Are Alcohol-free Hand Sanitizers Effective?

May 22, 2020

With the current Covid-19 outbreak, it is difficult to get hold of any hand sanitizers and therefore, having an alcohol-free hand sanitizer is probably better than none at all. 

Alcohol-free hand sanitizers are effective in reducing microbes. What are some of the active ingredients suitable for your hand sanitizers? Some regularly used disinfectants are Benzalkonium Chloride (BKC), Didecyl Dimethyl Ammonium Chloride (DDAC), Dioctyl Dimethyl Ammonium Chloride (DODAC) and Chloroxylenol (PCMX).

BKC

BKC is a common alternative to alcohols in alcohol-free hand sanitizers. It offers strong detergency and rapid, safe, powerful antimicrobial activity at low ppm. BKC based disinfectants are non-toxic, non-tainting, non-corrosive, non-staining and odour-free at use dilutions.

DDAC

DDAC are used in many biocidal applications. It can reduce microbes; however, they are less effective in killing germs compared to alcohols and require a longer contact time to show significant effect. Hence, they are typically used as disinfectants in surface disinfecting products.

DODAC

Similar to DDAC, DODAC is a broad-spectrum disinfectant that requires longer contact time to kill germs. It has been used in human and instrument sensitization and industrial applications. Furthermore, it can be used as disinfectant cleaner for linen, recommended for use in hospitals, hotels and industries.

Quaternary Ammonium Compounds (QAC)

In general, QACs are active towards vegetative bacteria, enveloped viruses and most yeast and moulds. However, they are less effective against spores, Mycobacteria, non-enveloped viruses and some gram negatives. They are membrane active agents and have a similar mechanism to alcohols where they disrupt the lipid structure of the viral envelope.

Characteristics of PCMX

INCI Name & CAS No.

Product Characteristics

Quaternary Ammonium Compounds (QAC)

4-Chloro-3, 5-m-Xylenol; PCMX

High efficiency, broad spectrum, gram +/- Mildew, low-toxic antiseptic, approved by FDA

Household and personal care products, liquid detergent (0.5% – 1%), antibacterial handling detergent (1%), disinfectant (4.5% – 5%)


Comparison Between Commonly Used Disinfectants


Halophenols

Quaternary Ammonium Compounds (QAC)



Chemical Name

Chloroxylenol (PCMX)

Benzalkonium Chloride (BKC)

Didecyl Dimethyl Ammonium Chloride (DDAC)

Dioctyl Dimethyl Ammonium Chloride (DODAC)

Mechanism

Effective against viruses but mechanism is less studied

Disrupt lipid structure of viral envelope



Suitable For

Hand sanitizers and surface disinfectants


Surface disinfectants

Surface disinfectants

Recommended Dosage

4.00%

0.16%

0.15%

0.15%

Compatibility Issues 

Neutralised by non-ionic surfactants

Incompatible with anionic surfactants




More Information to Help You Select a Suitable Active Ingredient

Evolution of QACs


Generation

Cell

Hard Water Tolerance

Fungal Activity

Alkyl Dimethyl Benzyl Ammonium Chloride

1

Lowest

-

-

Alkyl Dimethyl Ethyl Benzyl Ammonium Chloride

2

-


-

Alkyl Dimethyl Ethyl Benzyl Ammonium Chloride / Alkyl Dimethyl Benzyl Ammonium Chloride

3

-

Better

-

Alkyl Dimethyl Ammonium Chloride

4

Highest

Best

Best

Dialkyl Dimethyl Ammonium Chloride / Alkyl Dimethyl Ethyl Benzyl Ammonium Chloride

5

High

Better

Better


Antimicrobial Activity and Summary of Properties of Active Ingredients


WHO guidelines on hand hygiene in health care. (2011, August 5). Retrieved from https://www.who.int/gpsc/5may/tools/9789241597906/en/


WHO guidelines on hand hygiene in health care. (2011, August 5). Retrieved from https://www.who.int/gpsc/5may/tools/9789241597906/en/ 

Formulation Guide: Alcohol-free Hand Sanitizers

Phase

Material

INCI Name

Supplier

% W/W

% W/W

A

Propylene Glycol
Propylene Glycol
-5.00

5.00

A

Glycerin*

Glycerin

-

5.00

5.00

A

Deionized Water

Water

-

q.s. to 100.00

q.s. to 100.00

B

K-CARE BKC80

Benzalkonium Chloride

Maha Chemicals

0.1625

-

B

K-BIO PCMX

4-Chloro-3, 5-Dimethylphenol

Maha Chemicals

-

4.00

C

Aloe Vera Extract BG

Aloe Barbadensis Extract, Butylene Glycol

TEN

1.00

1.00

C

Chamomile Extract BG

Chamomille Recutita (matricaria) Flower Extract, Butylene Glycol

TEN

1.00

1.00

D

AMP 95

Aminomethyl Propanol

Angus

q.s.

q.s.


Procedures

  1. Predisperse phase A in room temperature
  2. Add phase B and phase C while mixing
  3. Adjust pH to 6 – 7.5 with AMP 95 if necessary
  4. * Glycerin can be replaced by Aloe Vera Extract

End Product Appearance

Appearance

Clear – Slightly hazy liquid

pH

7.0-7.5


Formulation Guide: Hard Surface Sanitizers

Phase

Material

INCI Name

Supplier

% W/W

% W/W

% W/W

% W/W

A

Deionized Water

Water

-

q.s. to 100.00

q.s. to 100.00

q.s. to 100.00

q.s. to 100.00

B

K-CARE BKC80

Benzalkonium Chloride

Maha Chemicals

-

3.00

-

-

B

K-CARE DDAC80

Didecyldimethylammonium Chloride

Maha Chemicals

-

-

0.15

-

B

K-CARE DODAC

Dioctyldimethylammonium Chloride

Maha Chemicals

-

-

-

0.15

C

GLDA

Tetrasodium Glutamate Diacetate

-

0.20

0.20

0.20

0.20


  1. Predisperse phase A in room temperature
  2. Add phase B and phase C while mixing
  3. Adjust pH to 6 – 7.5 with AMP 95 if necessary
  4. * Glycerin can be replaced by Aloe Vera Extract



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