• MEDIUM
  • Clinical
  • Tier 2
  • Clinical & Visual

Hand Hygiene: How Effective Are Alcohol-Based Hand Sanitizers against Non-Enveloped Viruses?

Source
Today's RDH
Author
Spring Hatfield, RDH, BSPH

Summary and scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol. Not the original publisher.

Why it matters for dental

Dental clinicians handling saliva may encounter non-enveloped viruses that resist alcohol-based hand rubs, so knowing when to wash with soap and water reduces the chance of cross-contamination between patients and staff.

Key points

  1. 01

    CDC guidance states alcohol-based hand rubs are allowed for routine dental exams and nonsurgical procedures, but soap and water must be used when hands are visibly soiled.

  2. 02

    HPV and enteric viruses such as norovirus and rotavirus have a non-enveloped capsid that alcohol cannot penetrate, leaving these pathogens on hands after sanitizer use.

  3. 03

    Soap micelles formed during handwashing physically remove non-enveloped viruses from skin without needing to inactivate them.

  4. 04

    CDC instructs health-care workers to rub hands vigorously with soap and water for at least 15 seconds to achieve adequate removal of resistant viruses.

Who should care

  • Staff
  • Associate

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