Mat / Environmental Cleaning
Means to Reduce Transmission of Infectious Agents-Do they work?
Skin
Cleansing
- Quaternary ammonium soaps.
Effective and most commonly used. - Chlorhexidine gluconate 4%.
Effective, but has specific uses and caution1. - Tea tree oil (Melaleuca).
No studies performed. Extrapolated data indicates it may be effective but at concentrations that could cause skin irritation3. - Soap and water vs 70% isopropyl alcohol body wipe.
Soap and water effective, isopropyl alcohol is not2.
Coating
- Dimethicone (eg: KS Cream).
Study shows no more effective than performing daily skin checks4.
Clothing
- Copper or silver impregnated.
No studies performed, but questionable in ability to protect areas of uncovered skin. - Quaternary ammonium Impregnating clothing/towels.
Study performed shows not effective5.
Environment
- Cleansing surfaces
- Bleach (Sodium Hypochlorite).
Effective, but environmental issues. Also short duration of protection from bacterial pathogens6. - Quaternary ammonium compounds.
Effective and most commonly used. High residual activity to provide longer protection from bacterial pathogens.
Unknown for fungal or viral pathogens6.
- Bleach (Sodium Hypochlorite).
- Coating surfaces
- Silane Quaternary ammonium compounds.
Study performed shows not effective5.
- Silane Quaternary ammonium compounds.
- Whitman T, et al. Inf Control Hosp Epid. 2010;31:1207-15.
- Anderson BJ. Clin J Sports Med. 2012.
- Hammer K, et al. Food Chem Toxic. 2006;44:616-625.
- Hand J, Wrobble R. J Athl Train 1999;34(4): 350-352.
- Personal correspondence.
- Young LM, et al. J Athl Train. 2017;52(2):82-88.