Skin Irritation and Dryness Associated With Two Hand-Hygiene Regimens: Soap-and-Water Hand Washing Versus Hand Antisepsis With an Alcoholic Hand Gel

@article{Boyce2000SkinIA,
  title={Skin Irritation and Dryness Associated With Two Hand-Hygiene Regimens: Soap-and-Water Hand Washing Versus Hand Antisepsis With an Alcoholic Hand Gel},
  author={John M. Boyce and Susan Kelliher and Nancy Vallande},
  journal={Infection Control \&\#x0026; Hospital Epidemiology},
  year={2000},
  volume={21},
  pages={442 - 448}
}
Objective: To compare the frequency of skin irritation and dryness associated with using an alcoholic–hand-gel regimen for hand antisepsis versus using soap and water for hand washing. Design: Prospective randomized trial with crossover design. Irritation and dryness of nurses' hands were evaluated by self-assessment and by visual assessment by a study nurse. Epidermal water content of the dorsal surface of nurses' hands was estimated by measuring electrical capacitance of the skin. Setting… 
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References

SHOWING 1-10 OF 32 REFERENCES
Intermittent use of an antimicrobial hand gel for reducing soap-induced irritation of health care personnel.
The influence of daily dish-washing with synthetic detergent on human skin.
TLDR
It is concluded that regular exposure to low concentrations of detergents as used for dish-washing is capable of inducing skin lesions in a substantial proportion of individuals.
The influence of cosmetic additives on the acceptability of alcohol-based hand disinfectants.
Efficacy of alcohol-based hand rinses under frequent-use conditions
TLDR
It is concluded that alcohol-based hand rinses are highly efficacious, and such products are recommended as a health care personnel hand wash, particularly when sink and running water are inaccessible.
Effectiveness of hand washing and disinfection methods in removing transient bacteria after patient nursing
TLDR
The results of the present study emphasize the importance of always using gloves when nursing a profuse spreader of bacteria or one who must be protected from infection.
No Time for Handwashing!? Handwashing Versus Alcoholic Rub Can We Afford 100% Compliance?
TLDR
It is concluded that 100% compliance with handwashing may interfere with patient care and partly explains the low compliance, and AHD, with its rapid activity, superior efficacy, and minimal time commitment, allows 100% healthcare-worker compliance without interfering with the quality of patient care.
Hand disinfection: a comparison of various agents in laboratory and ward studies.
Handwashing in Finland.
Quantity of Soap as a Variable in Handwashing
TLDR
It is concluded that quantity of soap used for handwashing is one variable influencing the microbial counts on hands, and that the quantity of shampoo used by health care personnel varies considerably.
Handwashing practices for the prevention of nosocomial infections.
TLDR
This work favors antiseptics for handwashing before surgery and other high-risk invasive procedures and in the care of newborn infants but prefer soap and water for other handwashing.
...
...