Cosmetic hand care – a necessity or a whim?

Release form and composition

The drug is produced in the form of a solution for external use (alcohol): a colorless transparent liquid with the smell of ammonia (80 or 100 ml in an orange glass bottle with a screw neck, or in a polymer bottle, or in an orange glass jar, 1 bottle or 1 jar in a cardboard box complete with instructions for use Ammonia + Glycerol + Ethanol; it is possible to place bottles/cans in group packaging - a cardboard box).

100 ml of solution contains:

• active ingredients: ammonia solution 10% - 25 ml, ethanol 95% - 25 ml, glycerol - 25 g;
• additional components: purified water – up to 100 ml.

“Rules for hand washing of medical personnel”

Date: 12/04/2019

1. In order to prevent nosocomial infections, the hands of medical workers must be disinfected

(hygienic treatment of hands, treatment of surgeons’ hands) and the skin of patients (treatment of surgical and injection fields, elbow bends of donors, sanitary treatment of the skin).
Depending on the medical procedure being performed and the required level of reduction in microbial contamination of the skin of the hands, medical personnel perform hygienic treatment of hands or treatment of the hands of surgeons. The administration organizes training and monitoring of compliance with hand hygiene requirements by medical personnel. 2. To achieve effective washing and disinfection of hands, the following conditions must be observed: short-cut nails, no nail polish, no artificial nails, no rings, rings or other jewelry on the hands. Before treating surgeons' hands, it is also necessary to remove watches, bracelets, etc. To dry hands, use clean cloth towels or disposable paper napkins; when treating surgeons' hands, use only sterile cloth ones. 3. Medical personnel should be provided with sufficient quantities of effective means for washing and disinfecting hands, as well as hand skin care products (creams, lotions, balms, etc.) to reduce the risk of contact dermatitis. When choosing skin antiseptics, detergents and hand care products, individual tolerance should be taken into account. 4. Hand hygiene. 4.1.
Hand hygiene should be carried out in the following cases: - before direct contact with the patient;
— after contact with the patient’s intact skin (for example, when measuring pulse or blood pressure); - after contact with body secretions or excreta, mucous membranes, dressings; — before performing various manipulations to care for the patient; — after contact with medical equipment and other objects located in close proximity to the patient; — after treating patients with purulent inflammatory processes, after each contact with contaminated surfaces and equipment. 4.2.
Hand hygiene is carried out in two ways: - hygienic hand washing with soap and water to remove contaminants and reduce the number of microorganisms;
— treating hands with a skin antiseptic to reduce the number of microorganisms to a safe level. 4.3. To wash your hands, use liquid soap using a dispenser. Dry your hands with an individual towel (napkin), preferably disposable. 4.4. Hygienic treatment of hands with alcohol-containing or other approved antiseptic (without prior washing) is carried out by rubbing it into the skin of the hands in the amount recommended in the instructions for use, paying special attention to the treatment of the fingertips, the skin around the nails, between the fingers. An indispensable condition for effective hand disinfection is keeping them moist for the recommended treatment time. 4.5. When using a dispenser, a new portion of antiseptic (or soap) is poured into the dispenser after it has been disinfected, washed with water and dried. Preference should be given to elbow dispensers and photocell dispensers. 4.6. Skin antiseptics for hand treatment should be readily available at all stages of the diagnostic and treatment process. In departments with a high intensity of patient care and with a high workload on staff (resuscitation and intensive care units, etc.), dispensers with skin antiseptics for hand treatment should be placed in places convenient for use by staff (at the entrance to the ward, at the patient’s bedside and etc.). It should also be possible to provide medical workers with individual containers (bottles) of small volumes (up to 200 ml) with skin antiseptic. 4.7.
Use of gloves. 4.7.1.
Gloves must be worn in all cases where contact with blood or other biological substrates, potentially or obviously contaminated with microorganisms, mucous membranes, or damaged skin is possible. 4.7.2. It is not allowed to use the same pair of gloves when in contact (for care) with two or more patients, when moving from one patient to another, or from a body area contaminated with microorganisms to a clean one. After removing gloves, perform hand hygiene. 4.7.3. When gloves become contaminated with secretions, blood, etc. To avoid contamination of your hands during the process of removing them, you should use a swab (napkin) moistened with a solution of a disinfectant (or antiseptic) to remove visible dirt. Remove gloves, immerse them in the product solution, then discard. Treat your hands with an antiseptic. 5. Treatment of surgeons' hands.
5.1.
Surgeons' hands are treated by everyone involved in surgical interventions, childbirth, and catheterization of great vessels. The treatment is carried out in two stages: Stage I - washing hands with soap and water for two minutes, and then drying with a sterile towel (napkin); Stage II - treatment of hands, wrists and forearms with an antiseptic. 5.2. The amount of antiseptic required for treatment, the frequency of treatment and its duration are determined by the recommendations set out in the guidelines/instructions for use of a particular product. An indispensable condition for effective hand disinfection is keeping them moist for the recommended treatment time. 5.3. Sterile gloves are put on immediately after the antiseptic has completely dried on the skin of the hands. 6. Algorithms/standards for all epidemiologically significant therapeutic and diagnostic procedures must include recommended means and methods of hand treatment when performing the relevant manipulations. 7. It is necessary to constantly monitor the compliance with hand hygiene requirements by medical workers and bring this information to the attention of personnel in order to improve the quality of medical care. 8. Skin antiseptics for hand treatment should be readily available at all stages of the diagnostic and treatment process. In departments with a high intensity of patient care and staff workload (resuscitation and intensive care units, etc.), dispensers with skin antiseptics for hand treatment should be placed in places convenient for use by staff (at the entrance to the ward, at the patient’s bedside, etc. .). It should also be possible to provide medical workers with individual containers (bottles) of small volumes (100-200 ml) with skin antiseptic. 9. Disinfection of patients' skin. 9.1. Hand disinfection of healthcare workers is important in preventing the transmission of infection to patients and staff. The main methods of hand disinfection are hygienic treatment of the hands of medical personnel and treatment of the hands of surgeons. 9.2. To achieve effective hand disinfection, the following conditions must be observed: short-cut nails, no artificial nails, no rings, rings or other jewelry on the hands. Before treating surgeons' hands, also remove watches and bracelets. To dry your hands, use disposable towels or napkins; when treating surgeons’ hands, use only sterile ones. 9.3. It is preferable to treat the patient's surgical field before surgery and other manipulations associated with violation of the integrity of the skin (puncture, biopsy) with an antiseptic containing a dye. 9.4. Treatment of the injection field involves disinfecting the skin using an alcohol-containing antiseptic at the injection site (subcutaneous, intramuscular, intravenous) and drawing blood. 9.5. To treat the elbow bends of donors, the same antiseptics are used as for treating the surgical field. 9.6. For sanitary treatment of patients' skin (general or partial), antiseptics that do not contain alcohol and have disinfecting and cleaning properties are used. Sanitation is carried out on the eve of surgery or when caring for the patient. Hand sanitizing is a simple but very important method of preventing HAIs. Proper and timely hand disinfection is the key to the safety of medical personnel and patients
.

