Relationship between hand size, volume of alcohol-based handrub and time needed to dry hands. An experimental laboratory-based study

Gayet-Ageron, A; Bellíssimo-Rodrigues, Fernando; Soule, Hervé; Martin, Yves; Pittet, Didier

doi:10.1186/2047-2994-4-s1-p303

Cited by 1 publication

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“…Indeed, time to dry depends on the volume, type, and alcohol concentration of ABHR used 17 . Our group has previously observed that the perception of dry hands in 30 seconds was only achieved in 1 of 15 volunteers using 2 mL ABHR and that this number increased to 13 of 15 when using 1 mL ABHR 18 . These findings were confirmed by others also showed that low volumes that dry at 30 seconds fail to pass the EN 1500 norm 17 …”

Section: Discussionsupporting

confidence: 62%

“…17 Our group has previously observed that the perception of dry hands in 30 seconds was only achieved in 1 of 15 volunteers using 2 mL ABHR and that this number increased to 13 of 15 when using 1 mL ABHR. 18 These findings were confirmed by others also showed that low volumes that dry at 30 seconds fail to pass the EN 1500 norm. 17,19 Indeed, 1 mL seems to be the average volume of ABHR used in routine care, 23 and this volume is clearly insufficient for an optimal hand-hygiene procedure.…”

Section: Resultsmentioning

confidence: 58%

“…Furthermore, the European Norm 12 to test hand products also includes 30 seconds of hand rubbing, but ABHRs can be tested with hand-rubbing durations of up to 60 seconds to satisfy the norm. [17][18][19] These heterogeneous and imprecise recommendations reflect the overall poor level of evidence and lack of consensus.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Hand Hygiene With Alcohol-Based Hand Rub: How Long Is Long Enough?

Pires

Soule

Bellissimo-Rodrigues

et al. 2017

Infect. Control Hosp. Epidemiol.

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BACKGROUND Hand hygiene is the core element of infection prevention and control. The optimal hand-hygiene gesture, however, remains poorly defined. OBJECTIVE We aimed to evaluate the influence of hand-rubbing duration on the reduction of bacterial counts on the hands of healthcare personnel (HCP). METHODS We performed an experimental study based on the European Norm 1500. Hand rubbing was performed for 10, 15, 20, 30, 45, or 60 seconds, according to the WHO technique using 3 mL alcohol-based hand rub. Hand contamination with E. coli ATCC 10536 was followed by hand rubbing and sampling. A generalized linear mixed model with a random effect on the subject adjusted for hand size and gender was used to analyze the reduction in bacterial counts after each hand-rubbing action. In addition, hand-rubbing durations of 15 and 30 seconds were compared to assert non-inferiority (0.6 log10). RESULTS In total, 32 HCP performed 123 trials. All durations of hand rubbing led to significant reductions in bacterial counts (P<.001). Reductions achieved after 10, 15, or 20 seconds of hand rubbing were not significantly different from those obtained after 30 seconds. The mean bacterial reduction after 15 seconds of hand rubbing was 0.11 log10 lower (95% CI, -0.46 to 0.24) than after 30 seconds, demonstrating non-inferiority. CONCLUSIONS Hand rubbing for 15 seconds was not inferior to 30 seconds in reducing bacterial counts on hands under the described experimental conditions. There was no gain in reducing bacterial counts from hand rubbing longer than 30 seconds. Further studies are needed to assess the clinical significance of our findings. Infect Control Hosp Epidemiol 2017;38:547-552.

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Section: Discussionsupporting

confidence: 62%