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Table 3 Examples of non-enveloped virus transmission via hands leading to nosocomial outbreaks and examples of hand rub efficacy in animal husbandry

From: Ethanol is indispensable for virucidal hand antisepsis: memorandum from the alcohol-based hand rub (ABHR) Task Force, WHO Collaborating Centre on Patient Safety, and the Commission for Hospital Hygiene and Infection Prevention (KRINKO), Robert Koch Institute, Berlin, Germany

Virus

Transmission mode

References

Adenoviruses species A–C, E–G, Species D types 8, 37, 53, 54, 64

Respiratory transmission as well as via hands and surfaces

Epidemic keratoconjunctivitis transmission predominantly via hands and surfaces; types 4 and 7 also via swimming pools

[58, 59]

[58, 60]

Aphthovirus

This foot-and-mouth virus may be transferred between animals without virucidal hand rub via animal care personnel

[61]

Bocavirus

Mainly respiratory transmission, but also via hands and surfaces

[62]

Coxsackievirus group A types 1–22, 24, group B types 1–6

Transmission mainly via hands; hand, foot and mouth disease worldwide more than 100 outbreaks in nurseries, but also nosocomial infections in adults;

[63,64,65]

Echovirus serotypes 1–9, 11–21 24–27, 29–33

Transmission predominantly via direct or indirect oral contact, but also via hands

[66]

Enterovirus A 71; D28, 70

Respiratory transmission and through hands; A 71 epidemic paralysis

[62, 64]

HAV

Transmission predominantly fecal–oral via hands by contact with an infected person in cases of inadequate hand antisepsis and inadequate terminal cleaning

[42, 67,68,69,70,71,72,73,74,75,76,77,78]

HEV

Transmission predominantly fecal–oral via hands, spread is proven through person-to-person contact in genotype-1 infections

[79, 80]

Human papillomavirus

Mainly sexual transmission, but also via hands and vaginal ultrasound probes

[81,82,83,84]

Human rhinovirus

Mainly respiratory transmission, but also via hands, especially in an outbreak

[62, 85]

Norovirus

In 18.5% of analyzed outbreaks, virus transmission by HCW via hands

[86]

After primary food-borne outbreak, further transmission by staff

[87]

Interruption of an outbreak after changing the virucidally active ingredients

[46]

Parvovirus B19

Mainly respiratory transmission, but also via hands, transmissibility in outbreak 31%

[88, 89]

Rotavirus

Outbreak in adults with transmission between patients via hands

[90]

Poliovirus

Transmission fecal–oral via hands and/or droplets or aerosols

[91]