Rules for preparing for hand treatment:

1. Remove rings and watches.

2. Nails must be cut short; polish is not allowed.

3. Fold the long sleeves of the robe over 2/3 of your forearms.

All jewelry and watches are removed from hands, as they make it difficult to remove microorganisms. Hands are soaped, then rinsed with warm running water.

water and
everything repeats all over again
. It is believed that the first time you soap and rinse with warm water, germs are washed off from the skin of your hands. Under the influence of warm water and self-massage during mechanical treatment, the pores of the skin open, so when repeated soaping and rinsing, germs are washed away from the opened pores. Warm water makes the antiseptic or soap work more effectively, while hot water removes the protective fat layer from the surface of the hands. Therefore, you should avoid using too hot water when washing your hands.

When entering and exiting the intensive care unit or intensive care unit, personnel must treat their hands with a skin antiseptic.

There are three levels of hand treatment:

1. Household level (mechanical hand treatment);

2. Hygienic level (hand treatment using skin antiseptics);

Author: Taisha
Asem Sharafikyzy
GP on RVC Regional Infectious Diseases Hospital

bacteriological laboratory – tank
laboratory assistant

Ammonia + Glycerol + Ethanol, instructions for use: method and dosage

Ammonia + Glycerol + Ethanol is intended for external use.

It is recommended to rub the solution 2-3 times a day into hand skin that has been washed with soap and thoroughly dried. Therapy with the drug is carried out as needed, until the symptoms of the disease subside.

If after a course of treatment no improvement is observed, a worsening of symptoms is recorded, or new signs of damage appear, it is necessary to consult a specialist.

There are no specific effects of the drug upon its first application or upon withdrawal.

