Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection

Background: Households and community settings are important hubs for the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As understanding of viral transmission improves, infection prevention and control (IPC) policies need to be updated. Aim: To compare the effectivene...

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Main Authors: Ekong E. Udoh, Ubong A. Udoh, Abiodun Egwuenu, Ekpereonne B. Esu, Aruk Eteng, Faithman E. Ovat, Uduak Okomo, Olabisi Oduwole, Joseph Okebe, Martin Meremikwu
Format: Article
Language:English
Published: AOSIS 2025-01-01
Series:Journal of Public Health in Africa
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Online Access:https://publichealthinafrica.org/index.php/jphia/article/view/612
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author Ekong E. Udoh
Ubong A. Udoh
Abiodun Egwuenu
Ekpereonne B. Esu
Aruk Eteng
Faithman E. Ovat
Uduak Okomo
Olabisi Oduwole
Joseph Okebe
Martin Meremikwu
author_facet Ekong E. Udoh
Ubong A. Udoh
Abiodun Egwuenu
Ekpereonne B. Esu
Aruk Eteng
Faithman E. Ovat
Uduak Okomo
Olabisi Oduwole
Joseph Okebe
Martin Meremikwu
author_sort Ekong E. Udoh
collection DOAJ
description Background: Households and community settings are important hubs for the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As understanding of viral transmission improves, infection prevention and control (IPC) policies need to be updated. Aim: To compare the effectiveness of soap and water alone to bleach-based cleaners in eliminating SARS-CoV-2 infection in households and community settings. Setting: We conducted a virtual search through the Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane database of systematic reviews, PubMed, EMBASE, and Effective Practice and Organisation of Care (EPOC). Methods: We assessed studies which compared the effect of soap and water cleaning on SARS-CoV-2 among humans to that of bleach-based cleaning, both in households and communities. We prioritised systematic reviews and randomised studies and only included other study designs, such as laboratory studies, which had interventions of relevant interest. Results: We retrieved 1192 articles from the search. We summarised evidence from three laboratory studies as there were no randomised controlled trials (RCTs) or comparative effectiveness studies that met our inclusion criteria. Indirect evidence suggests that soap and bleach-based cleaners were effective at different concentrations. Substantial heterogeneity between the cited studies precludes any inference on effectiveness in reducing risk of SARS-CoV-2 infection in humans. Both interventions remain important components of IPC measures. Conclusion: There was no evidence for comparison of soap and water versus bleach-based cleaners against SARS-CoV-2 in humans in household and community settings. Indirect evidence shows both interventions to be effective against the virus. Contributions: Primary studies addressing this critical question are required to guide public health recommendations and policies.
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institution Kabale University
issn 2038-9922
2038-9930
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series Journal of Public Health in Africa
spelling doaj-art-ad70a93a54354062b2da18095aa4bc772025-02-11T13:24:50ZengAOSISJournal of Public Health in Africa2038-99222038-99302025-01-01162e1e810.4102/jphia.v16i2.612787Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infectionEkong E. Udoh0Ubong A. Udoh1Abiodun Egwuenu2Ekpereonne B. Esu3Aruk Eteng4Faithman E. Ovat5Uduak Okomo6Olabisi Oduwole7Joseph Okebe8Martin Meremikwu9Department of Paediatrics, Faculty of Clinical Sciences, University of Uyo Teaching Hospital, Uyo Cochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, CalabarDepartment of Medical Microbiology and Parasitology, Faculty of Basic Clinical Sciences, College of Medical Sciences, University of Calabar, CalabarNigeria Centre for Disease Control and Prevention, Abuja, Nigeria Charité Universitätsmedizin, BerlinCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar Department of Public Health, Faculty of Allied Medical Sciences, University of Calabar, CalabarFaculty of Health and Demographic Surveillance System, University of Calabar, CalabarCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, CalabarMedical Research Council Unit, The Gambia at London School of Hygiene and Tropical Medicine, FajaraFaculty of Medical Laboratory Science, Achievers University, OwoDepartment of International Public Health, Liverpool School of Tropical Medicine, LiverpoolCochrane Nigeria, Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar Department of Pediatrics, Faculty of Clinical Sciences, University of Calabar Teaching Hospital, CalabarBackground: Households and community settings are important hubs for the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As understanding of viral transmission improves, infection prevention and control (IPC) policies need to be updated. Aim: To compare the effectiveness of soap and water alone to bleach-based cleaners in eliminating SARS-CoV-2 infection in households and community settings. Setting: We conducted a virtual search through the Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane database of systematic reviews, PubMed, EMBASE, and Effective Practice and Organisation of Care (EPOC). Methods: We assessed studies which compared the effect of soap and water cleaning on SARS-CoV-2 among humans to that of bleach-based cleaning, both in households and communities. We prioritised systematic reviews and randomised studies and only included other study designs, such as laboratory studies, which had interventions of relevant interest. Results: We retrieved 1192 articles from the search. We summarised evidence from three laboratory studies as there were no randomised controlled trials (RCTs) or comparative effectiveness studies that met our inclusion criteria. Indirect evidence suggests that soap and bleach-based cleaners were effective at different concentrations. Substantial heterogeneity between the cited studies precludes any inference on effectiveness in reducing risk of SARS-CoV-2 infection in humans. Both interventions remain important components of IPC measures. Conclusion: There was no evidence for comparison of soap and water versus bleach-based cleaners against SARS-CoV-2 in humans in household and community settings. Indirect evidence shows both interventions to be effective against the virus. Contributions: Primary studies addressing this critical question are required to guide public health recommendations and policies.https://publichealthinafrica.org/index.php/jphia/article/view/612soap and waterbleach-based cleanerssars-cov-2 infectionhouseholdscommunity settings
spellingShingle Ekong E. Udoh
Ubong A. Udoh
Abiodun Egwuenu
Ekpereonne B. Esu
Aruk Eteng
Faithman E. Ovat
Uduak Okomo
Olabisi Oduwole
Joseph Okebe
Martin Meremikwu
Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection
Journal of Public Health in Africa
soap and water
bleach-based cleaners
sars-cov-2 infection
households
community settings
title Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection
title_full Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection
title_fullStr Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection
title_full_unstemmed Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection
title_short Soap and water cleaning versus bleach-based cleaners for eliminating SARS-CoV-2 infection
title_sort soap and water cleaning versus bleach based cleaners for eliminating sars cov 2 infection
topic soap and water
bleach-based cleaners
sars-cov-2 infection
households
community settings
url https://publichealthinafrica.org/index.php/jphia/article/view/612
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