Think about what could happen if hand sanitizer is not used properly and how certain circumstances, like having extremely dirty hands or being around dangerous chemicals, can affect how effective it is. It is indisputable that hand sanitizer is the recommended method of hand hygiene in healthcare settings, even though it may not always be as efficient as soap in some circumstances.Â
Because alcohol-based hand sanitizers are easier to use and require less time to apply, using them can improve healthcare personnel' adherence to hand hygiene protocols. To enhance the sanitizer's effectiveness, dispense around 2-3 mL of liquid onto the palm of the hand and rub evenly throughout both hands for 25-30 seconds.Â
It is known that the genetic sequences of the SARS-CoV-2 and SARS-CoV viruses are similar. Each are enclosed, positive-sense RNA viruses that are single-stranded and have a similar appearance, both belonging to the genus Beta coronavirus. Certain lipid solvents, such as ethanol, ether (at a 75% concentration), chlorine-containing disinfectants, and chloroform, can be used to inactivate these viruses.Â
At 60%–80% concentrations, ethyl alcohol is known to be an efficient viricidal agent that can inactivate a variety of lipophilic viruses, such as the vaccinia, herpes, and influenza viruses. Ethyl alcohol is also effective against a variety of hydrophilic viruses, including as rotaviruses, rhinoviruses, enteroviruses, and adenoviruses.
Its mode of action demonstrates how well it works against a wide range of viruses that might sicken people. For alcohol-based hand sanitizers, the World Health Organization (WHO) suggests using ethanol at a concentration of 80% (v/v) and isopropyl alcohol at a concentration of 75% (v/v). In this situation, ethanol (60–85%) seems to be more effective than isopropanol (60–80%) and n-propanol (60–80%) at fighting viruses.Â
Research carried out with alcoholbased formulations that are advised by the World Health Organization (WHO) reveal a potent virucidal action against a range of viruses, such as ZIKV, EBOV, SARS-CoV, and MERS-CoV. Another study discovered that SARS and MERS coronaviruses may be destroyed in 30 seconds by ethanol at a concentration of 42.6% (w/w).Â
Among the skin reactions most frequently linked to using alcohol-based hand sanitizers are allergic contact dermatitis (ACD) and irritant contact dermatitis (ICD). ICD symptoms include things like dry skin, itching, and redness, and they can range in severity. On the other hand, ACD can show up as moderate, localized symptoms or as severe, broad reactions, with the most severe cases possibly resulting in anaphylactic reactions or respiratory issues.Â
The skin may be harmed by hand hygiene products, such as soaps and sanitizers, by a number of different mechanisms, such as the denaturation of stratum corneum proteins, alterations in intercellular lipids, and a reduction in corneocyte cohesiveness. The loss of lipid barriers is a serious issue because lipid-emulsifying detergents and lipidsoluble alcohol can permeate epidermal layers, change the flora on the skin, and increase the frequency of bacterial colonization. This is especially true when these substances are used repeatedly.Â
The following products are listed in decreasing order of frequency of irritating contact dermatitis (ICD): triclosan, iodophors, chlorhexidine, chloroxylenol, and handwashing soap. Compared to isopropanol and n-propanol, ethanol seems to have less skin-irritating qualities in formulations including alcohol.Â
Nevertheless, inadequate application of extra emollients, friction from usage, removing gloves, and relatively low humidity are other factors that enhance the likelihood of an ICD. Hand sanitizers with alcohol in them can also make your hands dry, which can lead to skin that peels or cracks.Â
Conversely, allergic contact dermatitis (ACD) results from an allergic reaction to particular substances found in formulations, including alcohol, triclosan, iodophors, chlorhexidine, and chloroxylenol. People who react allergicly to goods containing alcohol may be allergic to the alcohol itself or to additional ingredients like as perfumes, benzyl alcohol, parabens, or benzalkonium chloride, or they may be sensitive to other components such impurities or aldehyde metabolites.Â