Efficacy of three ethanol-based hand rubs against feline calicivirus, a surrogate virus for norovirus

J Hosp Infect. 2005 Jun;60(2):144-9. doi: 10.1016/j.jhin.2004.12.005.

Abstract

We investigated the efficacy of three ethanol-based hand rubs (Sterillium Virugard, 95% ethanol; Sterillium Rub, 80% ethanol; Desderman N, 75.1% ethanol) against feline calicivirus (FCV), the surrogate virus for norovirus, on artificially contaminated hands of healthy volunteers. The ASTM E 1838-02 standard was used. Experiments were controlled with 70% ethanol and 70% propan-1-ol which were previously found to have maximal efficacy against FCV. In the first step, three different organic loads (5% fetal bovine serum, 5% faecal suspension and the tripartite ASTM load) were compared. A significant influence of the type of organic load was found (P<0.001, ANOVA). In the second step, the hand rubs were investigated with a 5% faecal suspension as a challenging organic load. The hand rub based on 95% ethanol was more effective than those based on 70% ethanol (mean log10 reduction factor: 2.17 vs. 1.56; P=0.17) and 70% propan-1-ol (mean RF: 1.63 vs. 0.95; P=0.0003). The hand rub based on 80% ethanol was also more effective than those based on 70% ethanol (mean RF: 1.25 vs. 1.03: P=0.20) and 70% propan-1-ol (mean RF: 1.43 vs. 1.09; P=0.03). The hand rub based on 75.1% ethanol was less effective than those based on 70% ethanol (mean RF: 1.07 vs. 1.27; P=0.47) and 70% propan-1-ol (mean RF: 0.78 vs. 0.97; P=0.35). Based on our data, ethanol has superior efficacy against FCV than propan-1-ol. In addition, a higher ethanol concentration in three commercially available hand rubs was associated with better efficacy against FCV.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • 1-Propanol / administration & dosage
  • 1-Propanol / chemistry
  • 1-Propanol / pharmacology
  • Analysis of Variance
  • Animals
  • Anti-Infective Agents, Local / administration & dosage*
  • Anti-Infective Agents, Local / chemistry
  • Anti-Infective Agents, Local / pharmacology
  • Caliciviridae Infections / prevention & control
  • Caliciviridae Infections / transmission
  • Caliciviridae Infections / virology
  • Calicivirus, Feline / drug effects*
  • Calicivirus, Feline / pathogenicity
  • Cats
  • Chemistry, Pharmaceutical
  • Colony Count, Microbial
  • Ethanol / administration & dosage*
  • Ethanol / chemistry
  • Ethanol / pharmacology
  • Feces / microbiology
  • Hand / microbiology
  • Hand Disinfection / methods*
  • Humans
  • Likelihood Functions
  • Norovirus / drug effects
  • Norovirus / pathogenicity

Substances

  • Anti-Infective Agents, Local
  • Ethanol
  • 1-Propanol