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Irritant skin changes and dermatitis on the hands of health care employees are quite common and belong to daily routine. Measures of hand disinfection are frequently accused of inducing these changes. Particularly the hand disinfection with alcohol based skin rubs is blamed to be responsible for their dry and scaly skin. Even allergic reactions to the hand rubs are assumed. In extensive testing, no allergic reactions to alcohols have been described so far. Only sensitization against other ingredients of alcohol based hand rubs have been found. The performed irritant patch testing as well as the in use tests of the alcohols have shown a remarkably good tolerance - far better than the one to hand washing with a detergent. The reason why many health care employees believe to have intolerance against alcohol based hand rubs is that they feel burning and stinging sensation after application of the product on hands with an impaired barrier. They accuse the alcohol based hand rub for this sensation and tend to use hand washing instead, which impairs their skin barrier more seriously. An educational teaching, most effectively during training, will help to avoid such behaviour and may help to maintain a good skin condition.

Sauber macht krank – Das Zusammenspiel von Händehygiene und Handekzemen