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In-Vitro study of antibacterial efficacy of commercial alcohol-based hand gels available on the Lebanese market

This in-vitro study reveals significant variability in the antibacterial efficacy of seven commercial alcohol-based hand gels available in Lebanon against five bacterial strains, with HG1 showing the broadest activity and Pseudomonas aeruginosa demonstrating limited susceptibility across all products.

Original authors: Rita Khattar, Cendrella Juan, Yara EL HACHEM, Sibelle Dergham, Hilda Chlala, Layal Ishak

Published 2026-07-28
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Original authors: Rita Khattar, Cendrella Juan, Yara EL HACHEM, Sibelle Dergham, Hilda Chlala, Layal Ishak

Original paper licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). ⚕️ This is an AI-generated explanation of a preprint that has not been peer-reviewed. It is not medical advice. Do not make health decisions based on this content. Read full disclaimer

The Invisible War on Your Hands

Imagine your hands are a busy city street. Every time you touch a doorknob, a phone, or a friend's hand, tiny, invisible invaders—bacteria—hop on board, hoping to crash a party inside your body. To stop them, we have a special tool: hand sanitizer. Think of it as a microscopic fire hose that blasts away these invaders before they can cause trouble. The science behind this relies on a simple idea: alcohol is a master key that can unlock and destroy the protective shells of many germs, making them fall apart. But here's the twist: not all fire hoses are built the same. Some might be full of water with a splash of alcohol, while others are packed with the real stuff. In a world where we all want to feel safe, knowing which bottle actually works is a big deal. This story isn't about a new super-weapon; it's about checking the labels on the bottles we already have to see if they really do what they promise.

The Great Hand Gel Showdown

In a laboratory in Lebanon, a team of curious scientists decided to put seven different bottles of hand gel to the test. They weren't just looking at the pretty labels or the fancy scents; they wanted to see if these gels could actually stop some of the toughest, most stubborn bacteria known to cause infections in hospitals and communities. They picked five "boss" bacteria: Staphylococcus aureus (a germ that loves to hide on skin), Escherichia coli (often found in the gut), Salmonella (the food-poisoning culprit), Klebsiella pneumoniae (a lung troublemaker), and Pseudomonas aeruginosa (a super-tough germ that loves to hide in wet places).

To see who wins, the scientists set up a mini-battlefield. They grew the bacteria on special jelly-like plates (called agar) and then poked holes in the jelly. Into these holes, they poured the different hand gels, like dropping different types of rain into a garden. If the gel was strong enough, it would create a clear "no-go zone" around the hole where the bacteria couldn't grow. This clear circle is called an "inhibition zone," and the bigger the circle, the stronger the gel.

The results were a mix of heroes and zero-heroes. One local brand, let's call it HG1, turned out to be the ultimate champion. It created massive clear zones, stopping S. aureus with a circle measuring 39.67 ± 2.5 mm, and knocking out Salmonella, E. coli, and K. pneumoniae with circles around 26 to 29 mm. It was like HG1 brought a flamethrower to a knife fight.

However, the other gels were a bit more disappointing. Two other gels, HG2 and HG7, managed to stop S. aureus a little bit, creating small clear zones of 10.67 ± 0.57 mm and 14 ± 1.0 mm respectively. But when it came to the other bacteria, they were basically useless, showing no effect at all. The remaining four gels (HG3, HG4, HG5, and HG6) were total zeros; they couldn't stop a single one of the five bacteria, leaving the germs to grow right up to the edge of the hole.

There was one giant exception that defeated everyone: Pseudomonas aeruginosa. This super-tough germ didn't care about any of the gels. It grew everywhere, showing zero clear zones for all seven products. It's as if this specific germ wore a suit of armor that the alcohol just couldn't crack.

What This Means (And What It Doesn't)

The main takeaway from this study is that not all hand gels are created equal. Just because a bottle says it kills germs doesn't mean it will kill all germs, or even the same germs as another bottle. The study suggests that the specific recipe inside the bottle matters a lot. HG1 worked best, likely because of its specific mix of ingredients, while the others struggled or failed completely against the bacteria tested.

The scientists are careful to point out that this was a test in a dish, not on real human hands. In the real world, things like how long you rub the gel on your skin or how much you use might change the results. Also, they didn't test viruses or fungi, only bacteria. So, while HG1 looks like a strong contender in this specific lab test, we can't say for sure it's the perfect solution for every situation yet. And that super-tough Pseudomonas? It's still out there, undefeated by any of these gels in this experiment. The study suggests we need to be more careful about what we buy and that we need more research to see how these gels hold up in the real world.

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