Evidence map›Paper›PMID 40475275›Full record

ReviewJournal of public health in Africa2025

Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection.

Ekong E Udoh, Ubong A Udoh, Abiodun Egwuenu, Ekpereonne B Esu, Aruk Eteng, Faithman E Ovat, Uduak Okomo, Olabisi Oduwole, Joseph Okebe, Martin Meremikwu

Abstract readReview
In one paragraph

Review in Journal of public health in Africa, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Ekong E UdohDepartment of Paediatrics, Faculty of Clinical Sciences, University of Uyo Teaching Hospital, Uyo, Nigeria.ORCID https://orcid.org/0000-0002-9985-5142
Ubong A UdohDepartment of Medical Microbiology and Parasitology, Faculty of Basic Clinical Sciences, College of Medical Sciences, University of Calabar, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-7673-2414
Abiodun EgwuenuNigeria Centre for Disease Control and Prevention, Abuja, Nigeria.ORCID https://orcid.org/0000-0002-9369-4771
Ekpereonne B EsuCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-9637-0633
Aruk EtengFaculty of Health and Demographic Surveillance System, University of Calabar, Calabar, Nigeria.ORCID https://orcid.org/0009-0000-5501-9671
Faithman E OvatCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.ORCID https://orcid.org/0009-0004-1477-8347
Uduak OkomoMedical Research Council Unit, The Gambia at London School of Hygiene and Tropical Medicine, Fajara, Gambia.ORCID https://orcid.org/0000-0002-9923-1196
Olabisi OduwoleFaculty of Medical Laboratory Science, Achievers University, Owo, Nigeria.ORCID https://orcid.org/0000-0003-3221-1139
Joseph OkebeDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0001-5466-1611
Martin MeremikwuCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria.ORCID https://orcid.org/0000-0002-6144-9413

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Households and community settings are important hubs for the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As understanding of viral transmission improves, infection prevention and control (IPC) policies need to be updated. Aim: To compare the effectiveness of soap and water alone to bleach-based cleaners in eliminating SARS-CoV-2 infection in households and community settings. Setting: We conducted a virtual search through the Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane database of systematic reviews, PubMed, EMBASE, and Effective Practice and Organisation of Care (EPOC). Methods: We assessed studies which compared the effect of soap and water cleaning on SARS-CoV-2 among humans to that of bleach-based cleaning, both in households and communities. We prioritised systematic reviews and randomised studies and only included other study designs, such as laboratory studies, which had interventions of relevant interest. Results: We retrieved 1192 articles from the search. We summarised evidence from three laboratory studies as there were no randomised controlled trials (RCTs) or comparative effectiveness studies that met our inclusion criteria. Indirect evidence suggests that soap and bleach-based cleaners were effective at different concentrations. Substantial heterogeneity between the cited studies precludes any inference on effectiveness in reducing risk of SARS-CoV-2 infection in humans. Both interventions remain important components of IPC measures. Conclusion: There was no evidence for comparison of soap and water versus bleach-based cleaners against SARS-CoV-2 in humans in household and community settings. Indirect evidence shows both interventions to be effective against the virus. Contributions: Primary studies addressing this critical question are required to guide public health recommendations and policies.

Indexed as

bleach-based cleanerscommunity settingshouseholdsSARS-COV-2 infectionsoap and water

Identifiers

PMID40475275
PMCPMC12138657

What OpenQuestion holds

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Registered trials

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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.