EVALUATION OF ANTIBACTERIAL EFFICACY OF SOME ALCOHOL-BASED HAND SANITIZERS SOLD IN ILORIN ( NORTH-CENTRAL NIGERIA )

Hospital and community-acquired infections are a serious problem worldwide often leading to increased deaths, costs and other problems. Hand hygiene has been promoted as the most important way to prevent these infections. The use of hand sanitizers is one of the ways to address the barriers to effective hand hygiene. In this study, we evaluated the antibacterial efficacy of some popular hand sanitizers sold in Ilorin. The well-variant of the agar diffusion test was used to evaluate the efficacy of the products against Staphylococcus aureus , Streptococcus pneumoniae , Escherichia coli , Pseudomonas aeruginosa and Klebsiella pneumoniae . Hygel alone inhibited all the test organisms with zones of inhibition ranging between 14.3mm and 28.0mm while Dettol was only effective against P. aeruginosa (14.5mm). The other products (SKP and Samcleans) were not active against any of the test organisms. Hygel and Dettol were bacteriostatic at 100% concentration (MIC) and none was bactericidal. In vivo tests to determine the efficacy of these two in reducing bacterial counts from hands of subjects showed mean percentage cfu reduction of 89.9% for Hygel and 73.8% for Dettol. There was no significant difference in the efficacy of the two products in this regard. Despite the claims of efficacy and 99.9% bacterial count reduction by hand sanitizer manufacturers, there still exists a need for verification of these claims by regulatory bodies and for the enforcement of good quality control measures. Keywords: Hand Sanitizer, Hand Hygiene, Bactericidal, Bacteriostatic, MIC, MBC

[1]  W. Adebimpe,et al.  A survey of Enterobacteriaceae in hospital and community acquired infections among adults in a tertiary health institution in Southwestern Nigeria , 2012 .

[2]  Pengbo Liu,et al.  Effectiveness of Liquid Soap and Hand Sanitizer against Norwalk Virus on Contaminated Hands , 2009, Applied and Environmental Microbiology.

[3]  M. McGuckin,et al.  Hand Hygiene Compliance Rates in the United States—A One-Year Multicenter Collaboration Using Product/Volume Usage Measurement and Feedback , 2009, American journal of medical quality : the official journal of the American College of Medical Quality.

[4]  K. H. Smith,et al.  Consumer Health Information Services 2.0 , 2008 .

[5]  P. Wayne PERFORMANCE STANDARDS FOR ANTIMICROBIAL SUSCEPTIBILITY TESTING, NINTH INFORMATIONAL SUPPLEMENT , 2008 .

[6]  Cleidson Valgas,et al.  Screening methods to determine antibacterial activity of natural products , 2007 .

[7]  Kanwardeep Singh,et al.  Recent Advances in the Management of Nosocomial Infections , 2007 .

[8]  A. D. Russell,et al.  Pharmaceutical Microbiology , 2006 .

[9]  S. Murray Consumer health information , 2006 .

[10]  M. Cheesbrough District Laboratory Practice in Tropical Countries: COLOUR SECTION , 2006 .

[11]  Stefan Schulz,et al.  Guidelines on hand hygiene in health care. , 2006, Journal of advanced nursing.

[12]  F. Levy,et al.  Hand sanitizer alert. , 2006, Journal of environmental health.

[13]  Monica Cheesbrough,et al.  District Laboratory Practice in Tropical Countries: Acknowledgements , 2005 .

[14]  Michelle M. Garrison,et al.  Infection Control Policies and Hospital-Associated Infections Among Surgical Patients: Variability and Associations in a Multicenter Pediatric Setting , 2005, Pediatrics.

[15]  J. Vandepitte Basic Laboratory Procedures in Clinical Bacteriology , 2003 .

[16]  L. Mody,et al.  Introduction of a Waterless Alcohol-Based Hand Rub in a Long-Term–Care Facility , 2003, Infection Control & Hospital Epidemiology.

[17]  Didier Pittet,et al.  Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HIPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. , 2002, American journal of infection control.

[18]  Didier Pittet,et al.  Guideline for Hand Hygiene in Health-Care Settings Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC / SHEA / APIC / IDSA Hand Hygiene Task Force , 2002 .

[19]  E. Larson,et al.  Assessment of two hand hygiene regimens for intensive care unit personnel , 2001, Critical Care Medicine.

[20]  M. Dolan,et al.  Effect of hand sanitizer use on elementary school absenteeism. , 2000, American journal of infection control.

[21]  J. Boyce,et al.  Skin Irritation and Dryness Associated With Two Hand-Hygiene Regimens: Soap-and-Water Hand Washing Versus Hand Antisepsis With an Alcoholic Hand Gel , 2000, Infection Control & Hospital Epidemiology.

[22]  G. Kampf,et al.  Efficacy of hand disinfectants against vancomycin-resistant enterococci in vitro. , 1999, The Journal of hospital infection.

[23]  T. Sakuragi,et al.  Bactericidal Activity of Skin Disinfectants on Methicillin-Resistant Staphylococcus aureus , 1995, Anesthesia and analgesia.

[24]  Eugene W. Nester,et al.  Microbiology: A Human Perspective , 1995 .

[25]  B. Doebbeling,et al.  Comparative Efficacy of Alternative Hand-Washing Agents in Reducing Nosocomial Infections in Intensive Care Units , 1992 .

[26]  D. Maki The use of antiseptics for handwashing by medical personnel. , 1989, Journal of chemotherapy.

[27]  P. Price ETHYL ALCOHOL AS A GERMICIDE , 1939 .