TY - JOUR AB - We conducted a randomized, non-inferiority field trial in urban Dhaka, Bangladesh among mothers to compare microbial efficacy of soapy water (30 g powdered detergent in 1.5 L water) with bar soap and water alone. Fieldworkers collected hand rinse samples before and after the following washing regimens: scrubbing with soapy water for 15 and 30 seconds; scrubbing with bar soap for 15 and 30 seconds; and scrubbing with water alone for 15 seconds. Soapy water and bar soap removed thermotolerant coliforms similarly after washing for 15 seconds (mean log10 reduction = 0.7 colony-forming units [CFU], P < 0.001 for soapy water; mean log10 reduction = 0.6 CFU, P = 0.001 for bar soap). Increasing scrubbing time to 30 seconds did not improve removal (P > 0.05). Scrubbing hands with water alone also reduced thermotolerant coliforms (mean log10 reduction = 0.3 CFU, P = 0.046) but was less efficacious than scrubbing hands with soapy water. Soapy water is an inexpensive and microbiologically effective cleansing agent to improve handwashing among households with vulnerable children. AU - Amin, N AU - Pickering, AJ AU - Ram, PK AU - Unicomb, L AU - Najnin, N AU - Homaira, N AU - Ashraf, S AU - Abedin, J AU - Islam, MS AU - Luby, SP DA - 2014/08/01 DO - 10.4269/ajtmh.13-0475 EP - 423 JO - Am J Trop Med Hyg PB - AMER SOC TROP MED & HYGIENE PY - 2014/08/01 SP - 415 TI - Microbiological evaluation of the efficacy of soapy water to clean hands: a randomized, non-inferiority field trial. VL - 91 Y1 - 2014/08/01 Y2 - 2026/05/04 ER -