Protecting Your Hands: Tips for Managing Alcohol-Related Skin Damage

Hand issues

I would like to ask about a recent issue I've been experiencing.
Due to frequent use of alcohol-based hand sanitizers, it seems that some areas on my hands have started to develop skin irritation and small wounds.
However, these wounds do not bleed, and they sting slightly when they come into contact with water.
Additionally, my hands become very dry and wrinkled, but this only occurs on the inner sides and edges of my fingers; the outer sides, palms, and backs of my hands are unaffected.
I typically use a 500cc alcohol spray bottle, and I spray two full pumps each time.
Is it possible that I am using too much alcohol? If so, how much should I use for effective disinfection? Also, are there any recommended protective products to prevent further damage to my hands? Given the ongoing pandemic, avoiding disinfection is not feasible, so I am looking for ways to minimize further injury to my hands.
Thank you, doctor.

Xiao Yao, 20~29 year old female. Ask Date: 2021/09/12

Dr. Wu Yuxin reply Dermatology

The primary cause is irritant contact dermatitis due to repeated use of alcohol-based disinfectants.
However, disinfection cannot be avoided; it is recommended to use hand cream frequently to maintain skin health.

Reply Date: 2021/09/12

More Info

Frequent use of alcohol-based hand sanitizers has become a common practice, especially during the ongoing pandemic. However, as you've experienced, this can lead to skin issues such as dryness, irritation, and even small wounds on the hands. Let's address your concerns and provide some practical tips for protecting your hands while maintaining hygiene.

Understanding the Problem
The symptoms you're describing—dryness, irritation, and small wounds—are likely due to the alcohol content in the sanitizer. Alcohol is a potent antiseptic, but it can also strip the skin of its natural oils, leading to dryness and irritation. The areas you mentioned, particularly the inner sides and edges of your fingers, are more susceptible to these effects because the skin there is thinner and more delicate.

Is the Amount of Alcohol Too Much?
Using two full sprays of a hand sanitizer each time may indeed be more than necessary. The Centers for Disease Control and Prevention (CDC) recommends using enough product to cover all surfaces of your hands and rubbing them together until they feel dry. This typically requires about 1 to 2 pumps of sanitizer, depending on the product's formulation. If your hands feel sticky after application, you may be using too much.

Recommended Amount for Disinfection
For effective disinfection, you should aim to use enough sanitizer to cover your hands completely. Generally, 1 to 2 pumps (or sprays) should suffice. Ensure you rub it into your hands for at least 20 seconds, covering all surfaces, including between your fingers and under your nails, until your hands are completely dry.

Protecting Your Hands
To prevent further skin damage while continuing to practice good hand hygiene, consider the following strategies:
1. Moisturize Regularly: After using hand sanitizer, apply a good quality hand cream or lotion. Look for products that contain ingredients like glycerin, shea butter, or ceramides, which help to restore moisture and protect the skin barrier. Consider using a thicker cream at night to allow for overnight healing.

2. Use Gentle Soaps: When washing your hands with soap and water, opt for gentle, moisturizing hand soaps. Avoid harsh soaps that can further strip your skin of moisture.

3. Limit Alcohol Use: If possible, alternate between alcohol-based sanitizers and soap and water. Use soap and water when your hands are visibly dirty, as this is more effective at removing germs.

4. Wear Gloves: If you are in a situation where you need to sanitize frequently (like in a healthcare setting), consider wearing gloves. This can provide a barrier against the drying effects of alcohol.

5. Hydration: Drink plenty of water to keep your skin hydrated from the inside out.

6. Avoid Hot Water: When washing your hands, use lukewarm water instead of hot water, which can exacerbate dryness.

7. Consider Barrier Creams: Some products are designed to create a protective barrier on the skin. Look for barrier creams that can help shield your skin from irritants.

Conclusion
While it’s essential to maintain hand hygiene, especially during the pandemic, it’s equally important to take care of your skin. By adjusting the amount of sanitizer you use, incorporating moisturizing products, and being mindful of your hand-washing habits, you can protect your hands from further damage. If your symptoms persist or worsen, consider consulting a dermatologist for personalized advice and treatment options. Your skin health is crucial, and with the right care, you can keep your hands both clean and healthy.

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