Common hand sanitizer may distort readings of breathalyzer tests in the absence of acute intoxication

Academic Emergency Medicine

Volumn 20, Issue 2, 2013, Pages 212-215

  Ali, Syed S ^a,c   Wilson, Michael P ^b,c   Castillo, Edward M ^b,c   Witucki, Peter ^b   Simmons, Todd T ^b   Vilke, Gary M ^b,c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA SAN DIEGO HEALTH SYSTEM   (United States)

^c University of California   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

2 PROPANOL; ALCOHOL;

ACCURACY; ADULT; BREATH ANALYZER; CONFERENCE PAPER; CONTROLLED STUDY; DATA ANALYSIS; FALSE POSITIVE RESULT; FEMALE; HAND SANITIZER; HAND WASHING; HUMAN; HUMAN EXPERIMENT; MALE; MEDICAL DEVICE; NORMAL HUMAN; OPERATOR; PRIORITY JOURNAL; PROSPECTIVE STUDY; READING;

ADULT; ALCOHOLIC INTOXICATION; BREATH TESTS; ETHANOL; FALSE POSITIVE REACTIONS; FEMALE; HAND DISINFECTION; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; YOUNG ADULT;

EID: 84873901388     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/acem.12073     Document Type: Conference Paper

References (17)

1. Cherpitel C, Bond J, Ye Y, et al. Clinical assessment compared with breathalyzer readings in the emergency room: concordance of ICSD-10 Y90 and Y91 codes. Emerg Med J. 2005; 22: 689-95.
2. Williams JG,. Experience with alcohol and ability to discriminate legal intoxication status: a field study. Addict Behav. 1991; 16: 355-62.
3. Phillips DP, Brewer KM,. The relationship between serious injury and blood alcohol concentration (BAC) in fatal motor vehicle accidents: BAC = 0.01% is associated with significantly more dangerous accidents than BAC = 0.00%. Addiction. 2011; 106: 1614-22.
4. Spector N,. Alcohol breath tests: gross errors in current methods of measuring alveolar gas concentrations. Science. 1971; 172: 57-9.
5. Brown O,. Breath alcohol after using mouthwash. JAMA. 1994; 271: 1400-1.
6. Worner T, Prabakaran J,. The accuracy of breath alcohol analysis using the breathalyzer. Alcohol Alcoholism. 1985; 20: 349-50.
7. State of California. California Code of Regulations Title 17-section: 1219.3. Available at: archive.org/stream/gov.ca.ccr.17/ca.ccr.17-djvu.txt. Accessed Nov 22, 2012.
8. Bessonneau V, Clement M, Thomas O,. Can intensive use of alcohol-based hand rubs lead to passive alcoholization? Int J Environ Res Public Health. 2010; 7: 3038-50.
9. Brown TL, Gamon S, Tester P, et al. Can alcohol-based hand-rub solutions cause you to lose your driver's license? Comparative cutaneous absorption of various alcohols. Antimicrob Agents Chemother. 2007; 51: 1107-8.
10. Hilburn J, Hammond BS, Fendler EJ, Groziak PA,. Use of alcohol-based hand sanitizers as an infection control strategy in an acute care facility. Am J Infect Control. 2003; 31: 109-16.
11. Kramer A, Below H, Bieber N, et al. Quantity of ethanol absorption after excessive hand disinfection using three commercially available hand rubs is minimal and below toxic levels for humans. BMC Infect Dis. 2007; 7: 117.
12. Miller MA, Rosin A, Crystal C,. Alcohol-based hand sanitizer: can frequent use cause an elevated blood alcohol level? Am J Infect Control. 2006; 34: 150-1.
13. Miller MA, Rosin A, Levsky ME, Patel MM, Gregory TJ, Crystal CS,. Does the clinical use of ethanol-based hand sanitizer elevate blood alcohol levels? A prospective study. Am J Emerg Med. 2006; 24: 815-7.
14. Win DT,. Breath alcohol testers-prevents road accidents. Assumption Univ J Technol. 2006; 10: 75-80.
15. Dubowski KM, Essary NA,. Evaluation of commercial breath-alcohol stimulators: further studies. J Anal Toxicol. 1991; 15: 272-5.
16. Gormley NJ, Bronstein NC, Rasimas JJ, et al. The rising incidence of intentional ingestion of ethanol-containing hand sanitizers. Crit Care Med. 2012; 40: 290-4.
17. Chaloupka FJ, Grossman M, Saffer H,. The effects of price on alcohol consumption on alcohol related problems. Alcohol Res Health. 2002; 26: 22-33.