Background: Acute gastroenteritis (AGE) is one of the most common diseases among children and an important cause of school absenteeism. The aim of this study was to assess the effectiveness of a handwashing program using hand sanitizers for the prevention of school absenteeism due to AGE
Methods: A randomized, controlled and open study of a sample of 1341 children between 4 and 12 years of age, attending 5 state schools in Almería (Spain), with an 8-month follow up (academic year). The experimental group (EG) washed their hands with soap and water, complementing this with the use of a hand sanitizer, and the control group (CG) followed the usual handwashing procedure. Absenteeism rates due GI were compared between the 2 groups through the multivariate Poisson regression analysis. Percent days absent in both groups were compared with a Z-test
Results: 446 cases of school absenteeism due to AGE were registered. The school children from the EG had a 36% lower risk of absenteeism due to AGE (IRR: 0.64, 95% confidence interval: 0.52–0.78) and a decrease in absenteeism of 0.13 episodes/child/academic year (0.27 of EG vs 0.40 CG/episodes/child/academic year, P < 0.001). Pupils missed 725 school days due to AGE and absent days was significantly lower in the EG (EG: 0.31%, 95% confidence interval: 0.28–0.35 vs. CG: 0.44%, 95% confidence interval: 0.40–0.48, P < 0.001)
Conclusions: The use of hand sanitizer as a complement to handwashing with soap is an efficient measure to reduce absent days and the number of school absenteeism cases due to AGE.
From the *Distrito Sanitario de Atención Primaria Almería; †Servicio de Pediatría, Hospital Torrecárdenas; ‡Universidad de Almería, Almería, España; §Statistician at Fundación para la Investigación Biosanitaria Andalucía Oriental Alejandro Otero (FIBAO), Hospital Torrecárdenas, Almería, España.
Accepted for publication August 21, 2013.
All phases of this study were supported by a grant from Department of Health of Andalusia (PI 0388/2008). The authors have no other funding or conflicts of interest to disclose.
Address for correspondence: Ernestina Azor-Martinez, MD, PhD, Paseo de los Sauces nº2 8ºD, Aguadulce 04720, Almería, Spain. E-mail: firstname.lastname@example.org.