Disinfecting Virus Warts: Is 70% or 90% Alcohol More Effective? - Dermatology

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Disinfection of viral warts on surfaces?


Recently, I saw several dermatologists online stating that spraying 90% alcohol and allowing it to remain on surfaces for one minute can eliminate viral particles from warts on toilet seats.
However, I previously learned from other physicians that 70-75% alcohol is the most effective for sterilization, and that concentrations above 90% may actually be less effective.

1.
Is it true that 70%-75% alcohol is more effective than 90% alcohol for disinfecting viral warts on surfaces?
2.
Does 90% alcohol really have the ability to disinfect viral warts?
3.
If 90% alcohol can effectively remove viral warts from surfaces in one minute, can 70%-75% alcohol eliminate viral protein particles in just a few seconds or tens of seconds, making it a better choice for disinfecting public toilet seats compared to 90% alcohol?
Reference: https://www.google.com/amp/s/helloyishi.com.tw/infectious-diseases/coronavirus/why-70-concentration-isopropyl-alcohol-is-a-better-disinfectant/%3famp=1

Xiao Tou, 30~39 year old female. Ask Date: 2021/04/10

Dr. Wu Yuxin reply Dermatology


70%-75% is preferable.

Reply Date: 2021/04/10

More Info


When it comes to disinfecting surfaces contaminated with viruses, including those that cause warts, the concentration of alcohol used plays a crucial role in its effectiveness. The debate between using 70%-75% alcohol versus 90% alcohol is rooted in the science of how alcohol interacts with microbial cells.

1. Effectiveness of Alcohol Concentrations: Research indicates that 70%-75% isopropyl alcohol is generally more effective as a disinfectant than higher concentrations like 90%. This is because lower concentrations allow for better penetration of the cell membrane of microorganisms. Alcohol works by denaturing proteins and dissolving lipids, which disrupts the cell membrane. At 70%, there is enough water present to slow down the evaporation rate, allowing the alcohol to remain in contact with the surface longer, which enhances its ability to kill pathogens. In contrast, 90% alcohol evaporates too quickly, reducing the contact time and thus its effectiveness.

2. Disinfection of Virus Warts: While 90% alcohol can kill some viruses, it may not be as effective against all types of viruses, including those that cause warts (human papillomavirus, or HPV). The effectiveness of 90% alcohol in disinfecting surfaces contaminated with wart viruses is not as well-supported as that of 70%-75% alcohol. The latter has been shown to effectively inactivate a wide range of pathogens, including HPV, when given sufficient contact time.

3. Contact Time and Efficacy: If 90% alcohol is indeed effective at removing viral particles from surfaces within one minute, it is important to note that the same efficacy can be achieved with 70%-75% alcohol, but the contact time may need to be longer. Studies suggest that 70%-75% alcohol can effectively disinfect surfaces within 30 seconds to a minute, depending on the type of virus and the surface being disinfected. Therefore, for public restroom sanitation, using 70%-75% alcohol may be a better choice due to its proven effectiveness and the longer contact time it provides.

In summary, while both concentrations of alcohol can be used for disinfection, 70%-75% is generally considered the optimal choice for effectively killing viruses, including those that cause warts. It provides a balance of efficacy and contact time, making it suitable for use in public restrooms and other high-touch areas. Always ensure that the surface remains wet for the recommended duration to achieve the best results.

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