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Research ArticleOriginal Research

Hand Hygiene and Face Touching in Family Medicine Offices: A Cincinnati Area Research and Improvement Group (CARInG) Network Study

Nancy C. Elder, Will Sawyer, Harini Pallerla, Sara Khaja and Monica Blacker
The Journal of the American Board of Family Medicine May 2014, 27 (3) 339-346; DOI: https://doi.org/10.3122/jabfm.2014.03.130242
Nancy C. Elder
From the Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH (MCE, HP); Sharonville Family Medicine, Cincinnati, Ohio (WS); the Bethesda Family Medicine Residency, Cincinnati, Ohio (SK); and the Northeast Ohio College of Medicine, Rootstown (MB).
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Will Sawyer
From the Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH (MCE, HP); Sharonville Family Medicine, Cincinnati, Ohio (WS); the Bethesda Family Medicine Residency, Cincinnati, Ohio (SK); and the Northeast Ohio College of Medicine, Rootstown (MB).
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Harini Pallerla
From the Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH (MCE, HP); Sharonville Family Medicine, Cincinnati, Ohio (WS); the Bethesda Family Medicine Residency, Cincinnati, Ohio (SK); and the Northeast Ohio College of Medicine, Rootstown (MB).
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Sara Khaja
From the Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH (MCE, HP); Sharonville Family Medicine, Cincinnati, Ohio (WS); the Bethesda Family Medicine Residency, Cincinnati, Ohio (SK); and the Northeast Ohio College of Medicine, Rootstown (MB).
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Monica Blacker
From the Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH (MCE, HP); Sharonville Family Medicine, Cincinnati, Ohio (WS); the Bethesda Family Medicine Residency, Cincinnati, Ohio (SK); and the Northeast Ohio College of Medicine, Rootstown (MB).
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Article Figures & Data

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    Figure 1.

    Percentage of soap-and-water hand-washing activities (n = 123) performed correctly by 39 clinicians, nurses, and other staff.

Tables

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    Table 1. Demographics of Observation and Survey Participants by Office Site
    DemographicsTotalSite 1Site 2Site 3Site 4Site 5Site 6Site 7
    Staff, n
        Clinicians (physicians and nurse practitioners)3123510146
        Nursing staff (nurses and medical assistants)261454129
        Other220343435
        Total7931014176920
    Female sex (%)80679071711006790
    Race (%)
        White6033506271835659
        African American3667503823174441
        Other46
    Mean age, years (range)40 (23–82)42 (41–44)41 (25–62)44 (32–60)38 (25–60)55 (32–82)34 (23–52)36 (25–57)
    Mean years in profession (range)12 (0.6–42)13 (3–20)12 (2–40)11 (1–30)9 (0.6–40)26 (6–42)12 (1–27)9 (0.5–30)
    • View popup
    Table 2. Percentages of Participants Who Report They Frequently Recommend Behaviors to Patients to Prevent Upper Respiratory Tract Infections (URTIs) by Level of Observed T-Zone Touching and Hand Hygiene Behaviors
    More Touching/Poor Hygiene (n = 53)Less Touching/Better Hygiene (n = 39)P Value
    Recommended by the CDC to prevent URTIs
        Don't smoke, or stop smoking if you smoke65.988.0.05
        Cover the mouth/nose with a tissue or handkerchief when coughing/sneezing55.854.2.90
        Cover the mouth/nose with the elbow when coughing/sneezing81.475.0.54
        Wash hands frequently throughout the day68.879.2.35
        Try to not touch own eyes, nose, or mouth with hands54.558.3.76
        Get plenty of sleep each night60.070.8.37
        Avoid being around people when they have a cold or flu68.962.5.59
    No recommendation by the CDC to prevent URTI
        Take vitamin C regularly31.016.7.20
        Drink large amounts of water daily57.166.7.45
        Cover the mouth/nose with the hand when coughing/sneezing42.950.0.58
        Stay at home (do not go to school or work) while ill with a cold or flu61.458.3.81
        Avoid stressful situations39.047.8.49
    • CDC, Centers for Disease Control and Prevention.

    • View popup
    Table 3. Percentages of Participants Who Report They Frequently Perform Behaviors to Prevent Upper Respiratory Tract Infections (URTIs) by Level of Observed T-Zone Touching and Hand Hygiene Behaviors
    More Touching/Poor Hygiene (N = 53)Less Touching/Better Hygiene (N = 39)P Value
    Recommended by the CDC to prevent URTIs
        Don't smoke or stop smoking if you smoke68.1%72.0%.73
        Cover the mouth/nose with a tissue or handkerchief when coughing/sneezing54.738.5.17
        Cover the mouth/nose with the elbow when coughing/sneezing92.588.5.56
        Wash hands frequently throughout the day96.296.0.96
        Try to not touch own eyes, nose, or mouth with hands47.246.2.93
        Get plenty of sleep each night47.138.5.47
        Avoid being around people when they have a cold or flu33.323.1.35
    No recommendation by the CDC to prevent URTI
        Take vitamin C regularly25.011.5.16
        Drink large amounts of water daily60.434.6.03
        Cover the mouth/nose with the hand when coughing/sneezing52.950.0.81
        Stay at home (do not go to school or work) while ill with a cold or flu20.015.4.62
        Avoid stressful situations26.020.0.57
    • CDC, Centers for Disease Control and Prevention.

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The Journal of the American Board of Family     Medicine: 27 (3)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 3
May-June 2014
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Hand Hygiene and Face Touching in Family Medicine Offices: A Cincinnati Area Research and Improvement Group (CARInG) Network Study
Nancy C. Elder, Will Sawyer, Harini Pallerla, Sara Khaja, Monica Blacker
The Journal of the American Board of Family Medicine May 2014, 27 (3) 339-346; DOI: 10.3122/jabfm.2014.03.130242

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Hand Hygiene and Face Touching in Family Medicine Offices: A Cincinnati Area Research and Improvement Group (CARInG) Network Study
Nancy C. Elder, Will Sawyer, Harini Pallerla, Sara Khaja, Monica Blacker
The Journal of the American Board of Family Medicine May 2014, 27 (3) 339-346; DOI: 10.3122/jabfm.2014.03.130242
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