Hand Sanitizer Intoxication Following a Crude Extraction Method

Darracq, Michael A.; Ghafouri, Nasim; Pesce, Amadeo J.; Cantrell, F. Lee

doi:10.3109/00952990.2013.773335

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…These have occurred in a variety of settings, including emergency rooms, 5,9,10 general hospital rooms, 3,7,[11][12][13][14][15] prison, 16 and acute psychiatric or inpatient substance abuse units. [17][18][19][20] Emadi and Coberly 13 described the case of a patient who was admitted for chest pain who became hypotensive with altered mental status. His serum isopropanol concentration was 13.6 mg/dL with a measurable acetone concentration.…”

Section: Discussionmentioning

confidence: 99%

Intentional ingestion of hand sanitizer in an adult psychiatric unit

Stevens¹,

Hix²

2020

Mental Health Clinician

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Intentional ingestion of ethanol- or isopropanol-based hand sanitizer has been reported in the literature in a variety of settings within the health care system. Specifically in psychiatric units, case reports have only described ingestion of ethanol-based products. This report describes a case of intentional ingestion of isopropanol-based hand sanitizer by a patient while hospitalized on a psychiatric unit. The patient developed acute respiratory failure, acute kidney injury, and metabolic encephalopathy and was treated for 3 days in the intensive care unit before returning to the psychiatric unit. This case highlights the process of identifying suspected ingestion while hospitalized. In any patient who has a sudden change in level of consciousness, clinicians should consider the potential for ingestion of ethanol- or isopropanol-based hand sanitizer. Facilities should be aware of how accessible hand sanitizer is, particularly in areas with patients who have a history of substance dependence.

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Section: Discussionmentioning

confidence: 99%

Intentional ingestion of hand sanitizer in an adult psychiatric unit

Stevens¹,

Hix²

2020

Mental Health Clinician

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“…However, various incidences of its oral intake have been reported so far around the globe. As the concentration of alcohol is very high, even a small quantity seems to be fatal among various age groups [14][15][16][17][18][19]. The signs and symptoms are similar to drunkenness which may include hypothermia, central nervous system and respiratory depression, cardiac dysrhythmias or arrest, hypotension, nausea and vomiting, acute liver injury, myoglobinuria, lactic and ketoacidosis, and hypoglycemia depending on the amount consumed and concentration of the same [20].…”

Section: Effects On Human Bodymentioning

confidence: 99%

“…However, most of the incidences are reported amongst patients with a history of mental illness who use ABHS as a replacement whenever potable alcohol not easy available or accessible [14]. Hence, hospital emergency room, general hospital rooms, prison, psychiatric, and in-patient substance abuse units are considered as the most common place because of nonaccessibility of alcohol [14][15][16][30][31][32][33][34][35][36].…”

Section: Global Scenario Of Abusementioning

confidence: 99%

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Alcohol-Based Hand Sanitizer: Abuse During Lockdown Amidst Covid-19 Pandemic

Sarma

2021

Asian J Pharm Clin Res

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Alcohol-based hand sanitizers are popular alternative to the traditional handwashing with soap and water in both healthcare and community settings. Although some people use to carry small sanitizer bottles with them during travel; its utilization by common people come into picture during the COVID-19 pandemic. Because of sudden requirement of those products within a short time, there was even shortage during the initial days. Once nationwide lockdown was declared in India, to prevent community spread; all the shops were closed including wine shops. During this tough time, many alcohol withdrawal cases were reported from different regions. Some people started taking hand sanitizers as a replacement for potable alcohol. Because of high alcoholic content and adulteration with methanol or any other substances, most of the people became ill and they were hospitalized. Deaths were also reported from different states following its consumption. Addiction to hand sanitizers is now considered as one of the overlooked problems globally. It is very difficult to erase the problem, especially among teenagers. Multi-task approach involving different populations at different levels are required to handle this problem.

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“…Through the use of table salt and a cotton sock, it is possible to extract a liquid from a gel hand sanitizer preparation, yielding an alcohol context 30% higher by volume than the parent mixture. 7 Alcohol intoxication poses a host of health effects. In nonhabituated individuals, a lethal load of alcohol can be achieved by consuming a volume of as little as 400 mL of an 80% alcohol-based solution.…”

Section: Is Alcohol-based Hand Sanitizer Consumption An Emerging Publmentioning

confidence: 99%

Ethanol Intoxication From Hand Sanitizer Ingestion

Gardecki¹,

Lewis²,

Espinosa³

et al. 2018

Emerg Med

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A 29-year-old man presented to the ED several hours after ingesting what he described as a "hefty" bottle of hand sanitizer. The patient stated that he ingested such a considerable quantity of liquid hand sanitizer because he was unable to obtain beer or liquor. He further admitted to drinking two 40-ounce beers daily for the past several years, noting that he last consumed drinking alcohol the preceding day. The patient denied any other coingestants. He also denied nausea, vomiting, abdominal pain, or other somatic complaints. The patient's medical history was significant for hypertension and hepatitis C, and his social history was significant for daily alcohol consumption, tobacco abuse, and former benzodiazepine, marijuana, and intravenous heroin abuse. His psychiatric history was significant for borderline personality disorder, major depression, and bulimia. The patient's home medications included a daily multivitamin, folate, thiamine, sertraline, mirtazapine, and prazosin. Initial vital signs at presentation were: blood pressure, 124/77 mm Hg; heart rate, 86 beats/min; respiratory rate, 15 breaths/ min; and temperature, 98.0°F. On physical

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Hand Sanitizer Intoxication Following a Crude Extraction Method

Cited by 4 publications

References 3 publications

Intentional ingestion of hand sanitizer in an adult psychiatric unit

Intentional ingestion of hand sanitizer in an adult psychiatric unit

Alcohol-Based Hand Sanitizer: Abuse During Lockdown Amidst Covid-19 Pandemic

Ethanol Intoxication From Hand Sanitizer Ingestion

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