Evidence map›Paper›PMID 26864562›Full record

ArticleBMC infectious diseases2016

Development and virucidal activity of a novel alcohol-based hand disinfectant supplemented with urea and citric acid.

Georgios Ionidis, Judith Hübscher, Thomas Jack, Britta Becker, Birte Bischoff, Daniel Todt, Veronika Hodasa, Florian H H Brill, Eike Steinmann, Jochen Steinmann

Abstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Hand Sanitizers: A Review on Formulation Aspects, Adverse Effects, and Regulations.International journal of environmental research and public health · 2020
    Pooled it
  4. Article
  5. Review
  6. Review
  7. S2k-Guideline hand antisepsis and hand hygiene.GMS hygiene and infection control · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Observational
  17. Hydrogels in Hand Sanitizers.Materials (Basel, Switzerland) · 2021
    Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Georgios IonidisOro Clean Chemie AG, Allmendstrasse 21, 8320, Fehraltorf, Switzerland. Georgios.ionidis@oroclean.com.
Judith HübscherOro Clean Chemie AG, Allmendstrasse 21, 8320, Fehraltorf, Switzerland. Judith.huebscher@oroclean.com.
Thomas JackOro Clean Chemie AG, Allmendstrasse 21, 8320, Fehraltorf, Switzerland. Thomas.jack@oroclean.com.
Britta BeckerDr. Brill + Partner GmbH, Institute for Hygiene and Microbiology, Norderoog 2, 28259, Bremen, Germany. Britta.becker@brillhygiene.com.
Birte BischoffDr. Brill + Partner GmbH, Institute for Hygiene and Microbiology, Norderoog 2, 28259, Bremen, Germany. Birthe.Bischoff@brillhygiene.com.
Daniel TodtInstitute for Experimental Virology, TWINCORE Centre for Experimental and Clinical Infection Research; a joint venture between the Medical School Hannover (MHH) and the Helmholtz Centre for Infection Research (HZI), Feodor-Lynen-Str. 7, 30625, Hannover, Germany. Daniel.todt@twincore.de.
Veronika HodasaDr. Brill + Partner GmbH, Institute for Hygiene and Microbiology, Norderoog 2, 28259, Bremen, Germany. Veronika.Hodasa@brillhygiene.com.
Florian H H BrillDr. Brill + Partner GmbH, Institute for Hygiene and Microbiology, Norderoog 2, 28259, Bremen, Germany. Florian.Brill@brillhygiene.com.
Eike SteinmannInstitute for Experimental Virology, TWINCORE Centre for Experimental and Clinical Infection Research; a joint venture between the Medical School Hannover (MHH) and the Helmholtz Centre for Infection Research (HZI), Feodor-Lynen-Str. 7, 30625, Hannover, Germany. eike.steinmann@twincore.de.
Jochen SteinmannDr. Brill + Partner GmbH, Institute for Hygiene and Microbiology, Norderoog 2, 28259, Bremen, Germany. jochen.steinmann@brillhygiene.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHand disinfectants are important for the prevention of virus transmission in the health care system and environment. The development of broad antiviral spectrum hand disinfectants with activity against enveloped and non-enveloped viruses is limited due to a small number of permissible active ingredients able to inactivate viruses.

methodsA new hand disinfectant was developed based upon 69.39 % w/w ethanol and 3.69 % w/w 2-propanol. Different amounts of citric acid and urea were added in order to create a virucidal claim against poliovirus (PV), adenovirus type 5 (AdV) and polyomavirus SV40 (SV40) as non-enveloped test viruses in the presence of fetal calf serum (FCS) as soil load. The exposure time was fixed to 60 s.

resultsWith the addition of 2.0 % citric acid and 2.0 % urea an activity against the three test viruses was achieved demonstrating a four log10 reduction of viral titers. Furthermore, this formulation was able to inactivate PV, AdV, SV40 and murine norovirus (MNV) in quantitative suspension assays according to German and European Guidelines within 60 s creating a virucidal claim. For inactivation of vaccinia virus and bovine viral diarrhea virus 15 s exposure time were needed to demonstrate a 4 log10 reduction resulting in a claim against enveloped viruses. Additionally, it is the first hand disinfectant passing a carrier test with AdV and MNV.

conclusionsIn conclusion, this new formulation with a low alcohol content, citric acid and urea is capable of inactivating all enveloped and non-enveloped viruses as indicated in current guidelines and thereby contributing as valuable addition to the hand disinfection portfolio.

Indexed as

Citric AcidEthanolUreaAnimalsAntiviral AgentsCell Line, TumorHand SanitizersHumansPoliovirusVaccinia virusVirus CultivationAntiviral AgentsCitric AcidEthanolHand SanitizersUrea

Identifiers

PMID26864562
PMCPMC4750209

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.