When performing hand hygiene when is it necessary to use soap and water instead of an alcohol based

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Handwashing is one of the best ways to protect yourself and your family from getting sick. Learn when and how you should wash your hands to stay healthy.

How Germs Spread

Washing hands can keep you healthy and prevent the spread of respiratory and diarrheal infections. Germs can spread from person to person or from surfaces to people when you:

  • Touch your eyes, nose, and mouth with unwashed hands
  • Prepare or eat food and drinks with unwashed hands
  • Touch surfaces or objects that have germs on them
  • Blow your nose, cough, or sneeze into hands and then touch other people’s hands or common objects

Key Times to Wash Hands

You can help yourself and your loved ones stay healthy by washing your hands often, especially during these key times when you are likely to get and spread germs:

  • Before, during, and after preparing food
  • Before and after eating food
  • Before and after caring for someone at home who is sick with vomiting or diarrhea
  • Before and after treating a cut or wound
  • After using the toilet
  • After changing diapers or cleaning up a child who has used the toilet
  • After blowing your nose, coughing, or sneezing
  • After touching an animal, animal feed, or animal waste
  • After handling pet food or pet treats
  • After touching garbage

This list of key times to wash hands was developed based on data from a number of studies. There may be other key times when it is important to wash hands during the COVID-19 pandemic.

To prevent the spread of germs during the COVID-19 pandemic, you should also wash your hands with soap and water for at least 20 seconds:

  • Before touching your eyes, nose, or mouth
  • After touching your mask
  • After leaving a public place
  • After touching objects or surfaces that may be frequently touched by other people, such as door handles, tables, gas pumps, shopping carts, or electronic cashier registers/screens

If soap and water are not readily available, use a hand sanitizer with at least 60% alcohol to clean your hands.

Follow Five Steps to Wash Your Hands the Right Way

Washing your hands is easy, and it’s one of the most effective ways to prevent the spread of germs. Clean hands can help stop germs from spreading from one person to another and in our communities—including your home, workplace, schools, and childcare facilities.

Follow these five steps every time.

  1. Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
  2. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails.
  3. Scrub your hands for at least 20 seconds. Need a timer? Hum the “Happy Birthday” song from beginning to end twice.
  4. Rinse your hands well under clean, running water.
  5. Dry your hands using a clean towel or air dry them.

Why? Read the science behind the recommendations.

Use Hand Sanitizer When You Can’t Use Soap and Water

You can use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available.

Washing hands with soap and water is the best way to get rid of germs in most situations. If soap and water are not readily available, you can use an alcohol-based hand sanitizer that contains at least 60% alcohol. You can tell if the sanitizer contains at least 60% alcohol by looking at the product label.

Sanitizers can quickly reduce the number of germs on hands in many situations. However,

  • Sanitizers do not get rid of all types of germs.
  • Hand sanitizers may not be as effective when hands are visibly dirty or greasy.
  • Hand sanitizers might not remove harmful chemicals from hands like pesticides and heavy metals.

How to Use Hand Sanitizer

  1. Apply the gel product to the palm of one hand (read the label to learn the correct amount).
  2. Rub your hands together.
  3. Rub the gel over all the surfaces of your hands and fingers until your hands are dry. This should take around 20 seconds.

CDC’s Communication Materials

Watch and share hand hygiene videos to raise awareness and educate your community about healthy hygiene behaviors.

CDC has health promotion materials to encourage kids and adults to make handwashing part of their everyday lives.

  • ORDER FREE posters and display them in highly visible public areas, such as school bathrooms,
    work areas, and public restrooms.
  • Share social media graphics and messages.
  • Print stickers and place clings on bathroom mirrors.
  • Distribute fact sheets to share information about hand hygiene for specific audiences.

For more information on handwashing, visit CDC’s Handwashing website or call 1-800-CDC-INFO.

When should you use soap and water instead of alcohol based product when performing hand hygiene?

Alcohol-based handrub.
Use an alcohol-based handrub when your hands are not visibly soiled..
Wash your hands with soap and water when your hands are visibly soiled..

When should soap and water be used for hand hygiene?

Healthcare personnel should wash their hands for at least 20 seconds with soap and water when hands are visibly dirty, before eating, after using the restroom, and after caring for people with infectious diarrhea during outbreaks.

When should you not use alcohol hand rub?

Alcohol based hand rub (ABHR) is a gel, foam or liquid containing one or more types of alcohol that is rubbed into the hands to stop or slow down the growth of microorganisms (germs). Do not use ABHR if you are caring for a resident who has sickness or diarrhoeal illnesses such as norovirus or Clostridioides difficile.

Why should you use soap to wash hands instead of water alone?

Water alone does not dislodge them, but soap helps break down germ-carrying oils. Soap also facilitates rubbing and friction which can remove germs from the hands, and so that germs can be rinsed away with water. Using soap also adds to the time spent washing and ensures a more effective wash.

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