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. 2021 Oct 18;119:84–117. doi: 10.1016/j.jhin.2021.07.014

Table III.

Results of disinfection methods used on biological surfaces

Study Virus Disinfectant Disinfection phase Exposure time Reduction of viral infectivity (log10) or (%) Type
1 Bidra et al. (2020) SARS-CoV-2 PVP-I 1.0% oral rinse ST 15 s and 30 s ∼4.33 log10 Oral
PVP-I 2.5% oral rinse ∼4.33 log10
PVP-I 3.0% oral rinse ∼4.33 log10
H2O2 3.0% 1.33 log10
H2O2 6.0% 1 log10
2 Bidra et al. (2020) SARS-CoV-2 PVP-I (3.0%) oral rinse antiseptic ST 30 s 3.33 log10 Oral
PVP-I (1.5%) oral rinse antiseptic 3.33 log10
PVP-I (1.0%) oral rinse antiseptic 3.33 log10
3 Eggers et al. (2015) MERS-CoV PVP-I surgical scrub (7.5 g/L available iodine) ST 15 s 4.64 log10 Skin and oral
PVP-I skin cleanser (4 g/L available iodine) 4.97 log10
PVP-I gargle and mouthwash (1 g/L available iodine) 4.30 log10
Modified vaccinia virus Ankara PVP-I surgical scrub (7.5 g/L available iodine) 15 s, 30 s and 60 s ≥4.17 log10, ≥4.17 log10, ≥4.17 log10
PVP-I skin cleanser (4 g/L available iodine) ≥4.00 log10, ≥4.00 log10, ≥4.00 log10
PVP-I gargle and mouthwash (1 g/L available iodine) ≥6.50 log10, ≥6.50 log10, ≥6.50 log10
4 Frank et al. (2020) SARS-CoV-2 PVP-I nasal antiseptic 5.0% Dilution test 15 s and 30 s 3 log10 (15 s), 3.33 log10 (30 s) Respiratory tract
PVP-I nasal antiseptic 2.5% 3 log 10 (15 s), 3.33 log10 (30 s)
PVP-I nasal antiseptic 1.0% 3log10 (15 s), 3.33 log10 (30 s)
5 Gudmundsdottir et al. (2020) SARS-CoV-2 and HCoV Coldzyme (glycerol, water, cod trypsin, ethanol, calcium chloride, hydroxymethy, and menthol) ST 20 min 1.76 log 10 (SARS-CoV-2), 2.88 log10 (HCoV) Oral
6 Kratzel et al. (2020) SARS-CoV-2 Original WHO formulation I consists of 80% (vol/vol) ethanol, 1.45% (vol/vol) glycerol, and 0.125% (vol/vol) hydrogen peroxide ST 30 s >3.8 log10 Hands
Original WHO formulation II consists of 75% (vol/vol) 2-propanol, 1.45% (vol/vol) glycerol, and 0.125% (vol/vol) hydrogen peroxide >3.8 log10
Modified WHO formulation I consists of 80% (wt/wt) ethanol, 0.725% (vol/vol) glycerol, and 0.125% (vol/vol) hydrogen peroxide >5.9 log10
Modified isopropyl-based WHO formulation II contains 75% (wt/wt) 2-propanol, 0.725% (vol/vol) glycerol, and 0.125% (vol/vol) hydrogen peroxide >5.9 log10
7 Leslie et al. (2020) SARS-CoV-2 PURELL hand sanitizer gel, 70% ethanol (vol/vol) ST 30 s ≥3.22 log10 Hands
PURELL hand sanitizer foam, 70% ethanol (vol/vol) ≥3.10 log10
8 Liang et al. (2020) SARS-CoV-2 Povidone-iodine in-situ gel (polyvinylpyrrolidinone-iodine complex) (0.9%) ST in tear fluid 30 s, 2 min and 10 min 3.5 log10 (30 s), 2.9 log10 (2 min), 3.3 log10 (10 min) eyes
Povidone-iodine in-situ gel (polyvinylpyrrolidinone-iodine complex) (0.5%) 3.2 log10 (30 s), 2.9 log10 (2 min), 3.3 log10 (10 min)
Povidone-iodine in-situ gel (polyvinylpyrrolidinone-iodine complex) (0.28%) 2.2 log10 (30 s), 2.6 log10 (2 min), 3.3 log10 (10 min)
