Open research questions in Infection Control in Healthcare
112 unresolved questions extracted from the limitations and future-work sections of 703 Infection Control in Healthcare papers in our library. Each links back to the study that raised it.
What the literature leaves open
The study identifies inconsistent preventive practices among operating room nurses, with awareness gaps in areas such as the limitations of surgical masks and the non-universal protection offered by latex gloves. The study notes that the availability and functioning of ventilation or local exhaust controls in areas where disinfectants and sterilant are used can be inconsistent. The study identifies the need for improved training and education on preventive practices among operating room nurses.
When behavior outweighs infrastructure: disinfectant and latex exposure and preventive practice among operating room nurses in China · 2026 · DOIFurther studies are needed to investigate the long-term effects of disinfectant exposure on OR nurses, - Research is needed to develop effective interventions to improve safety awareness and preventive practices among OR nurses
When behavior outweighs infrastructure: disinfectant and latex exposure and preventive practice among operating room nurses in China · 2026 · DOIBackground: Nosocomial infections constitute a major threat to patients’ safety in low-resource contexts, where healthcare workers’ (HCWs’) limited knowledge of infection prevention and control (IPC) combined with poor working conditions and workload can exacerbate the risk of healthcare-associated infections.
Effectiveness of a Co-Created Multimodal Behavioural Change Model for Improving Infection Prevention and Control Practices Among Healthcare Workers in Conflict-Affected Goma, Democratic Republic of the Congo: A Quasi-Experimental Study · 2026 · DOIFew studies have investigated the effectiveness of co-created, context-specific, multimodal interventions to improve knowledge, attitudes, and practices (KAP) related to IPC in such settings.
Effectiveness of a Co-Created Multimodal Behavioural Change Model for Improving Infection Prevention and Control Practices Among Healthcare Workers in Conflict-Affected Goma, Democratic Republic of the Congo: A Quasi-Experimental Study · 2026 · DOIRESULTS: 1,772 injury reports were recorded, of which 790 were included for analysis since the sample was limited to the outpatient clinic opening hours to ensure a more accurate assessment of injury severity.
CONCLUSION: The configuration of full-time Infection Preventionists (IPs) in both tertiary and secondary hospitals in Guiyang City, Guizhou Province, is insufficient, with the situation being particularly severe in secondary hospitals.
Assessment of infection prevention and control management in obstetrics departments in secondary and tertiary hospitals · 2025 · DOIBACKGROUND: The use of immersive technology in healthcare education is on the rise, yet its impact on learner engagement, knowledge retention, and specifically in areas like hand hygiene training, remains underexplored.
While the unique characteristics of psychiatric patients and clinical settings may make the implementation of ICPs difficult, evidence is lacking for compliance with ICPs among healthcare workers (HCWs) in a psychiatric setting during the COVID-19 pandemic.
Compliance of healthcare workers in a psychiatric inpatient ward to infection control practices during the COVID-19 pandemic: a participant observation study supplemented with a self-reported survey · 2024 · DOILimited studies have explored compliance with infection prevention and control (IPC) practices among Somali healthcare workers.
Healthcare workers’ compliance with COVID-19 prevention and control measures at De Martino Hospital, Mogadishu, Somalia: a cross-sectional study · 2024 · DOIImportance: Few studies have directly and objectively measured the individual and combined effects of multifaceted hand hygiene education programs.
The study identifies a gap in the understanding of dermal ethanol absorption. The study highlights the need for further research on the safety of using ethanol-based products.