External therapy for skin lesions of various origins

I.V. SALIMOVA

, Doctor of Medical Sciences,
V.I.
AVERINA , Ph.D.
, FMBC named after. A.I. Burnazyan FMBA of Russia The relevance of the problem of local therapy in cosmetology and dermatology is due to the growing need of the population for quality medical care.
A person’s appearance plays an important role in his life, and the condition of his skin speaks volumes. A prosperous person has healthy and well-groomed skin - the result of a healthy lifestyle, balanced nutrition and careful care. Over the past decades, due to various reasons, there has been a directional trend towards an increase in the incidence of skin, hair and nails throughout the world. Manifestations of skin diseases are easily accessible to external influences, so external treatment has long been widely used in dermatology. Local therapy, like general therapy, always requires an individual approach. In some cases, it is aimed at suppressing and eliminating the immediate cause of the disease (etiological therapy: for example, prescribing antimicrobial agents for superficial pyoderma, fungicidal agents for dermatophytosis, or antiparasitic agents for scabies and lice. However, more often external therapy is symptomatic and is aimed at eliminating and resolving emerging in the skin of pathological changes and accompanying subjective sensations.In some cases, external therapy is prescribed to protect the affected areas of the skin from the effects of external irritants.

The success of external therapy depends on correct consideration of the nature of the developed dermatosis (acute, subacute, chronic), the stage of the process (progressive, stationary, regressive), the depth and localization of the lesions, the pharmacological properties of the prescribed medication, indications and contraindications for its use, the concentration and dosage form of the external facilities. The most demonstrative example is eczema, in which external therapy depends on the form of eczema, its stage, location and other factors. Strict individualization of external treatment and constant monitoring of the patient are necessary, since it is often necessary to replace drugs (if they are intolerant or get used to them) or change the dose.

One of the basic rules of local treatment for a number of skin diseases is to first use a weak concentration of drugs with a gradual increase and transition to more active drugs. At the same time, there are forms and stages of skin diseases in which the use of potent local drugs is indicated (some infectious dermatoses - trichomycosis, scabies, etc.).

In acute and subacute forms of the inflammatory process, you should use mainly dosage forms with the surface action of the agents they contain (lotions, shaken suspensions, powders and pastes). In the case of chronic and deep processes, one should prefer dosage forms that allow the substances to act more deeply (ointments, compresses, etc.). However, there are exceptions to this rule. For example, glucocorticoid ointments can be used in the acute stage of the inflammatory process, since the effect of the steroid covers the “adverse” effect of the ointment base.

The general rule for the use of topical drugs is: the more acute the inflammatory process, the more superficially the dosage form and the anti-inflammatory substances included in it should act. Thus, lotions, powders, shaken mixtures act more superficially than pastes, and pastes - more superficially than ointments, compresses, etc. The concentration of the medication included in the dosage form is also important. That is, the choice of dosage forms is determined not by the etiology of dermatosis, but by the degree of severity of inflammation, the localization of the lesion and its prevalence.

External agents, according to the degree of their effect in depth, can be arranged in ascending order: powders, lotions, shaken mixtures, pastes, ointments, compresses, glues, patches, varnishes.

The wrong choice of dosage form usually leads to an exacerbation of the disease. In this regard, it is necessary to know well what dosage forms for external therapy are, their mechanism of action, indications and contraindications for use, and methods of use. Dosage forms of external therapy used in dermatology

All pharmacological agents of external therapy are divided into indifferent and those with a specific pharmacological effect. Indifferent agents, the effect of which is determined only by their physical properties, include: water, chemically neutral powdery substances, oils, fats, fat-like substances, gels, collodions. They usually form the basis of dosage forms of external therapy. Drugs that have a certain pharmacological effect are divided into a number of groups according to their most characteristic therapeutic effect. Depending on the purpose pursued by external therapy in each specific case, they are included in different dosage forms. This makes it possible:

• obtain a certain therapeutic effect due to the physical properties of the forms themselves; • use different concentrations of medicinal substances; • inject drugs into the skin to varying depths.

The most commonly used dosage forms are: powder, lotions, gel, paste, aerosol, cream, ointment, varnish, patch.

Powders consist of powdery substances that are applied to the affected area in an even thin layer. The powder dries and degreases (due to hygroscopicity) the skin, cools it (as a result of increased heat transfer) and helps to narrow the superficial blood vessels of the skin. This helps reduce hyperemia, swelling (especially in skin folds), sensations of heat and itching. However, when the lesions become wet, powder is not used, because together with the exudate they form crusts that intensify the inflammatory process and irritate the skin. Powders are used against excessive sweating and increased sebum secretion.