Povidone-iodine in-situ gel (polyvinylpyrrolidinone-iodine complex) (0.09%) 1.2 log10 (30 s), 0.8 log10 (2 min), 1.0 log10 (10 min)
Povidone-iodine nasal spray (1-vinyl-2-pyrrolidinone polymers, iodine complex) (0.54%) ST in nasal fluid 3.1 log10 (30 s), 2.9 log10 (2 min), 3.3 log10 (10 min) Respiratory tract
Povidone-iodine nasal spray (1-vinyl-2-pyrrolidinone polymers, iodine complex) (0.3%) 3.1 log10 (30 s), 2.9 log10 (2 min), 3.3 log10 (10 min)
Povidone-iodine nasal spray (1-vinyl-2-pyrrolidinone polymers, iodine complex) (0.17%) 2.9 log10 (30 s), 2.9 log10 (2 min), 3.3 log10 (10 min)
Povidone-iodine nasal spray (1-vinyl-2-pyrrolidinone polymers, iodine complex) (0.05%) 2.3 log10 (30 s), 1.9 log10 (2 min), 1.6 log10 (10 min)
9 Meister et al. (2020) SARS-CoV-2 Cavex oral pre rinse (hydrogen peroxide) ST 30 s 0.33–0.78 log Oral
Chlorhexamed Forte [chlorhexidinebis (D-gluconate)] 0.78–1.17 log
Dequonal (dequalinium chloride, benzalkonium chloride) ≥2.61–3.11 log
Dynexidine Forte 0.2% [chlorhexidinebis (D-gluconate)] 0.50–0.56 log
Iso-betadine mouthwash 0% (polyvidone-iodine) ≥2.61–3.11 log
Listerine cool mint (ethanol, essential oils) ≥2.61–3.11 log
Octenident mouthwash (octenidine dihydrochloride) 0.61–1.11 log
ProntOral mouthwash (polyaminopropyl biguanide (polyhexanide) 0.61–≥1.78 log
10 Mukherjee et al. (2020) SARS-CoV-2 Soap bar with 67 total fatty matter ST 20 s ≥3.14 log10 Hands
Soap bar with 68 total fatty matter 20 s ≥3.06 log10
Soap bar with 72 total fatty matter 20 s ≥4.06 log10
Liquid cleansers with 10% surfactant w/w 20 s ≥3.10 log10
Liquid cleansers with 12% surfactant w/w 10 s ≥3.01 log10
Liquid cleansers with 19% surfactant w/w 10 s ≥3.42 log10
Alcohol-based sanitizers (60.5% alcohol w/w) 10 s ≥3.25 log10
Alcohol-based sanitizers (65% alcohol w/w) 10 s ≥4.01 log10
Alcohol-based sanitizers (95% alcohol w/w) 15 s ≥4.01 log10
11 Rabenau et al. (2005) SARS-CoV Sterillium (45% iso-propanol, 30% n-propanol and 0.2% mecetronium etilsulphate) ST 30 s ≥4.25 log10 Hands
Sterillium rub (80% ethanol) ≥4.25 log10
{Gopal, 2020 #204} ≥5.5 log10
Sterillium Virugard (95% ethanol) ≥5.5 log10
12 Hirose et al. (2020) IAV 80% EA (ethanol) ST and HS ST (5 s, 15 s and 60 s)/HS (5 s, 15 s and 60 s) ST (>4.10, >4.11, >4.07 log)/HS (>4.12, >4.16, >4.16 log) Skin
60% EA ST (>4.10, >4.11, >4.07 log)/HS (>4.12, >4.16, >4.16 log)
40% EA ST (>4.10, >4.11, >4.07 log)/HS (>4.12, >4.16, >4.16 log)
20% EA ST (∼0.09, ∼0.07, ∼0.06 log)/HS (∼0.73, ∼0.85, ∼0.88 log)
70% IPA (isopropanol) ST (>4.10, >4.11, >4.07 log)/HS (>4.12, >4.16, >4.16 log)
0.2% CHG (chlorhexidine gluconate) ST (∼0.08, ∼0.17, ∼0.19 log)/HS (∼0.74, ∼0.95, ∼1.02 log)
1.0% CHG ST (∼0.23, ∼0.24, ∼0.40 log)/HS (∼2.85, ∼3.25, ∼3.39 log)
0.05% BAC (benzalkonium chloride) ST (∼0.69, ∼1.78, ∼2.71 log)/HS (∼0.78, ∼1.04, ∼1.23 log)
0.2% BAC ST (∼2–43, ∼2.34, >4.07 log)/HS (∼1.64, ∼2.85, ∼3.24 log)
