Safety alert for hospital environments and health professional: chlorhexidine is ineffective for coronavirus

Rev Assoc Med Bras (1992). 2020 Sep 21;66Suppl 2(Suppl 2):124-129. doi: 10.1590/1806-9282.66.S2.124. eCollection 2020.

Abstract

An alarming fact was revealed by recent publications concerning disinfectants: chlorhexidine digluconate is ineffective for disinfecting surfaces contaminated by the new coronavirus. This is a finding that requires immediate disclosure since this substance is widely used for the disinfection of hands and forearms of surgeons and auxiliaries and in the antisepsis of patients in minimally invasive procedures commonly performed in hospital environments. The objective of this study is to compare the different disinfectants used for disinfection on several surfaces, in a review of worldwide works. Scientific studies were researched in the BVS (Virtual Health Library), PubMed, Medline, and ANVISA (National Health Surveillance Agency) databases. The following agents were studied: alcohol 62-71%, hydrogen peroxide 0.5%, sodium hypochlorite 0.1%, benzalkonium chloride 0.05-0.2%, povidone-iodine 10%, and chlorhexidine digluconate 0.02%, on metal, aluminum, wood, paper, glass, plastic, PVC, silicone, latex (gloves), disposable gowns, ceramic, and Teflon surfaces. Studies have shown that chlorhexidine digluconate is ineffective for inactivating some coronavirus subtypes, suggesting that it is also ineffective to the new coronavirus.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents, Local / pharmacology*
  • Chlorhexidine / pharmacology*
  • Coronavirus / drug effects*
  • Coronavirus Infections / epidemiology
  • Disinfectants / pharmacology*
  • Disinfection
  • Humans
  • Pandemics
  • Pneumonia, Viral / epidemiology
  • Povidone-Iodine / pharmacology*

Substances

  • Anti-Infective Agents, Local
  • Disinfectants
  • Povidone-Iodine
  • Chlorhexidine