The economic gains of tissue papers hygiene benefits
Cruz, A.; Lesma, R.; Kim, R.; Wilcox, M. H.
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Background: The choice of hand-drying method affects microbial contamination levels but its economic consequences have not been systematically quantified. Methods: By applying a quantitative microbial risk assessment framework, we translated the documented contamination differential between jet air dryers and paper towels into infection risk estimates, and embedded these into an established health economic model of healthcare-associated infections in NHS hospitals and an illustrative productivity analysis for the EU workforce. Results: The median estimated avoidable HCAI cost attributable to jet air dryer presence in UK NHS clinical areas was 58 million pounds per year, representing 2.1% of total HCAI expenditure for the affected hospital population, with a 50% certainty interval of 33-84 million pounds. Extended to the EU workforce, the same contamination differential implied a median of 1.7 billion euros in annual productivity gains, due to reduced absenteeism, for a shift to use of paper towels in public restrooms. Conclusions: These findings suggest that hand-drying method selection carries measurable economic implications that are not currently reflected in facility management practice. The evidence supports the prioritisation of paper towels in clinical and public settings as a cost-effective infection control measure
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