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

Godoy, Pere; Castilla, Jesús; Delgado-Rodrı́guez, Miguel; Martín, Vicente; Soldevila, Núria; Alonso, Jordi; Astray, Jenaro; Baricot, Maretva; Cantón, Rafael; Castro, Almudena; Gónzález-Candelas, Fernando; Mayoral, José María; Quintana, José M.; Pumarola, Tomás; Tamames, Sonia; Domı́nguez, Àngela

doi:10.1016/j.ypmed.2012.04.009

Cited by 55 publications

(71 citation statements)

References 37 publications

(34 reference statements)

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“…These results should serve as a stimulus to design better influenza vaccines [19], to improve the selection of strains contained in the vaccine and to highlight the importance of other preventive measures that complement vaccination in highrisk populations, such as promotion of basic hygiene measures, use of face masks and avoidance of contact with influenza cases [20]. Early treatment with antiviral drugs should be considered in persons diagnosed with influenza who have a high risk of complications, regardless of vaccination status [21].…”

Section: Discussionmentioning

confidence: 99%

“…From 2009 to 2013, outbreaks of laboratory-confirmed influenza in nursing homes were only detected in the 2011/12 season [10], a season with predominance of influenza A(H3) and low VE in the general population [11]. In the other seasons, the estimated VE Age groups in years <5 69 (20) 22 (5) 7 (4) 14 (5) 5-14 25 (7) 21 (5) 10 (6) 11 (4) 15 was higher and only sporadic cases were detected in nursing homes [12][13][14].…”

Section: Influenza Outbreaks In Nursing Homesmentioning

confidence: 99%

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Vaccine effectiveness in preventing laboratory-confirmed influenza in Navarre, Spain: 2013/14 mid-season analysis

et al. 2014

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We estimate mid-2013/14 season vaccine effectiveness (VE) of the influenza trivalent vaccine in Navarre, Spain. Influenza-like illness cases attended in hospital (n=431) and primary healthcare (n=344) were included. The overall adjusted VE in preventing laboratory-confirmed influenza was 24% (95% CI: −14 to 50). The VE was 40% (95% CI: −12 to 68) against influenza A(H1)pdm09 and 13% (95% CI: −36 to 45) against influenza A(H3). These results suggest a moderate preventive effect against influenza A(H1)pdm09 and low protection against influenza A(H3).

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Section: Discussionmentioning

confidence: 99%

Section: Influenza Outbreaks In Nursing Homesmentioning

confidence: 99%

Vaccine effectiveness in preventing laboratory-confirmed influenza in Navarre, Spain: 2013/14 mid-season analysis

et al. 2014

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“…Annual vaccination against influenza is the main preventive measure available, and should be complemented with hygienic measures such as washing hands more frequently and covering the mouth when coughing and sneezing. A multicentre study carried out in 36 Spanish hospitals proves the effectiveness of hand washing and the provision of information on influenza prevention in the community in preventing influenza A(H1N1)pdm09 admissions [28]. The measures to prevent influenza transmission in pandemics should be maintained at least until the immediately following season, since the transmission risk in the second wave may be similar to or higher than in the first season.…”

Section: Discussionmentioning

confidence: 99%

Household Transmission of Influenza A(H1N1)pdm09 in the Pandemic and Post-Pandemic Seasons

et al. 2014

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BackgroundThe transmission of influenza viruses occurs person to person and is facilitated by contacts within enclosed environments such as households. The aim of this study was to evaluate secondary attack rates and factors associated with household transmission of laboratory-confirmed influenza A(H1N1)pdm09 in the pandemic and post-pandemic seasons.MethodsDuring the 2009–2010 and 2010–2011 influenza seasons, 76 sentinel physicians in Navarra, Spain, took nasopharyngeal and pharyngeal swabs from patients diagnosed with influenza-like illness. A trained nurse telephoned households of those patients who were laboratory-confirmed for influenza A(H1N1)pdm09 to ask about the symptoms, risk factors and vaccination status of each household member.ResultsIn the 405 households with a patient laboratory-confirmed for influenza A(H1N1)pdm09, 977 susceptible contacts were identified; 16% of them (95% CI 14–19%) presented influenza-like illness and were considered as secondary cases. The secondary attack rate was 14% in 2009–2010 and 19% in the 2010–2011 season (p = 0.049), an increase that mainly affected persons with major chronic conditions. In the multivariate logistic regression analysis, the risk of being a secondary case was higher in the 2010–2011 season than in the 2009–2010 season (adjusted odds ratio: 1.72; 95% CI 1.17–2.54), and in children under 5 years, with a decreasing risk in older contacts. Influenza vaccination was associated with lesser incidence of influenza-like illness near to statistical significance (adjusted odds ratio: 0.29; 95% CI 0.08–1.03).ConclusionThe secondary attack rate in households was higher in the second season than in the first pandemic season. Children had a greater risk of infection. Preventive measures should be maintained in the second pandemic season, especially in high-risk persons.

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“…Many years later, Godoy et al [33] conducted a study on the effects of hand washing in prevention of influenza that helped support Lister's idea that hand washing was part of preventive medicine. Both Lister's efforts [32] and Godoy et al 's [33] study provided empirical evidence, supporting the concept of positivism. The natural phenomena that occurred were the presence of bacteria and their ability to invade the body [34].…”

Section: Empirical Referents For Critical Attributesmentioning

confidence: 99%

Positivism: A Concept Analysis

Pawlikowski¹,

Rico²,

Sell³

2018

Int J Nurs Clin Pract

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The concept of positivism is a phenomenon not necessarily utilized in nursing. The idea was promoted first by Auguste Comte but implanted in nursing by many philosophers. In advanced practice nursing, positivism can lead to science as the basis of practice without the inclusion of the art of nursing as a principle of practice. The practice of objective scientific knowledge alone may dehumanize nursing practice with the use only of the researcher and not the influence of the researcher and collected objective data. The analysis of positivism offers advanced practice nurses (APNs) meaningful application to their practice by taking patient care away from the illness-cure model. Conducting a concept analysis of positivism utilized the Walker and Avant eight step methodology. Attributes of the concept of positivism are experience, the system of facts, objective, human, and natural phenomena. Antecedents and consequences of the concept are to further understanding of consciousness. A model, borderline, and contrary case demonstrate positivism in nursing situations.

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

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

Cited by 55 publications

References 37 publications

Vaccine effectiveness in preventing laboratory-confirmed influenza in Navarre, Spain: 2013/14 mid-season analysis

Vaccine effectiveness in preventing laboratory-confirmed influenza in Navarre, Spain: 2013/14 mid-season analysis

Household Transmission of Influenza A(H1N1)pdm09 in the Pandemic and Post-Pandemic Seasons

Positivism: A Concept Analysis

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