T H E E F F E C T O F H A N D WA S H I N G

C O M PA R E D W I T H H A N D
SANITIZERS

Presented by:
Supervised by: Mrooj hawsawi 18000053

Prof. Loai Tawalbeh Nrrmeen abu shanab 20000149

Dr. Dena Atallah Haifa eissa 16111015

Jawaher Alotaibi 19000199
Fatimah bakr 19000201
Lujain Sami 20000050
Table of Contents:
• INTRODUCTION
• ABSTRACT
• BACKGROUND TO REVIEW and CLINICAL QUESTION
• SPECIFIC OBJECTIVES
• INCLUSION AND EXCLUSION CRITERIA
1. CRITERIA FOR INCLUDING STUDIES IN THE REVIEW
2. CRITERIA FOR EXCLUDING STUDIES NOT COVERED IN INCLUSION CRITERIA

• SEARCH METHODS: INFORMATION SOURCES

• METHODS OF REVIEW
• RESULTS (SUMMARY OF THE STUDIES)
• CRITICAL APPRAISAL
• CONCLUSIONS & RECOMMENDATIONS
• REFENCES
 Introduction

Hand washing is one of the

preventive measures to avoid various diseases that can be
transmitted
through hands. In addition, the COVID-19 pandemic which has
attacked
almost all over the world has forced various levels of society to
pay more
attention to hygiene, especially hand hygiene which can be a
bridge for the
spread of the virus.
Abstract:
This study was conducted to compare handwashing using soap
and hand sanitizer to kill germs on hands.
 Hands are the most common medium
for initiation and spread of infection in
BACKGROUND clinics. Hand hygiene is the simplest
and most economic method for
TO REVIEW and reducing the healthcare-associated
CLINICAL infections

QUESTION (HCAIs).

Clinical question : WHAT IS THE

EFFECT OF HAND WASHING
COMPARED WITH HAND
SANITIZERS?
 INCLUSION AND EXCLUSION CRITERI and PICOT

a) Criteria for including studies in

the review
Nurses in hospitals
P
• Language: English
• study designs (e.g., RCT’s,
Qualitative research that applies a scientific experiment that shows soap
and I
Cross-sectional, qualitative .water is considered more effective to eliminate microorganisms
studies)
• All units nurses
• Last 5 years
Between hand washing and hand sanitizers
C
The hand washing approved that washing better that hand sanitizer even
they O
have the same components of alcohol and triclosan, because the hand
washing
.will be under running water
Last 5 years
T
 Criteria for
excluding studies • Any specific populations excluded:
not covered in Relatives, doctors.

inclusion criteria • date range: more than last 5 years

• Language: any language except English
 Search methods: Information sources

a) Electronic databases: 1. research gate 2. PubMed 3. SAGE 4. springer link 5. google scholar
5.NIH
b) Key terms: Hand gel, Hand sanitizer, infection control, antigerm.
c) Number of studies found. 7
d) Number of included studies in the Systematic Review: 2 Articles.
Methods of review
 Methods of review

Quality assessment Study

High systematic review 1
High systematic review 2
High RCTs 3
medium crossover design 4
High systematic review 5
High systematic review 6
medium randomized controlled trial 7
None found 8
None found 9
None found 10
 RESULTS (SUMMARY OF THE STUDIES)
Study Results Research Objectives Title of the Article Authors/ Year
Design
This study evaluated that washing hands with soap and Systematic The aim of the study is Hand Sanitizer an ,Pallavi Singh1 1
water are more practical and efficacious than using the review to show that washing Alternative to ,Ipshita Potlia1
sanitizer on greasy and soiled hands. An alcohol-based hands is efficacious Hand Shitanshu
sanitizer, if used correctly and in than using a dab of Washing—A Malhotra2,
appropriate volume, can .alcohol-based hand sanitizer Review of Himangi Dubey3
dis-geminate certain type of micro-organisms Literature and Himanshu
Chauhan 2020
HW with liquid soap and water had the greatest impact in 6 Systematic Washing hands with soap and Hand hygiene with Brett Duane 2
out of the 16 categories, followed by ethanol HS in 6 review water was compared to using hand sanitizer Jessica Pilling
categories hand sanitizer versus Sophie Saget
handwashing: Paul Ashley
what are the Allan R. Pinhas
planetary Health Alexandra Lyne
?consequences 2021

