Use of Alcohol-Based Hand Sanitisers and Skin Reactions: A Survey of Healthcare Workers in Delta State, South South Nigeria

Background: Alcohol-based hand sanitisers (ABHS) became ubiquitous in healthcare settings following the COVID-19 pandemic. Their frequent use among healthcare workers has raised concerns about dermatological reactions, including contact dermatitis, dryness, and allergic responses. Limited data exist on the extent of skin reactions attributed to ABHS use in Nigerian healthcare settings. This study assessed the prevalence and pattern of skin reactions to ABHS among healthcare workers in Delta State. Methods: A cross-sectional survey was conducted among 300 healthcare workers (nurses, doctors, laboratory staff, and support staff) across three general hospitals in Asaba and Warri. A self-administered questionnaire captured ABHS use frequency, brands used, skin reaction history, and management approaches. Results: Dermatological reactions were reported by 46 percent of respondents. Dryness and flaking were the most common complaints (61%), followed by itching (38%) and erythema (22%). Nurses reported the highest frequency due to greater hand hygiene exposure. Majority of respondents (64%) continued using ABHS despite skin reactions. Conclusion: Skin reactions from ABHS use are prevalent among Delta State healthcare workers. Institutions should invest in moisturising hand sanitiser formulations and skin care protocols to support continued infection control compliance. Keywords: hand sanitiser, dermatitis, healthcare workers, Delta State, infection control