According to the non-profit group Beyond Pesticides, laboratory studies have found a number of different strains of mutated bacteria that are resistant to triclosan and to certain antibiotics. The organization also cites reports of triclosan converting into a carcinogenic class of chemicals known as dioxins when exposed to water and ultraviolet radiation. Besides cancer, dioxins have been linked to weakening of the human immune system, decreased fertility, altered sex hormones and birth defects.

If antibacterial hand soap is not effective at reducing infections, consumers may wonder about whether alcohol-based hand sanitizers may do a better job. Combing through different studies on the topic yields mixed conclusions. According to one study conducted at Colorado State University, alcohol-based hand sanitizers were as much as twice as effective as either regular soap or antibacterial soap at reducing germs on human hands.

A Purdue University study, however, contradicts these findings, concluding that while alcohol-based hand sanitizers may kill more germs than plain or triclosan-based soaps, they do not prevent more infections that make people sick. Instead they may kill the human body’s own beneficial bacteria by stripping the skin of its outer layer of oil.

The best advice might just come from a study published in the journal Dairy, Food and Environmental Sanitation back in 1998, which concluded that washing hands thoroughly for 20 seconds or more with plain soap and warm water is by far the most effective way to reduce harmful bacteria, and as such remains our best defense against getting sick.

CONTACTS: Clinical Infectious Diseases, www.journals.uchicago.edu/CID/
Tufts Alliance for the Prudent Use of Antibiotics, www.tufts.edu/med/apua/
Beyond Pesticides, www.beyondpesticides.org