Washing hands under running water is a better way to stop RCTs To compare the effect of 2 Effect of antiseptic Elaine L Larson 1, 3
.the spread of infections than using a hand sanitizer hand hygiene regimens on handwashing vs ,Jeannie Cimiotti
infection rates and skin alcohol sanitizer Janet Haas,
condition and microbial on health care- Michael Parides,
counts of nurses' hands associated Mirjana
in neonatal intensive care infections in Nesin, Phyllis
.units neonatal intensive Della-Latta, Lisa
care units Saiman
the finest approach to manage this threat is to clean Crossover The aim of the study is to Hand Sanitizer an Pallavi Singh 4
.our hands properly show that washing hands is Alternative to Hand ,Ipshita Potlia
Washing hands under running water is a better way to efficacious Washing ,Shitanshu Malhotra
stop the spread of infections than using a hand than using a dab of alcohol- Himangi Dubey
.sanitizer .based hand sanitizer and Himanshu
Chauhan 2020

There is some evidence that one type of HS might be Systematic compare the efficacy of hand Hand hygiene with Brett Duane, Jessica 5
more clinically effective review sanitizer, liquid soap hand sanitizer ,Pilling, Sophie Saget
versus .Paul Ashley, Allan R
handwashing
The results of the study show that there was no RCTs The aim of the present study Comparative Mahesh R Khairnar,1 6
significant difference in hand disinfection potential was to compare the efficacy Efficacy Anitha G,2 Tanushri
among hand sanitizer, liquid soap, or their of hand sanitizer, liquid of Hand M Dalvi,3
combination. All the three interventions were equally soap, and their combination Disinfection Shrivardhan
effective with the reduction of total bacterial for reducing the microbial Potential of Hand Kalghatgi,4 Uma V
.contamination from participants’ hands .colonies on hands Sanitizer and Liquid Datar,5 Umesh
Soap among Dental Wadgave,6 Shrushti
Students: A Shah,7 and Lucky
Randomized Preet8
Controlled Trial 2020

Washing hands under running water is a better way to Systematic study was to compare the Hand washing vs. CYNTHIA 7
stop the spread of infections than using a hand review efficacy of hand sanitizer, hand DEMARCO
.sanitizer liquid soap sanitizer: which is 2022
?better
 HW with liquid soap and water had the
greatest impact in 6 out of the 16
categories,
followed by ethanol HS in 6 categories,
and bar soap in 3 categories. Similarly, the
CRITICAL APPRAISAL highlighted green cells represent the
products with the lowest impact in each
category.
Isopropanol HS had the lowest impact in
14 out of the 16 categories, followed by
ethanol HS
and bar soap (which had the lowest impact
in fossil fuel use and photochemical ozone
formation respectively).
 CONCLUSIONS & RECOMMENDATIONS

At the end of or literature review, we found that hand washing and hand sanitizer both have
the same impact if they had the specific components, they are mentioned in the fifth study ,
therefore, if the hand hygiene done without these chemical materials, then you will be still
contaminated .
REFENCES

1.Singh P, Potlia I, Malhotra S, Dubey H, Chauhan H. Hand Sanitizer an

Alternative to Hand Washing—A Review of Literature. Journal of Advanced
Oral Research. 2020;11(2):137-142. doi:10.1177/2320206820939403

2. Duane, B., Pilling, J., Saget, S. et al. Hand hygiene with hand sanitizer versus handwashing:
what are the planetary health consequences?. Environ Sci Pollut Res 29, 48736–48747
(2022). https://doi.org/10.1007/s11356-022-18918-4

3.Brewer C, Streel E. Is Alcohol in Hand Sanitizers Absorbed Through the Skin or Lungs?
Implications for Disulfiram Treatment Alcohol Alcohol. 2020;55(4):354–356. doi:
10.1093/alcalc/agaa045. - DOI - PMC - PubMed
REFENCES cont.

4.Britannica. Isopropyl Alcohol. https://www.britannica.com/science/isopropyl-alcohol.

Accessed 5 Dec 2020
5.Burton M, Cobb E, Donachie P, Judah G, Curtis V, Schmidt W. The effect of handwashing
with water or soap on bacterial contamination of hands. Int J Environ Res Public Health.
2011;8(1):97–104. doi: 10.3390/ijerph8010097. - DOI - PMC - PubMed
6.Carrico A, Spoden M, Wallston K, Vandenbergh M. The environmental cost of
misinformation: why the recommendation to use elevated temperatures for handwashing is
problematicexternal icon. Int J Consum Stud. 2013;37(4):433–441. doi: 10.1111/ijcs.12012. -
DOI - PMC - PubMed
7.Centre for Disease Control Prevention (2020) Hand Sanitizer Use Out and About.
https://www.cdc.gov/handwashing/hand-sanitizer-use.html. Accessed 5 Dec 2020
THANK YOU!