Effectiveness of Various Antiseptic Hand Soaps in Reducing Skin Bacterial Counts
DOI:
https://doi.org/10.58344/jws.v5i8.1697Keywords:
Antiseptic Soap, Chlorhexidine Gluconate, Chloroxylenol, Bacterial Colony, Povidone IodineAbstract
Hands are the body part most frequently exposed to environmental bacteria and play an important role in disease transmission. Handwashing with antiseptic soap is an effective method for reducing bacterial contamination on the skin. Antiseptic soaps containing chloroxylenol, povidone-iodine, and chlorhexidine gluconate are widely used due to their broad-spectrum antimicrobial activity. However, the comparative effectiveness of these three antiseptic agents remains unclear. This experimental study employed a group pre-test and post-test design involving 27 students from the Faculty of Dentistry, Trisakti University. The respondents were divided into three groups based on the type of antiseptic soap used: 0.5% chloroxylenol, 7.5% povidone-iodine, and 0.5% chlorhexidine gluconate, with nine respondents in each group. The number of bacterial colonies on the hands was assessed before and after handwashing using the swab method. Data were analyzed using the Wilcoxon signed-rank test and the Kruskal–Wallis test. All three antiseptic soaps demonstrated a significant reduction in bacterial colony counts. In the chloroxylenol group, the median colony count decreased from 100 CFU to 22 CFU (p = 0.018); in the povidone-iodine group, from 11 CFU to 0 CFU (p = 0.008); and in the chlorhexidine gluconate group, from 200 CFU to 61 CFU (p = 0.008). Based on the percentage reduction, povidone-iodine showed the greatest decrease (99.74%), followed by chloroxylenol (79.30%) and chlorhexidine gluconate (51.97%). However, comparisons of bacterial colony reduction among the three groups showed no statistically significant difference in effectiveness (p = 0.481).
References
Abbas, S. Z., Hussain, K., Hussain, Z., Ali, R., & Abbas, T. (2016). Anti-bacterial activity of different soaps available in local market of Rawalpindi (Pakistan) against daily encountered bacteria. Pharmaceutica Analytica Acta, 7(11).
Aftab, R., Dodhia, V. H., Jeanes, C., & Wade, R. G. (2023). Bacterial sensitivity to chlorhexidine and povidone-iodine antiseptics over time: A systematic review and meta-analysis of human-derived data. Scientific Reports, 13(1).
Alum, B. N. (2024). Saponification process and soap chemistry. INOSR Applied Sciences, 12(2).
Ayuningtyas, D., Astuti, D. S., & Riyanta, A. B. (2021). The ability of rice straw as an alternative natural surfactant in the manufacture of solid soap based on used cooking oil. Scientific Journal of Pharmacy, 10(1), 40–50.
Boxberger, M., Cenizo, V., Cassir, N., & La Scola, B. (2021). Challenges in exploring and manipulating the human skin microbiome. Microbiome, 9(1).
Costa, S. D. (2024). Comparison of the effectiveness of hand sanitizer and antiseptic soap in reducing bacteria on the hands of health workers. Journal of Plenary Health, 1(3), 412–418.
Eggers, M., Janssen, T. K., Ward, L. S., Newby, C., & Muller, S. (2018). Bactericidal and virucidal activity of povidone-iodine and chlorhexidine gluconate cleansers in an in vivo hand hygiene clinical simulation study. Infectious Diseases and Therapy, 7, 235–247.
Fitriyani, N. W., & Murlistyarini, S. (2022). Microbiome on the skin in a dermatological perspective. Health Magazine, 9(2).
Hayashi, K., Mori, I., Takeda, K., et al. (2021). Analysis of hand environment factors contributing to the hand surface infection barrier imparted by lactic acid. Skin Research and Technology, 27(6), 1135–1144.
Jalaluddin, J., Zulnazri, Z., Ibrahim, I., Hakim, L., & Daulay, S. H. (2023). Solid soap making process by saponification through castor oil reaction and VCO with NaOH and addition of chocolate powder (Theobroma cacao L.). Journal of Chemical Technology, 12(1), 23–33.
