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Effectiveness of hand hygiene and provision of information in preventing influenza cases requiring hospitalization

tetano

Editor, Senior Moderator
Prev Med. 2012 Apr 23. [Epub ahead of print]
Effectiveness of hand hygiene and provision of information in preventing influenza cases requiring hospitalization.
Godoy P, Castilla J, Delgado-Rodr?guez M, Mart?n V, Soldevila N, Alonso J, Astray J, Baricot M, Cant?n R, Castro A, Gonz?lez-Candelas F, Mayoral JM, Quintana JM, Pumarola T, Tamames S, Dom?nguez A; the CIBERESP Cases and Controls in Pandemic Influenza Working Group, Spain.
Source

Departament de Salut, Generalitat of Catalonia, Spain; CIBER Epidemiolog?a y Salud P?blica, Spain; Univerdidad de Lleida, Spain.
Abstract
BACKGROUND:

The objective of the study was to investigate the effectiveness of non-pharmacological interventions in preventing cases of influenza requiring hospitalization.
METHODS:

We performed a multicenter case-control study in 36 hospitals, in 2010 in Spain. Hospitalized influenza cases confirmed by reverse-transcription polymerase chain reaction and three matched controls (two hospital and one community control) per case were selected. The use of non-pharmacological measures seven days before the onset of symptoms (frequency of hand washing, use of alcohol-based hand sanitizers and handwashing after touching contaminated surfaces) was collected.
RESULTS:

We studied 813 cases hospitalized for influenza and 2274 controls. The frequency of hand washing 5-10 times (adjusted odds ratio [aOR]=0.65) and >10 times (aOR=0.59) and handwashing after contact with contaminated surfaces (aOR=0.65) were protective factors and were dose-responsive (p<0.001). Alcohol-based hand sanitizers were associated with marginal benefits (aOR=0.82).
CONCLUSIONS:

Frequent handwashing should be recommended to prevent influenza cases requiring hospitalization.

Copyright ? 2012. Published by Elsevier Inc.

PMID:
22548868
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/22548868
 
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