ANNEX 3Cough etiquette and respiratory hygiene (Recommendation 8c)

Publication Details

A3.1. Question

Table A3.1.


Table A3.1.

A3.2. Study selection process

BCG, Bacille Calmette Guerin; Mtb, Mycobacterium tuberculosis; TB, tuberculosis.

BCG, Bacille Calmette Guerin; Mtb, Mycobacterium tuberculosis; TB, tuberculosis

A3.3. Summary of evidence

Two observational studies (1, 2) clearly mention respiratory hygiene among the administrative measures contained in the packages implemented. However, some articles addressed the impact of respiratory hygiene on the reduction of transmission of influenza and pertussis, diseases with transmission dynamics that differ from those of TB (36). The few data available from these studies support the implementation of cough etiquette to reduce the transmission of influenza and pertussis. These findings, although not TB related, are used to inform the public health recommendation for the role of cough etiquette for TB infection control.

A3.4. GRADE profile

Table A3.2. Cough etiquette and respiratory hygiene – quality assessment.

Table A3.2

Cough etiquette and respiratory hygiene – quality assessment.

A3.5. References

Harries A, Hargreaves N, Gausi F. Preventing tuberculosis among health workers in Malawi. Bulletin of the World Health Organization. 2002;80:526–531. [PMC free article: PMC2567555] [PubMed: 12163915]
Moro M, Errante I, Infuso A. Effectiveness of infection control measures in controlling a nosocomial outbreak of multidrug-resistant tuberculosis among HIV patients in Italy. International Journal of Tuberculosis and Lung Diseases. 2000;4:61–68. [PubMed: 10654646]
American Academy of Pediatrics Committee on Infectious Diseases. Infection prevention and control in pediatric ambulatory settings. Pediatrics. 2007;120(3):650–665. [PubMed: 17766540]
Chatterjee A, Plummer S, Heybrock B, et al. A modified “cover your cough” campaign prevents exposures of employees to pertussis at a children's hospital. American Journal of Infection Control. 2007;35(7):489–491. [PubMed: 17765565]
Collignon P, Carnie J. Infection control and pandemic influenza. Medical Journal of Australia. 2006;20(185(10 Suppl)):S54–57. [PubMed: 17115953]
Pascual F, McCall C, McMurtray A, et al. Outbreak of pertussis among healthcare workers in a hospital surgical unit. Infection Control and Hospital Epidemiology. 2006;27(6):546–552. [PubMed: 16755472]