Contribution of dermal ethanol absorption during laboratory-controlled high-frequency use of alcohol-based hand rubs followed by glove use · 2026 · DOIThe design of a laboratory study was chosen because of the need to control for inhalation exposure. To reduce the contribution of endogenous ethanol formation the study par- ticipants were asked to restrict their carbohydrate intake to define a standardized low baseline of blood ethanol at the start, during the exposure and wash out period. To enhance the real-world relevance, healthcare workers were enrolled as study participants. They introduced their routine to apply ABHRs as experienced users, resulting in a realistic assess- ment of the procedure and presumably greater reproducibil- ity than would be expected with less experienced users. We invited healthcare workers who also routinely use hygienic disinfection products combined with wet-work tasks, includ- ing the use of detergent/soap and are familiar glove users. This was supported by a medical exam of the skin during the intake interview. The ABHRs were studied in a series with intermittent glove use, creating periods of skin occlusion that may have contributed to effects on skin barrier func- tion particularly for a polar chemical such as ethanol, which has not been studied under these conditions before (Arndt et al., 2024). Such exposure conditions may influence hydra- tion of the skin and specifically the skin barrier function in both the short and long term which is considered relevant to assess a real-world exposure (Tiedeman et al. 2016; Plum et al. 2020). The interpretation of the results was supported by measurement of TEWL before, during and after the use of the disinfection product. Additionally, ambient temperature, relative humidity and ventilation were recorded in all expo- sure settings to secure comparability of the two conditions tested. Repeated blood sampling ethanol analysis was used as primary outcome measure which offers both sensitivity and specificity to generate a concentration-time pattern that could be used to calculate an AUC as the main study find- ing. This is an improvement relative to earlier attempts to study inhalation and dermal absorption by end-exhaled air analysis (Hautemanière et al., 2013) and urinary EtG excre- tion (Arndt et al., 2014). To verify that blood ethanol levels could be related to the disinfection product as exogenous exposure, a small amount of deuterated isotope was added. This substance was analysed in blood to be able to confirm its origin from the hand disinfection product and the ABHR procedure as the source. A limitation is the small sample size and the under-repre- sentation of male healthcare workers in the study group. In a way, this reflects the current gender distribution in the target populationof healthcare workers in hospitals in The Neth- erlands. In follow-up studies with controlled exposures, a larger study sample may allow investigation of host factors to explain interindividual differences in skin type and con- dition, including the filaggrin genotype as a potential con- tributor to skin barrier function (Liljedahl et al., 2024). The study design is relevant to regular ABHR users within the target population and accounts for the use of gloves during patient contact. This is an important con- sideration, because the resulting periods of occlusion may have a significant impact on dermal absorption of ethanol. Consequently, the study findings should be interpreted with caution, and care should be taken when extrapolating the results to other populations or conditions. The experimen- tal setting also has limitations related to standardising the study design for comparison of our findings with those of follow-up studies. We asked the study participants to follow the ABHR protocol, and their level of physical exercise was probably much lower than during a typical workday in a clinical setting. We did not assess ABHR use without inter- mittent wearing of gloves, which may be relevant in some healthcare settings. Real-world conditions would probably result in more variability in exposure, which could translate into even higher variability in blood ethanol concentrations both within a person and between individuals.
Contribution of dermal ethanol absorption during laboratory-controlled high-frequency use of alcohol-based hand rubs followed by glove use · 2026 · DOIThe complexity of individual and behavioral factors contributing to needle stick injury. The need for a comprehensive approach to understand these determinants. The challenge of promoting safe behavior among nurses in a conducive work environment and safety system.
The Integration of Individual and Behavioral Factors in Needle Stick Injuries Among Nurses in Hospitals: A Literature Review · 2026 · DOIThe occurrence of needle stick injury is influenced by multiple interacting factors, and there is a need for a comprehensive approach to understand these determinants. Prior studies have identified individual and behavioral factors as contributing to the occurrence of needle stick injury, but there is a need for a more integrated analysis.
The Integration of Individual and Behavioral Factors in Needle Stick Injuries Among Nurses in Hospitals: A Literature Review · 2026 · DOILimited clinical experience among nursing students. Inadequate supervision during clinical practice. Significant gaps in students' knowledge of post-exposure protocols.
Occupational Exposure Incidents Among Nursing Students: Knowledge, Experience, and Reporting Practices—A Cross-Sectional Study · 2026 · DOILow internal consistency of the knowledge scale (Cronbach's α = 0.49), - Study conducted at a single Croatian faculty, - Limited generalizability to other nursing programs
Occupational Exposure Incidents Among Nursing Students: Knowledge, Experience, and Reporting Practices—A Cross-Sectional Study · 2026 · DOIThere is a need to develop effective strategies for infection management. The study identifies a gap in the literature regarding the use of the CIMAS and RAFSI methods for infection management.
Healthcare-associated infections represent a significant global public health problem. Hand hygiene adherence among healthcare workers remains suboptimal globally. The COM-B model has been underexplored in hand hygiene research.
Capability, opportunity, and motivation: a structural equation model of hand hygiene behavior based on the COM-B framework in a Chinese hospital setting · 2026 · DOIBackgroundThe choice of hand-drying method affects microbial contamination levels but its economic consequences have not been systematically quantified.
There is a need to understand the occurrence of work-related accidents involving exposure to biological materials among nursing professionals. There is a need to identify associated factors and propose preventive measures.
Acidentes de trabalho com exposição a materiais biológicos em profissionais de enfermagem · 2026 · DOIAs previously stated, some phases of the study were not under the control of the researchers. Specifically, health professionals responsible for operating the instrument did not close the venti- lation grilles. If left open, these grilles can cause ozone dispersion, making it difficult to achieve the concentration required for microbicidal effect. It was not possible to monitor the ozone concentration in the air, unlike other authors10,24 and this aspect represents a limitation. With regard to statistical power, the small sample size and the performed nonparametric tests may yield biased results and for this reason they must be considered as exploratory. Moreover, the unknown colonization status of the patients and possible other differences may also affect our results. Acknowledgments. None. Financial support. This research received no external funding. Competing interests. All authors report no conflicts of interest relevant to this article.
