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Updated: Jun 10, 2026
09:02
A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
A prospective multicenter study evaluating skin tolerance to standard hand hygiene techniques.
Emmanuel Chamorey1, Pierre-Yves Marcy, Marc Dandine
1Infection Control Unit, Antoine Lacassagne Cancer Center, 33 Avenue de Valombrose, Nice Cedex 2, France. emmanuel.chamorey@nice.fnclcc.fr
American Journal of Infection Control
|July 24, 2010
Summary
Traditional handwashing increases hand dryness and irritation in healthcare settings. Alcohol-based hand rub (ABHR) is better tolerated and may protect skin, especially with frequent use.
Area of Science:
- Healthcare-associated infections
- Dermatology
- Occupational health
Background:
- Hand hygiene is crucial in healthcare facilities to prevent infections.
- Traditional handwashing with soap and water can lead to skin dryness and irritation.
- Alcohol-based hand rubs (ABHR) are an alternative for hand disinfection.
Purpose of the Study:
- To assess hand dryness and irritation in healthcare facilities.
- To compare the skin tolerance of alcohol-based hand rub (ABHR) versus traditional handwashing.
- To evaluate the impact of risk factors on skin condition.
Main Methods:
- Prospective multicenter study involving 1932 assessments across 9 sites.
- Evaluated hand dryness and irritation by a team of investigators.
- Considered individual and environmental risk factors.
Main Results:
- Traditional handwashing was identified as a risk factor for skin dryness and irritation.
- Alcohol-based hand rub (ABHR) did not cause skin deterioration.
- ABHR may offer a protective effect, particularly with intensive use.
Conclusions:
- Alcohol-based hand rub (ABHR) is better tolerated than traditional handwashing.
- ABHR use is recommended to mitigate skin issues associated with frequent hand hygiene.
- Study findings support wider adoption of ABHR in healthcare settings.
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