Alcohol-Based Handrub (ABHR): Use and Precautions

Therapeutic action

Antiseptic.

Indications

Antiseptic handrubbing before and after procedures, whether gloves are used or not.

Forms and strengths

Solution or gel containing 80% ethanol or 75% isopropanol and inactive ingredients such as humectants and emollients to reduce skin dryness and irritation.

Use

• ABHR can only be used if hands are not visibly dirty or soiled with organic matter. There must be no residual powder on hands and hands must be dry.
• Apply 3 ml of solution or gel in a cupped hand and spread to cover the entire surface of hands.
• Rub hands for 20 to 30 seconds, palm to palm, palm over dorsum, between fingers, around the thumbs and nails, until hands are completely dry.
• Do not dilute the product. Do not rinse off or dry hands.
• As long as hands are not visibly soiled, the product may be reapplied as many times as necessary without handwashing with soap and water before or after applying the product.

Contra-indications, adverse effects, precautions

• Do not use if hands are visibly dirty or soiled with organic matter, if there is residual powder on hands, or if hands are wet.
• Do not use after direct contact with a patient with a parasitic skin infection such as scabies or lice: wash hands instead.
• Do not use with soap, creams, lotions, or other antiseptics.
• May cause stinging sensation on broken skin, skin dryness and irritation with frequent use, and rarely hypersensitivity reactions.
• In case of contact with eyes, rinse immediately with water.