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A recent recommendation in Mexico is that all health secretary and gubernamental workers must lose their ties. This will be obviously a tragedy for the economic of the companies that sell them and the bow tie might be back (which I personally don´t dislike). I tried to search evidence on the topic, specifically clinical data that could be evidence for or against the use of ties with clinical outcomes. I did not find anything on Pubmed using the search strategy "(white coat OR tie) AND infection" Any suggestions? evidence? even if it is indirect evidence -- Carlos A. Cuello-García, MD Director, Centre for Evidence-Based Practice-Tecnologico de Monterrey Cochrane-ITESM coordinator. Professor of Paediatrics and Clinical Research Avda. Morones Prieto 3000 pte. Col. Doctores. CITES 3er. piso,Monterrey NL, México. CP64710 Phone. +52(81)88882154 & 2141. Fax: +52(81)88882019 www.cmbe.net The content of this data transmission must not be considered an offer, proposal, understanding or agreement unless it is confirmed in a document signed by a legal representative of ITESM. The content of this data transmission is confidential and is intended to be delivered only to the addressees. Therefore, it shall not be distributed and/or disclosed through any means without the authorization of the original sender. If you are not the addressee, you are forbidden from using it, either totally or partially, for any purpose