Studies on the use of povidone-iodine with the 'hygienic hand disinfection' test

J Hosp Infect. 1985 Mar:6 Suppl A:45-50. doi: 10.1016/s0195-6701(85)80045-1.

Abstract

The DGHM test for hygienic hand disinfection is based on that of Rotter et al. (1980), and compares the ability of a test agent with 60% isopropanol to reduce Escherichia coli counts on artificially contaminated fingers using 15 volunteers. The test was performed seven times--three with 10% povidone-iodine (PVP-I) scrub, three with 10% PVP-I solution and once with 5% PVP-I solution. Initial tests with PVP-I scrub ('Betadine') gave comparable results with the iso-propanol, but the latter gave an activity below that normally expected, and specified in the Austrian standard (but not in the DGHM test). A repeat test with greater attention to detail gave similar activity with the scrub, but markedly greater activity from the iso-propanol so that the PVP-I scrub failed the test. Subsequent tests with four aqueous PVP-I solutions showed that all passed the tests with activity marginally greater than that of iso-propanol. Interestingly enough, two German formulations of PVP-I solution showed almost identical activity.

MeSH terms

  • 1-Propanol / pharmacology
  • Anti-Infective Agents, Local / pharmacology*
  • Disinfectants / pharmacology
  • Escherichia coli / drug effects
  • Hand Disinfection*
  • Humans
  • Microbial Sensitivity Tests
  • Povidone / analogs & derivatives*
  • Povidone-Iodine / pharmacology*
  • Skin / microbiology*
  • Soaps
  • Solutions

Substances

  • Anti-Infective Agents, Local
  • Disinfectants
  • Soaps
  • Solutions
  • Povidone-Iodine
  • 1-Propanol
  • Povidone