Laura Lessard, Rena Hallam
Chronic Disease Risk of Family Child Care Professionals:: Results of a Statewide Survey of Health and Wellbeing Indicators
Delaware journal of public health
handhygiene interventions widely used schools effect reducing absenteeism well known aim literature review determine whether implementation handhygiene intervention reduced infectious diseaseassociated absenteeism elementary schools eligible studies n 19 published 1996 2014 summarized methodologic quality assessed review indicated evidence available show handhygiene interventions effect reducing acute gastrointestinal illnessassociated absenteeism inadequate evidence available show effect respiratory illnessassociated absenteeism methodologic quality assessment eligible studies revealed common design flaws lack randomization blinding attrition must addressed future studies strengthen evidence base effect handhygiene interventions school absenteeism