Hand hygiene, gastro-intestinal infections, respiratory infections, child day care centres, infection control
Conditions
Interventions
The intervention is a multifaceted, multilevel intervention, including multiple elements and targeting both caregivers and directors/management to ensure a cultural change. The intervention targets bo
Sponsors
Erasmus Medical Center in collaboration with the Municipal Public Health Service Rotterdam-Rijnmond
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria for the children: 1. Between 6 months and 3,5 years old; 2. Present in the day care centre at least 2 days a week; 3. Intending to remain in the day care centre throughout the study; 4. Consenting Dutch-speaking parents with access to email, regular post or telephone.
Exclusion criteria
Exclusion criteria: Exclusion criteria for the children: 1. Chronic illness or medication that would predispose them to infection; 2. Siblings taking part (1 child per family); 3. Children that started attending the day care centre in the previous three months before start of the study; 4. Children that start attending the day care centre after start of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Observed compliance rates of both caregivers and children. The compliance rate is operationalized as the number of correct hand hygiene practices (i.e. hand washing with soap and water followed by hand drying, or using hand alcohol) divided by the number of opportunities for hand hygiene according to the Dutch national guidelines. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence rate ratio of diarrhoea and upper respiratory tract infections in children in the participating day care centres/groups (i.e. incidence rate in intervention centres divided by incidence rate in control centres). | — |
Contacts
Public ContactTizza Zomer
GGD Rotterdam-Rijnmond Postbus 70032
Outcome results
None listed