Effectiveness of gaseous ozone in reducing microbial contamination: evaluation of environmental disinfection in healthcare settings · 2026 · DOIThe study identifies a gap in understanding the factors associated with MDRO contamination of staff hands and forearms. The study aims to evaluate the likelihood of staff harboring MDROs on their hands and forearms when entering the breakroom or going home.
Multidrug-resistant organism (MDRO) contamination of nursing home staff hands and forearms when entering the breakroom or going home · 2026 · DOIEnvironmental constraints limit patients' ability to perform hand hygiene. Lack of social support hinders patients' ability to perform hand hygiene. Patients' physical limitations and impaired vision make it difficult to access hand hygiene supplies.
Barriers to hand hygiene practices and improvement expectations among awake ICU patients: a qualitative study · 2026 · DOIThere is a lack of understanding of the barriers to hand hygiene practices among awake ICU patients. The improvement expectations for hand hygiene practices among awake ICU patients are not well understood.
Barriers to hand hygiene practices and improvement expectations among awake ICU patients: a qualitative study · 2026 · DOIOperational barriers, such as workload and lack of supplies, can hinder IPC implementation. Limited resources and high workload can negatively affect infection control measures.
Assessment of Nursing Interventions and Adherence to Infection Prevention and Control Practices among Paediatric Nurses in Aminu Kano Teaching Hospital, Kano State, Nigeria · 2026 · DOI
Most-cited papers in Infection Control in Healthcare
- Effectiveness of a hospital-wide programme to improve compliance with hand hygiene · The Lancet · 2000 · 1,811 citations
- Effect of Hand Hygiene on Infectious Disease Risk in the Community Setting: A Meta-Analysis · American Journal of Public Health · 2008 · 576 citations
- Bacterial Contamination of the Hands of Hospital Staff During Routine Patient Care · Archives of Internal Medicine · 1999 · 379 citations
- Fear of contamination · Behaviour Research and Therapy · 2004 · 375 citations
- Hands as route of transmission for Klebsiella species. · BMJ · 1977 · 354 citations
- Handwashing Compliance by Health Care Workers · Archives of Internal Medicine · 2000 · 345 citations
- The Risk of Occupational Human Immunodeficiency Virus Infection in Health Care Workers · Archives of Internal Medicine · 1993 · 300 citations
- CSR-Washing is Rare: A Conceptual Framework, Literature Review, and Critique · Journal of Business Ethics · 2015 · 248 citations
- Chlorhexidine Gluconate to Cleanse Patients in a Medical Intensive Care Unit · Archives of Internal Medicine · 2006 · 245 citations
- Effect of Person‐Centered Showering and the Towel Bath on Bathing‐Associated Aggression, Agitation, and Discomfort in Nursing Home Residents with Dementia: A Randomized, Controlled Trial · Journal of the American Geriatrics Society · 2004 · 244 citations
Most recent work
- Decolonization vs Enhanced Cleaning for Multidrug-Resistant Organism Reduction in Nursing Homes · JAMA Network Open · 2026
- Evaluating feedback interventions to improve healthcare worker hand hygiene adherence using an automated hand hygiene monitoring system · Infection Control & Hospital Epidemiology · 2026
- Surveillance and Prevention of Hospital-Acquired Infections: Strategies for Infection Control, Patient Safety, and Healthcare Quality Improvement · INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT · 2026
- Contribution of dermal ethanol absorption during laboratory-controlled high-frequency use of alcohol-based hand rubs followed by glove use · Archives of Toxicology · 2026
- The Integration of Individual and Behavioral Factors in Needle Stick Injuries Among Nurses in Hospitals: A Literature Review · International Journal Of Health Science · 2026
- Occupational Exposure Incidents Among Nursing Students: Knowledge, Experience, and Reporting Practices—A Cross-Sectional Study · Nursing Reports · 2026
- Infection Management in Hospitals Using a Two-Stage Fuzzy Decision-Making Approach · Journal of Computational and Cognitive Engineering · 2026
- Hand hygiene practices: knowledge and habits of children aged 8–10 years · BMC Public Health · 2026
- Principles of Infection Prevention and Control in Healthcare Settings, Part 1: Facility Management and Planning · Infectious Disease Clinics of North America · 2026
- Capability, opportunity, and motivation: a structural equation model of hand hygiene behavior based on the COM-B framework in a Chinese hospital setting · Frontiers in Public Health · 2026
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