Hand Washing Recommendations
Janitorial Supplies Michigan – Amerisource Industrial Supply
Excerpt from CDC Recommendations on Hand Washing
When hands are visibly dirty or contaminated with pertinacious material or are visibly soiled with blood or other body fluids, wash hands with either a non-antimicrobial soap and water or an antimicrobial soap and water. If hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands in all other clinical situations described in items. Alternatively, wash hands with an antimicrobial soap and water in all clinical situations described in items. Do not add soap to a partially empty soap dispenser. This practice of “topping off” dispensers can lead to bacterial contamination of soap. No recommendation can be made regarding the routine use of non-alcohol-based hand rubs for hand hygiene in health-care settings, unresolved issue.
Antimicrobial Spectrum and Characteristics of Hand-Hygiene Antiseptic Agents*
| Group | Gram-negativebacteria
|
Mycobacterium | Fungi | Viruses | Speed of action | Comments |
| Alcohols
Chlorhexidine
Iodine compounds
Iodophors
Phenol derivatives
Tricolsan
Quaternary ammonium compounds
|
+++
++
+++
+++
+
++
++
|
+++
+
+++
+
+
+
—
|
+++
+
++
++
+
—
—
|
+++
+++
+++
++
+
+++
+
|
Fast
Intermediate
Intermediate
Intermediate
Intermediate
Intermediate
Slow
|
Optimum concentration 60%–95%; no persistent activity
Persistent activity; rare allergic Reactions Causes skin burns; usually too irritating for hand hygiene
Less irritating than iodine; acceptance varies Activity neutralized by nonionic Surfactants Acceptability on hands varies
Used only in combination with alcohols; ecologic concerns
|
Note: +++ = excellent; ++ = good, but does not include the entire bacterial spectrum; + = fair; — = no activity or not sufficient.
- Hexachlorophene is not included because it is no longer an accepted ingredient of hand disinfectants



