Kartika, D., Rahmawati, R., & Rousdy, D. W. (2017). A study of handwashing behavior analysis on bacterial colony density before and after washing hands in college students. Journal of Protobiont, 6(2), 1–7.
Kim, S. A., Moon, H., Lee, K., & Rhee, M. S. (2015). Bactericidal effects of triclosan in soap both in vitro and in vivo. Journal of Antimicrobial Chemotherapy, 3345–3352.
Kristy, A., Lubis, A., Rahimi, A., Alexander, R., J., Rosari, A., et al. (2021). The effectiveness of antiseptic soap in inhibiting the growth of Escherichia coli and Salmonella typhi. Journal of Prima Medika Ciencias, 3(1).
Ladyani, F., Ahsan, D., Triwahyu, T., & Kurniati, M. (2024). Comparison of the effectiveness of hand washing with gel- and spray-based hand sanitizers. Journal of Medical and Health Sciences, 11(3).
Lepelletier, D., Maillard, J.-Y., Pozzetto, B., & Simon, A. (2020). Povidone iodine: Properties, mechanisms of action, and role in infection control and Staphylococcus aureus decolonization. American Society for Microbiology, 64(9).
Ma, Z., Zuo, T., Frey, N., & Rangrez, A. Y. (2024). A systematic framework for understanding the microbiome in human health and disease: From basic principles to clinical translation. Signal Transduction and Targeted Therapy, 9(1), 237.
Meena, M., Swapnil, P., Barupal, T., & Sharma, K. (2019). A review on infectious pathogens and mode of transmission. Journal of Plant Pathology & Microbiology, 10(1).
Nuswantoro, A., Salim, M., Slamet, S., & Aprilia, D. (2020). Number of bacterial colonies after washing hands with antiseptic soap and regular soap: A study on Department of Health Analyst students in Poltekkes Kemenkes Pontianak. Jurnal Teknologi Kesehatan Borneo, 1(2), 100–104.
Pratiwi, R., Ratnawati, I. D., Nursyaputri, F., & Indraswary, R. (2022). The effectiveness of Phaleria macrocarpa leaf nanoemulsion gel on Staphylococcus aureus biofilm thickness (in vitro). Odonto: Dental Journal, 9, 69.
Ratmaja, I. G. A. N. D., Darwinata, A. E., Pinatih, K. J. P., & Fatmawati, N. N. D. (2023). Comparison of the effectiveness of washing hands with water, antiseptic soap, hand sanitizer gel, and 70% alcohol on the number of bacteria on the hands. Udayana Medical Journal, 12(8).
Riza, A., Isnandar, I., Syaflida, R., & Jasmine, J. (2019). Comparison of chloroxylenol 4.8% and povidone iodine 7.5% on total bacteria count after WHO routine hand washing among clinical students at the Department of Oral Surgery, Faculty of Dentistry, Universitas Sumatera Utara. Journal of Dentomaxillofacial Science, 4(3), 142–144.
Rundle, C. W., Hu, S., Presley, C. L., & Dunnick, C. A. (2019). Triclosan and its alternatives in antibacterial soaps. Dermatitis, 30(6).
Sari, N., Adriman, Z., & Pradistha, A. (2023). The role of the skin microbiome in acne. Media Dermato-Venereologica Indonesiana, 50(4).
Thangavelu, A., Kaspar, S. S., Kathirvelu, R. P., Srinivasan, B., Srinivasan, S., & Sundram, R. (2020). Chlorhexidine: An elixir for periodontics. Journal of Pharmacy and Bioallied Sciences, 12(5).
Zapka, C., Leff, J., Henley, J., et al. (2017). Comparison of standard culture-based method to culture-independent method for evaluation of hygiene effects on the hand microbiome. mBio, 8(2).
Zulfa, V., & Patricia, A. (2023). Knowledge and attitude toward handwashing with soap among students of the Sumatra Institute of Technology. Journal of Health Sciences, 7(2).
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