Applied to dry hands followed by rubbing to remove microorganisms and prevent infections/reduce spread of infectious diseases
Types of hand sanitizer formulations
Gel
Foam
Cleanser
Cream
Spray
Wipes
Before the 1980s, there were no hand sanitizers, with proper handwashing being the gold standard for preventing infection
Healthcare workers and the food industry need constant handwashing, leading to dry hands and the development of WHO hand sanitizing gel formulations
Gel formulations
Deal with different gelling agents, with factors like other ingredients affecting the choice of gelling agent. Focus is on aesthetics and consumer acceptability.
Foam hand sanitizer formulations are not common in the Philippines, but more common in soap
Cream hand sanitizer formulations are a current trend due to their additional moisturizing effect
Alcohol-based hand sanitizers
Contain at least 62% alcohol (60-95% most effective), either ethanol or isopropyl alcohol. Provide immediate benefit but no residual activity.
Alcohol-based hand sanitizers
Safety concerns: ingestion (especially by children), flammability, drying effect
Alcohol-based hand sanitizers are the most common classification in the Philippines
Mechanism of action of alcohol as a disinfectant
Denatures the proteins of microorganisms, killing them and some viruses
Alcohol-based hand sanitizers with 40% alcohol were previously sold but phased out due to ineffectiveness
US data shows a high percentage of alcohol sanitizers being ingested by alcoholics
Alcohol-based, supplemented hand sanitizers
Contain at least 62% alcohol plus an antimicrobial agent like triclosan or benzalkonium chloride, providing more persistent activity
Water-based hand sanitizers
Alcohol-free, contain water, surfactant, and antimicrobial ingredients like benzalkonium chloride and triclosan. Advantage is no drying effect and less safety concerns.
WHO-recommended hand sanitizer formulations
Formulation 1: Ethanol 80% v/v, Hydrogen peroxide 0.125% v/v, Glycerol 1.45% v/v, Sterile distilled or boiled cold water
Formulation 2: Isopropyl alcohol 75% v/v, Hydrogen peroxide 0.125% v/v, Glycerol 1.45% v/v, Sterile distilled or boiled cold water
Glycerin is water-soluble and not used in the WHO hand sanitizer formulations, which use glycerol instead
Gels
A dispersion system composed of small or large molecules dispersed throughout a liquid vehicle, with increased water content resulting in faster evaporation and a cooling effect. Commonly used for burns.
Classification of gels
Colloidal phases (single- or two-phase system)
Nature of solvent used (hydrogel or organogel, xerogel)
Physical nature (elastic or rigid)
Rheological properties (plastic, pseudoplastic, or thixotropic)
Antimicrobial agent classifications
Category I: Ingredients Generally Recognized As Safe and Effective (GRASE)
Category II: Ingredients generally not recognized as safe and effective or have unaccepted indications (not GRASE)
Category III: Insufficient data available to permit final classification
Antimicrobial agents in alcohol-based hand sanitizers
Ethanol
Isopropyl alcohol
N-propanol
Hydrogen peroxide
Antimicrobial agents in water-based hand sanitizers