Hygiene

The central venous catheter (CVC) is essential in the management of pediatric patients, allowing the administration of medications, parenteral nutrition, and other treatments. However, its use carries a high risk of central-line-associated bloodstream infections (CLABSI) and catheter-related bloodstream infections (CRBSI). Advanced chlorhexidine-impregnated dressings have been developed to reduce bacterial colonization, but their effectiveness in the pediatric population remains uncertain. The aim of this review is to evaluate the effectiveness of chlorhexidine-impregnated dressings compared to standard dressings in reducing CLABSI, CRBSI, and CVC colonization in pediatric patients. Randomized clinical trials published between 2005 and 2021 in PubMed, CINAHL, and Embase, in Italian or English, were selected. Methodological quality was assessed using the Joanna Briggs Institute (JBI) checklist. Relevant data were extracted and summarized in tables. Four studies, including a total of 733 pediatric patients (367 intervention, 366 control), were included. None reported a statistically significant reduction in CLABSI/CRBSI with the use of chlorhexidine-impregnated dressings. However, two studies showed a significant reduction in catheter colonization in the intervention group. Current evidence does not support a superior effect of chlorhexidine-impregnated dressings in preventing CLABSI/CRBSI in pediatric patients, although they may reduce catheter colonization. Randomized trials with larger samples and specific methodologies are needed to clarify the true clinical impact.

Period poverty refers to the lack of access to or affordability of menstrual hygiene supplies such as sanitary products and the inaccessibility of washing facilities, waste disposal and educational materials. Period poverty can significantly affect menstruating individuals’ physical, mental, and reproductive health and emotional wellbeing; negatively impact educational outcomes; cause financial strain; result in absenteeism from work and school; create barriers to healthcare access; and perpetuate poor health outcomes for generations. Barriers to menstrual equity include lack of access to period support, cost, poor sanitary facilities, lack of education, social and cultural stigma, and legal restrictions. Therefore, it is crucial to actively advocate for initiatives to increase access to menstrual hygiene products, raise public awareness, and educate individuals on safe menstrual practices. Approximately 500 million girls and women worldwide and an estimated 16.9 million people in the United States experience period poverty, with the issue being particularly common among marginalized groups such as Black or Hispanic menstruating individuals and those who are homeless, living in poverty, of low income, or attending college. This article investigates the physical, psychological, educational and social impacts of inequitable access to menstrual products, menstrual education, and sanitation facilities among menstruating individuals who are Black, Hispanic or of low income within the United States. We examine the threat this poses to health equity and propose recommendations to address this pervasive issue.

Background: In the Philippine basic education system, particularly in Technology and Livelihood Education (TLE) Cookery classes, teachers are at the forefront of promoting proper food hygiene. However, systemic challenges such as the absence of standardized policies, outdated training, and lack of resources hinder their effectiveness. To address this gap, this study aimed to assess the food hygiene knowledge and practices of cookery teachers and provides localized evidence to address the lack of division-level hygiene policies. Methods: A descriptive research design supported by qualitative interviews was employed. In total, 69 junior and senior high school cookery teachers from three school divisions in Ilocos Norte participated. A researcher-made survey questionnaire and an interview guide were used to gather data, which were analyzed using descriptive and inferential statistics. Participant testimonies were integrated to enrich the quantitative findings. Results showed high levels of food hygiene knowledge ($\overline{x}=$ 3.48; Highly Competent) and practices ($\overline{x}=$ 3.80; Highly Competent). Despite these strengths, notable gaps were identified in technical areas such as temperature control, cold storage, and specific aspects of personal hygiene. Conclusions: Interviews highlighted the need for a formal institutional hygiene policy to support teachers’ implementation of safe food-handling practices. All computed p-values were below 0.01, indicating significant correlations between demographic variables and both knowledge and practices. The correlation values ranged from r = 0.039 to r = 0.342, suggesting weak to moderate positive relationships and indicating that hygiene behaviors are influenced by multiple factors rather than demographics alone. Based on the findings, the study recommends institutionalizing the proposed policy brief, providing adequate resources, and implementing continuous professional development for Cookery teachers. The study’s scope is limited to Northern Philippines.