SARS-CoV-2 80% EA ST (>4.50, >4.50, >4.50 log)/HS (>4.19, >4.17, >4.14 log)
60% EA ST (>4.50, >4.50, >4.50 log)/HS (>4.19, >4.17, >4.14 log)
40% EA ST (>4.50, >4.50, >4.50 log)/HS (>4.19, >4.17, >4.14 log)
20% EA ST (∼0.08, ∼0.25, ∼0.33 log)/HS (∼0.53, ∼0.61, ∼0.81 log)
70% IPA ST (>4.50, >4.50, >4.50 log)/HS (>4.19, >4.17, >4.14 log)
0.2% CHG ST (∼0.33, ∼0.42, ∼0.58 log)/HS (∼2.19, ∼2.31, ∼2.42 log)
1.0% CHG ST (∼1.00, ∼1.42, ∼1.83 log)/HS (∼2.62, ∼2.94, ∼3.17 log)
0.05% BAC ST (∼1.33, ∼1.75, ∼2.17 log)/HS (∼2.03, ∼2.19, ∼2.36 log)
0.2% BAC ST (∼1.83, ∼2.42, ∼3.00 log)/HS (∼2.72, ∼2.97, ∼3.19 log)
13 Huang et al. (2020) Patients with SARS-CoV-2 infection Chlorhexidine oral rinse (15 mL) Oral and oropharyngeal cavity 30 s twice a day for 4 days 37.9% positive SARS-CoV-2 test, 62.1% negative test Oral and oropharyngeal cavity
without exposure (-) 94.5% positive SARS-CoV-2 test, 5.5% negative test
Chlorhexidine oral rinse (15 mL) + oropharyngeal spray (1.5 mL) 30 s oral rinse + spray, twice a day for 4 days 14.0% positive SARS-CoV-2 test, 80% negative test
without exposure (-) 93.8% positive SARS-CoV-2 test, 6.2% negative test
14 Ijaz et al. (2020) HCoV-229E (1), SARS-CoV-2 (2) Bar soap PCMX - (0.090% w/w) ST 0.5–1 min (1) ≥3.3 log10, (2) ≥4.1 log10 Hands
Liquid gel handwash - salicylic acid (0.025% w/w) 0.5–1 min (1) ≥3.6 log10, (2) ≥3.6 log10
Foaming handwash - benzalkonium chloride (0.025% w/w) 1 min (1) ≥3.3 log10, (2) ≥3.4 log10
Foaming handwash - salicylic acid (0.023% w/w) 0.5–1 min (1) ≥3.5 log10, (2) ≥5.0 log10
Antiseptic liquid - PCMX (0.021% w/v) 5 min (1) ≥5.2 log10, (2) ≥4.7 log10
Hand sanitizer gel - ethanol (53% w/w) 1 min (1) ≥5.4 log10, (2) ≥4.2 log10
Hand sanitizer gel - citric acid (1.5% w/w), lactic acid (0.41% w/w) 0.5–1 min (1) ≥5.2log10, (2) ≥4.7 log10
15 Steinhauer et al. (2020) Modified vaccinia virus Ankara 20% hand disinfectant - propan-2-ol ST 15 s ∼0.17 log10 Hands
80% hand disinfectant - propan-2-ol 15 s ≥4.19 log10
SARS-CoV-2 20% hand disinfectant - propan-2-ol 15 s ≥4.02 log10
20% hand disinfectant - propan-2-ol 30 s ≥3.02 log10
80% hand disinfectant - propan-2-ol 15 s ≥2.02 log10
80% hand disinfectant - propan-2-ol 30 s ≥4.38 log10
16 Steinhauer et al. (2020) SARS-CoV-2 80% chlorhexidine bis-(D-gluconate) 0.1 g ST 5–10 min <1.00 log10 Oral
80% chlorhexidine bis-(D-gluconate) 0.2 g 1–5 min <1.00 log10
80% 0.1 g octenidine dihydrochloride, 2 g phenoxyethanol 15 s ≥4.00 log10
80% 0.1 g octenidine dihydrochloride, 2 g phenoxyethanol 30 s ≥4.00 log10
80% 0.1 g octenidine dihydrochloride, 2 g phenoxyethanol 1 min ≥4.00 log10
20% 0.1 g octenidine dihydrochloride, 2 g phenoxyethanol 15 s ≥4.00 log10

SARS-CoV-2, severe acute respiratory syndrome coronavirus-2; MERS-CoV, Middle East respiratory syndrome coronavirus; HCoV, human coronavirus; PVP-I, povidone-iodine; WHO, World Health Organization; ST, suspension test; HS, human skin.