Hand Hygiene

Choose sanitizer over soap.

• This may be counterintuitive, as patients often “feel” like sanitizers are more drying than soap. However, studies have actually shown that hand washing results in far greater damage to your skin, with increased dryness and inflammation. In contrast, hand sanitizer is equally effective at killing bacteria, viruses, and other sources of infection. 
• Note: you SHOULD use soap and water for soiled hands such as those with visible dirt, blood, oils, etc. These substances require physical removal via washing and/or scrubbing and are NOT effectively cleaned with sanitizer alone.   

Avoid hot water.

• Keep temperatures lukewarm or even cold if possible. Hotter temperatures lead to far greater losses of our skin’s protective oils.
• Don’t worry, the cooler temperature does NOT counteract or reduce the wash’s cleanliness.

Choose the proper sanitizer.

• Look for products that have isopropyl alcohol 60-80%, which is the necessary concentration to kill stubborn bacteria and viruses. Many products have higher levels up to 90% or more – this does NOT increase effectiveness but DOES make them more drying to your skin. 
• Avoid products with fragrance or preservatives.
• Trial and error may be necessary to find the ideal product for your skin type!
• See list below for examples of recommended products.

Bring your sanitizer with you.

• Never use public dispensers! This is one of the most commonly overlooked triggers for recurrent “unexplained” flares. 

Moisturize immediately after. 

• Whether washing or sanitizing, apply moisturizer after drying – every single time!
• Choose a moisturizer with mineral oil or petrolatum. Avoid products with fragrance or preservatives. Just like with sanitizer, trial and error may be required to find your perfect product. 
• For severe cases, your dermatologist may add a steroid (ie hydrocortisone) to use in combination. 
• Don’t worry, your hands are still clean! The moisturizer does not “undo” the antibacterial effects.