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Nasal irrigation and gargling with hypertonic saline to prevent transmission of SARS-COV-2 to care home residents – a feasibility cluster trial

Nasal irrigation and gargling with hypertonic saline to prevent transmission of SARS-COV-2 to care home residents – a feasibility cluster trial
Nasal irrigation and gargling with hypertonic saline to prevent transmission of SARS-COV-2 to care home residents – a feasibility cluster trial
Hypertonic saline nasal irrigation and gargling (HSNIG) has the potential to reduce COVID 19 transmission. We present a pilot cluster randomised controlled trial to assess the feasibility and acceptability of a future trial to test the effectiveness of HSNIG in care homes (CHs). Staff in the intervention CHs were invited to perform HSNIG whereas control CHs carried on with their routine protection procedures. The acceptability of HSNIG was explored via interviews and online surveys. Seven (21%) of contacted CHs participated but following randomisation three (43%) dropped out leaving two intervention CHs and two control CHs. Facilitators to uptake of HSNIG included motivated ‘champions’ and integration into routines. Barriers included a lack of ownership and perceptions of reduced risk from COVID-19. Recruiting and retaining CHs in this study was challenging. Although HSNIG was reported to be safe and acceptable by staff, further work is required to quantify and optimise its acceptability.
COVID-19, care home
13-16
Buchanan, R.M.
9499f713-f684-4046-be29-83cd9d6f834d
Ibrahim, K.
54f027ad-0599-4dd4-bdbf-b9307841a294
Roberts, H.C.
5ea688b1-ef7a-4173-9da0-26290e18f253
Stuart, B.
626862fc-892b-4f6d-9cbb-7a8d7172b209
Webley, F.
143f965b-866b-4455-89a5-d187f52e1cde
Eminton, Z.
44904d98-97be-4080-9a84-bf5742525f8e
Ball, D.
130db4c5-0721-4d6d-88d3-e502f5610b55
Chinnery, F.
5df1a96c-6cda-41ff-8aca-52856877c2d2
Parkes, J.
59dc6de3-4018-415e-bb99-13552f97e984
Wyatt, J.
16035f8a-3530-48ea-aa54-b2c5a6a96067
Daniels, T.
d635a2fb-96a1-46ec-8cdf-8eb44a4bd0f5
et al.
Buchanan, R.M.
9499f713-f684-4046-be29-83cd9d6f834d
Ibrahim, K.
54f027ad-0599-4dd4-bdbf-b9307841a294
Roberts, H.C.
5ea688b1-ef7a-4173-9da0-26290e18f253
Stuart, B.
626862fc-892b-4f6d-9cbb-7a8d7172b209
Webley, F.
143f965b-866b-4455-89a5-d187f52e1cde
Eminton, Z.
44904d98-97be-4080-9a84-bf5742525f8e
Ball, D.
130db4c5-0721-4d6d-88d3-e502f5610b55
Chinnery, F.
5df1a96c-6cda-41ff-8aca-52856877c2d2
Parkes, J.
59dc6de3-4018-415e-bb99-13552f97e984
Wyatt, J.
16035f8a-3530-48ea-aa54-b2c5a6a96067
Daniels, T.
d635a2fb-96a1-46ec-8cdf-8eb44a4bd0f5

Buchanan, R.M., Ibrahim, K. and Roberts, H.C. , et al. (2021) Nasal irrigation and gargling with hypertonic saline to prevent transmission of SARS-COV-2 to care home residents – a feasibility cluster trial. Journal of Nursing Home Research Science, 7, 13-16. (doi:10.14283/jnhrs.2021.3).

Record type: Article

Abstract

Hypertonic saline nasal irrigation and gargling (HSNIG) has the potential to reduce COVID 19 transmission. We present a pilot cluster randomised controlled trial to assess the feasibility and acceptability of a future trial to test the effectiveness of HSNIG in care homes (CHs). Staff in the intervention CHs were invited to perform HSNIG whereas control CHs carried on with their routine protection procedures. The acceptability of HSNIG was explored via interviews and online surveys. Seven (21%) of contacted CHs participated but following randomisation three (43%) dropped out leaving two intervention CHs and two control CHs. Facilitators to uptake of HSNIG included motivated ‘champions’ and integration into routines. Barriers included a lack of ownership and perceptions of reduced risk from COVID-19. Recruiting and retaining CHs in this study was challenging. Although HSNIG was reported to be safe and acceptable by staff, further work is required to quantify and optimise its acceptability.

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More information

e-pub ahead of print date: 30 April 2021
Related URLs:
Keywords: COVID-19, care home

Identifiers

Local EPrints ID: 489493
URI: http://eprints.soton.ac.uk/id/eprint/489493
DOI: doi:10.14283/jnhrs.2021.3
PURE UUID: e4aabe12-62a1-4543-b08e-d131f769dae5
ORCID for R.M. Buchanan: ORCID iD orcid.org/0000-0003-0850-5575
ORCID for K. Ibrahim: ORCID iD orcid.org/0000-0001-5709-3867
ORCID for H.C. Roberts: ORCID iD orcid.org/0000-0002-5291-1880
ORCID for B. Stuart: ORCID iD orcid.org/0000-0001-5432-7437
ORCID for J. Parkes: ORCID iD orcid.org/0000-0002-6490-395X

Catalogue record

Date deposited: 25 Apr 2024 16:34
Last modified: 27 Apr 2024 02:04

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Contributors

Author: R.M. Buchanan ORCID iD
Author: K. Ibrahim ORCID iD
Author: H.C. Roberts ORCID iD
Author: B. Stuart ORCID iD
Author: F. Webley
Author: Z. Eminton
Author: D. Ball
Author: F. Chinnery
Author: J. Parkes ORCID iD
Author: J. Wyatt
Author: T. Daniels
Corporate Author: et al.

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