Evidence map›Paper›PMID 34991177›Full record

ReviewJournal of applied toxicology : JAT2022

Assessment of ethanol exposure from hand sanitizer use and potential for developmental toxicity in nursing infants.

Alice A Han, Amanda N Buerger, Hannah Allen, Melissa Vincent, Stephanie A Thornton, Kenneth M Unice, Andrew Maier, Antonio Quiñones-Rivera

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of applied toxicology : JAT, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 4 institutions in 1 country.

Alice A HanCardno ChemRisk, Boulder, Colorado, USA.ORCID 0000-0002-1142-0065
Amanda N BuergerCardno ChemRisk, Cincinnati, Ohio, USA.ORCID 0000-0001-9280-4177
Hannah AllenCardno ChemRisk, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-8900-7537
Melissa VincentCardno ChemRisk, Cincinnati, Ohio, USA.ORCID 0000-0002-0018-9662
Stephanie A ThorntonCardno ChemRisk, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-6492-6561
Kenneth M UniceCardno ChemRisk, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-3840-3628
Andrew MaierCardno ChemRisk, Cincinnati, Ohio, USA.
Antonio Quiñones-RiveraGOJO Industries, Inc., Akron, Ohio, USA.
Cincinnati Christian University · USGreater Pittsburgh Orthopaedic Associates · USGojo (United States) · USUniversity of Colorado System · US

Funding

GOJO Industries, Inc.
6 · The paper itself

Abstract

Ingestion of ethanol during pregnancy is known to have detrimental effects on the fetus. Although the potential developmental effects of maternal ethanol intake during lactation are less well characterized, public health guidelines recommend avoidance of alcohol or, if alcohol is consumed, to allow for 1-2 h to pass before nursing. A proposal to classify ethanol as potentially harmful to breast-fed children warrants an investigation of the potential adverse neurodevelopmental effects of low-dose ethanol exposure during lactation. There currently are no studies that have examined neurodevelopmental outcomes from lactational exposure to ethanol from the use of topical products that contain ethanol, such as alcohol-based hand sanitizers (ABHS). Furthermore, the epidemiological literature of lactational ethanol exposures from maternal alcohol consumption is limited in design, provides equivocal evidence of neurological effects in infants, and is insufficient to characterize a dose-response relationship for developmental effects. Toxicological studies that observed neurodevelopmental effects in pups from ethanol via lactation did so at exceedingly high doses that also caused maternal toxicity. In this investigation, blood ethanol concentrations (BECs) of breastfeeding women following typical-to-intense ABHS use were computationally predicted and compared to health benchmarks to quantify the risk for developmental outcomes. Margins of 2.2 to 1000 exist between BECs associated with ABHS use compared to BECs associated with neurotoxicity adverse effect levels in the toxicology literature or oral ethanol intake per public health guidelines. Neurodevelopmental effects are not likely to occur in infants due to ABHS use by breastfeeding women, even when ABHSs are used at intense frequencies.

Indexed as

Hand SanitizersAlcohol DrinkingChildEthanolFemaleHumansInfantLactationPregnancyEthanolHand Sanitizersalcohol-based hand sanitizerdevelopmental toxicity potentialethanolexposure assessmentexposure via breastfeedinglactation exposurelactation hazardPBPK modelingsafety assessment

Identifiers

PMID34991177
PMCPMC9543418
OpenAlexW4206433137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.