Infectious Diseases and Vaccine Sciences, ICDDR,B, Dhaka, Bangladesh.
Am J Trop Med Hyg. 2011 Nov;85(5):882-92. doi: 10.4269/ajtmh.2011.11-0142.
We assessed which practical handwashing indicators were independently associated with reduced child diarrhea or respiratory disease. Fieldworkers collected 33 indicators of handwashing at baseline in 498 households in 50 villages in rural Bangladesh. Community monitors visited households monthly and asked standard questions about diarrhea and symptoms of respiratory illness among children under 5 years of age. In multivariate analysis, three handwashing indicators were independently associated with less child diarrhea-mothers reporting usually washing hands with soap before feeding a child, mothers using soap when asked to show how they usually washed their hands after defecation, and children having visibly clean finger pads. Two indicators were independently associated with fewer respiratory infections-mothers allowing their hands to air dry after the handwashing demonstration and the presence of water where the respondents usually wash hands after defecation. These rapid handwashing indicators should be considered for inclusion in handwashing assessments.
我们评估了哪些实际的洗手指标与减少儿童腹泻或呼吸道疾病有关。在孟加拉国农村的 50 个村庄的 498 户家庭中，实地工作人员在基线时收集了 33 项洗手指标。社区监测员每月访问家庭，并询问 5 岁以下儿童腹泻和呼吸道疾病症状的标准问题。在多变量分析中，有三个洗手指标与儿童腹泻减少独立相关——母亲报告通常在给孩子喂食前用肥皂洗手，母亲在被要求展示她们通常在便后如何洗手时使用肥皂，以及儿童的手指垫明显干净。有两个指标与呼吸道感染减少独立相关——母亲在洗手示范后让手自然风干，以及受访者通常在便后洗手的地方有水。这些快速洗手指标应考虑纳入洗手评估中。
