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pubmed-article:19624506pubmed:dateCreated2010-4-19lld:pubmed
pubmed-article:19624506pubmed:abstractTextThe use of alcohol-based hand rubs serves to reduce hospital-acquired infections. Many products of this type are now on offer and it is essential to know how to rank their efficacy. A sequence of tests is proposed here to compare any given new alcohol-based solution against the reference solution (60% 2-isopropyl-alcohol) with 30 s of contact time: (i) in vitro (with pig skin as carrier) testing of >30 species of microorganism; (ii) in vitro assessment of residual efficacy (after 30 min of drying); (iii) in vivo study of transient microbiota (modification of the EN 1500 standard procedure) using four ATCC strains; (iv) in vivo study of resident hand microbiota. After performing the in vitro evaluation of seven alcohol-based hand rubs, the two most efficacious (chlorhexidine-quac-alcohol and mecetronium- alcohol) were chosen and studied, comparatively with the reference solution (60% isopropyl alcohol), in vitro (for chemical sustainability on the skin) and in vivo (against transient and resident microbiota). Chlorhexidine-quac-alcohol proved to be significantly superior to mecetronium-alcohol or the reference solution in all tests, except against resident microbiota for which the improvement was not statistically significant.lld:pubmed
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pubmed-article:19624506pubmed:authorpubmed-author:VizcainoM JMJlld:pubmed
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pubmed-article:19624506pubmed:pagination518-23lld:pubmed
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pubmed-article:19624506pubmed:year2010lld:pubmed
pubmed-article:19624506pubmed:articleTitleIn vitro-in vivo sequence studies as a method of selecting the most efficacious alcohol-based solution for hygienic hand disinfection.lld:pubmed
pubmed-article:19624506pubmed:affiliationDepartment of Preventive Medicine, Autonomous University of Madrid, Spain. rafael.herruzo@uam.es <rafael.herruzo@uam.es>lld:pubmed
pubmed-article:19624506pubmed:publicationTypeJournal Articlelld:pubmed