclusion Hand Hygiene education is remarkably beneficial, especially in children who are at greater risk of illness. It is clearly effective in decreasing infectious disease risk, while teaching a life-long skill. For the impact as a preventative strategy to be felt, its implementation into elementary school curriculum is warranted. Disclosures All authors: No reported disclosures.

scholarly journals User Engagement and Clinical Impact of the Manage My Pain App in Patients With Chronic Pain: A Real-World, Multi-site Trial (Preprint)

2020 ◽  
Author(s):  
Anuj Bhatia ◽  
Jamal Kara ◽  
Tahir Janmohamed ◽  
Atul Prabhu ◽  
Gerald Lebovic ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Clinical Outcomes ◽  
Real World ◽  
Pain Catastrophizing ◽  
Initial Visit ◽  
Short Term ◽  
Validated Questionnaires ◽  
Long Term Follow Up

BACKGROUND Chronic pain imposes a large burden on individuals and society. A patient-centric digital chronic pain management app called Manage My Pain (MMP) can be used to enhance communication between providers and patients and promote self-management. OBJECTIVE The purpose of this study was to evaluate the real-world engagement of patients in urban and rural settings in Ontario, Canada with the MMP app alongside their standard of care and assess the impact of its usage on clinical outcomes of pain and related mental health. METHODS A total of 246 participants with chronic pain at a rural and 2 urban pain clinics were recruited into this prospective, open-label, exploratory study that compared the use of MMP, a digital health app for pain that incorporates validated questionnaires and provides patients with summarized reports of their progress in combination with standard care (app group), against data entered on paper-based questionnaires (nonapp group). Participants completed validated questionnaires on anxiety, depression, pain catastrophizing, satisfaction, and daily opioid consumption up to 4.5 months after the initial visit (short-term follow-up) and between 4.5 and 7 months after the initial visit (long-term follow-up). Engagement and clinical outcomes were compared between participants in the two groups. RESULTS A total of 73.6% (181/246) of the participants agreed to use the app, with 63.4% (111/175) of them using it for at least one month. Individuals who used the app rated lower anxiety (reduction in Generalized Anxiety Disorder 7-item questionnaire score by 2.10 points, 95% CI –3.96 to –0.24) at short-term follow-up and had a greater reduction in pain catastrophizing (reduction in Pain Catastrophizing Scale score by 5.23 points, 95% CI –9.55 to –0.91) at long-term follow-up relative to patients with pain who did not engage with the MMP app. CONCLUSIONS The use of MMP by patients with chronic pain is associated with engagement and improvements in self-reported anxiety and pain catastrophizing. Further research is required to understand factors that impact continued engagement and clinical outcomes in patients with chronic pain. CLINICALTRIAL ClinicalTrials.gov NCT04762329; https://clinicaltrials.gov/ct2/show/NCT04762329

scholarly journals TRANSMISSION-BASED PRECAUTION EDUCATION ON KNOWLEDGE AND HANDWASHING PRACTICES IN SCHOOL-AGED CHILDREN IN THE ERA OF PANDEMI COVID-19

2021 ◽  
Vol 2 (2) ◽  
pp. 28-35
Author(s):  
Lingga Curnia Dewi ◽  
Ika Nur Pratiwi ◽  
Rr Dian Tristiana
Keyword(s):  
High Risk ◽  
Hand Hygiene ◽  
Infectious Diseases ◽  
School Children ◽  
Hand Washing ◽  
School Age Children ◽  
School Age ◽  
School Aged Children ◽  
Knowledge And Practice ◽  
Hygiene Education

Washing hands is important to prevent various infectious diseases, including Covid-19. School-age children are a population at risk who must practice proper hand hygiene. This study aims to examine the effect of Transmission-Based Precaution (TBP) on knowledge and practice of hand washing in school age children. A total of 20 schoolchildren living in Islamic boarding schools participated in this study. Education is carried out in one meeting. The data was collected by filling out a questionnaire on knowledge and hand washing practices pre and post education. The results showed that providing TPB education increased knowledge about hand washing (p = 0.010), but it was not significant for hand washing practices (p = 0.282). Increasing knowledge should also pay attention to the attitude of school children in hand washing behavior. The process of providing education will be more embedded in school children after repeatedly implementing hand washing properly. The teachers and classmates involved can participate in hygiene education to encourage the hand washing behavior of students in areas at high risk of infectious diseases, especially Covid-19.

scholarly journals Impact of hand hygiene intervention on hand washing ability of school-aged children

2021 ◽  
Vol 10 (2) ◽  
pp. 642
Author(s):  
Samreen Khan ◽  
Hiba Ashraf ◽  
Sundus Iftikhar ◽  
Naila Baig-Ansari
Keyword(s):  
Hand Hygiene ◽  
Hand Washing ◽  
School Aged Children ◽  
Hygiene Intervention
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