Efficacy of low-concentration iodophors for germicidal hand washing

J Hyg (Lond). 1985 Jun;94(3):269-77. doi: 10.1017/s0022172400061490.

Abstract

The efficacy of iodophor germicides containing different concentrations of available iodine against transient (inoculated) bacteria and the natural hand microflora was compared with chlorhexidine gluconate (2 and 4%) liquid detergent (Hibitane), non-germicidal soap and a tap water rinse. The tap water rinse was ineffective compared with all other treatments. Only 4% chlorhexidine gluconate liquid detergent and iodophor containing 0.75% available iodine were significantly better than the non-germicidal soap for reduction of transient bacteria, Escherichia coli and Pseudomonas fluorescens, that had been inoculated onto hands. These agents also caused a significant reduction in the number of 'natural' microorganisms released from hands after a standard 15 s hand wash. The low-concentration iodophor products and the product containing 2% chlorhexidine gluconate failed to give results significantly better than the non-germicidal control soap. Baird-Parker medium and standard aerobic plate counts were highly correlated (r = 0.82), so that for studies of Gram-negative bacteria inoculated onto hands as a transient microflora, counts on Baird-Parker medium give a reasonable indication of the natural (residual) hand microflora.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chlorhexidine / pharmacology
  • Disinfectants*
  • Escherichia coli / drug effects
  • Hand
  • Hand Disinfection*
  • Humans
  • Iodine / pharmacology*
  • Iodophors / pharmacology*
  • Pseudomonas fluorescens / drug effects
  • Skin / microbiology*
  • Soaps / pharmacology

Substances

  • Disinfectants
  • Iodophors
  • Soaps
  • Iodine
  • Chlorhexidine