Access to Alcohol in Hand Sanitizer in a Substance Abuse Treatment Program

Raza, Mahreen; Patel, Ankur; Schleifer, Steven J.; Eljarrah, Fouad

doi:10.1097/adm.0000000000000015

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…These have occurred in a variety of settings, including emergency rooms, 5,9,10 general hospital rooms, 3,7,[11][12][13][14][15] prison, 16 and acute psychiatric or inpatient substance abuse units. [17][18][19][20] Emadi and Coberly 13 described the case of a patient who was admitted for chest pain who became hypotensive with altered mental status. His serum isopropanol concentration was 13.6 mg/dL with a measurable acetone concentration.…”

Section: Discussionmentioning

confidence: 99%

“…Reevaluating the access to hand sanitizers in areas where patients are receiving care for psychiatric conditions is important to combat the issue of ingestion. 9,17 Various procedural changes have been implemented at facilities, including limiting the quantity available, making bottles unable to be removed from the dispenser, and limiting placement in areas with high-risk patients, such as those who are psychiatrically unstable or those with a history of substance abuse and dependence. 10,17 In our case, hand sanitizer was not available in areas other than the monitored dining area from a secured dispenser, but the patient was still successful in accessing enough to become significantly intoxicated.…”

Section: Discussionmentioning

confidence: 99%

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Intentional ingestion of hand sanitizer in an adult psychiatric unit

Stevens¹,

Hix²

2020

Mental Health Clinician

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Intentional ingestion of ethanol- or isopropanol-based hand sanitizer has been reported in the literature in a variety of settings within the health care system. Specifically in psychiatric units, case reports have only described ingestion of ethanol-based products. This report describes a case of intentional ingestion of isopropanol-based hand sanitizer by a patient while hospitalized on a psychiatric unit. The patient developed acute respiratory failure, acute kidney injury, and metabolic encephalopathy and was treated for 3 days in the intensive care unit before returning to the psychiatric unit. This case highlights the process of identifying suspected ingestion while hospitalized. In any patient who has a sudden change in level of consciousness, clinicians should consider the potential for ingestion of ethanol- or isopropanol-based hand sanitizer. Facilities should be aware of how accessible hand sanitizer is, particularly in areas with patients who have a history of substance dependence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intentional ingestion of hand sanitizer in an adult psychiatric unit

Stevens¹,

Hix²

2020

Mental Health Clinician

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“…However, most of the incidences are reported amongst patients with a history of mental illness who use ABHS as a replacement whenever potable alcohol not easy available or accessible [14]. Hence, hospital emergency room, general hospital rooms, prison, psychiatric, and in-patient substance abuse units are considered as the most common place because of nonaccessibility of alcohol [14][15][16][30][31][32][33][34][35][36].…”

Section: Global Scenario Of Abusementioning

confidence: 99%

“…The United States poison control centers received more than 100,000 calls of children exposed to hand sanitizer within a period of 5 years (2011-2016) [37,38]. Hence, it is now considered as a major overlooked problem, especially among children and teenagers requiring prompt global attention [16,19,36].…”

Section: Global Scenario Of Abusementioning

confidence: 99%

Alcohol-Based Hand Sanitizer: Abuse During Lockdown Amidst Covid-19 Pandemic

Sarma

2021

Asian J Pharm Clin Res

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Alcohol-based hand sanitizers are popular alternative to the traditional handwashing with soap and water in both healthcare and community settings. Although some people use to carry small sanitizer bottles with them during travel; its utilization by common people come into picture during the COVID-19 pandemic. Because of sudden requirement of those products within a short time, there was even shortage during the initial days. Once nationwide lockdown was declared in India, to prevent community spread; all the shops were closed including wine shops. During this tough time, many alcohol withdrawal cases were reported from different regions. Some people started taking hand sanitizers as a replacement for potable alcohol. Because of high alcoholic content and adulteration with methanol or any other substances, most of the people became ill and they were hospitalized. Deaths were also reported from different states following its consumption. Addiction to hand sanitizers is now considered as one of the overlooked problems globally. It is very difficult to erase the problem, especially among teenagers. Multi-task approach involving different populations at different levels are required to handle this problem.

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