The effect of alcohol-based handrub solution on hands skin integrity of health care providers

Background and Purpose: Nosocomial infection is a threat to patient safety. In this study, we aimed to investigate the effect of alcohol-based handrub solutions recommended by the World Health Organization on skin integrity of health care providers.

Methods: This experimental study was carried out on 40 healthcare personnel of 17 Shahrivar Hospital, Amol, Iran, in 2016. The subjects were selected through convenience sampling method. The participants used the recommended solution for one month. The participants’ skin condition was evaluated by using two questionnaires filled out by the observer and participants in the first week and after one month. To analyze the data, the phi coefficient and Cochran’s Q test were used in SPSS, version 19.

Results: The results of the objective skin evaluation showed that there was no significant difference between the evaluations regarding skin redness (P=0.846), scaliness (P=0.276), and visual scoring of the skin (P=0.5). However, a significant difference was observed in terms of skin tears (P=0.05). The visual skin evaluation (P=0.001), skin disorders (P=0.006), moisture content (P=0.001), sensation (P=0.004), and overall skin integrity (P=0.023) showed a significant change after the use of the solution.

Conclusion: The results indicated that the recommended solution was compatible with the hand skin of the participants. We highly recommend the authorities to provide the necessary education for health personnel to improve compliance.