Powders consist of mineral or plant powders. The most common mineral substances in powders include magnesium silicate - talc (Talcum), zinc oxide (Zincum oxydatum), and plant substances - wheat starch (Amylum tritici). Starch can be fermented, so it should not be consumed if there is excessive sweating, especially in the skin folds. Some drugs in powder form are added to powders for the treatment of erosions and ulcers.

Lubrication is carried out with aqueous or alcoholic solutions of aniline dyes (for example, brilliant green), aqueous-alcoholic solutions of menthol (1-2%), silver nitrate (2-10%), fucorcin.

Lotions in the form of aqueous and alcoholic solutions are often used in dermatology as an anti-inflammatory, astringent or disinfectant. Moisten 4-6 gauze napkins or soft cloth with cooled medicinal solutions, wring them out and apply them to the affected wet area. The lotions are changed after 5-15 minutes (as they dry and warm up) for 1-1.5 hours; The entire procedure is repeated several times a day. Most often, a 1-2% solution of tannin, 0.25-0.5%, a solution of silver nitrate (lapis), a 2-3% solution of boric acid, 0.25-0.3% is used for lotions. lead water (Aqua plumbi). Lotions with a solution of boric acid are prescribed with caution due to possible toxic effects.

If there is a purulent infection in the foci of acute inflammatory lesions, then disinfectant lotions are used: 0.1% solution of ethacridine lactate (rivanol), solutions of furatsilin (1:5,000), potassium permanganate (0.05%), resorcinol (1-2 %).

Wet-dry dressing. This dressing is prepared according to the same principle as the lotion, but there are more layers of gauze (8-12) and the dressing is changed much less frequently (every 1/2-1 hour or more) as it dries. These dressings help to subside the symptoms of acute inflammation, since the slowly evaporating liquid causes cooling of the skin (however, less actively than the lotion).

Agitated suspensions (chatterers) are used for acute, subacute and aggravated skin inflammations (dermatitis, eczema, etc.), lack of weeping and excessive dryness of the affected skin areas. The advantage of shaken suspensions is the possibility of their use without applying bandages. Water suspensions (“chatter”) are preferable for oily skin, oil suspensions for dry skin. The main components of water mash are indifferent powders (30%) suspended in water with the addition of glycerin (10-20%). After shaking, the suspension is evenly applied with a cotton-gauze swab 2 times a day. The surface anti-inflammatory effect is due to increased heat transfer during the evaporation of water and the subsequent action in the same direction of the powders included in the composition (zinc oxide, talc, white clay, starch).

Pastes are a mixture of equal parts by mass of indifferent powders (zinc oxide, talc, starch, etc.) and a fatty base (lanolin, petroleum jelly, etc.). Pastes act more deeply than shaken mixtures, but are less active than ointments; they have an anti-inflammatory and drying effect. The viscous consistency of the pastes allows you to apply them without a bandage. Do not use them on the scalp when it gets wet. The paste is applied to the skin 1-2 times a day; Once every 3 days, it is removed with a swab moistened with vegetable oil. By reducing the amount of powdery substances, soft pastes can be prepared. According to indications, naphthalan, ichthyol, sulfur preparations, tar, etc. are added to the paste.

Compresses have a warming effect and are designed to absorb skin infiltrates, reduce inflammation, and protect affected areas from external influences. For compresses, alcohol, drilling fluid, and lead water are mainly used.

Oils in their pure form (peach, flaxseed, sunflower, olive, etc.) are used to cleanse affected areas of the skin from secondary pathological deposits and remove remnants of used medicinal substances.

The cream is used for dry skin, decreased elasticity and minor inflammation. Lanolin (animal fat) included in the cream makes the skin softer and more elastic. The water in the cream cools the skin and has an anti-inflammatory effect. The cream is well tolerated by the skin, but for children, Vaseline, which irritates the skin, is replaced with castor or sunflower oil. Unna's cream is widely used, as well as “Children's”, “Spermaceti”, “Delight” and others produced by the perfume industry. In Unna's cream, instead of Vaseline, it is more advisable to use vegetable oil (olive, peach, sunflower, castor): Lanolini, Ol. Helyanthi, Aq. destill. aa.

Ointments, creams and aerosols containing corticosteroids and having an anti-inflammatory and hyposensitizing effect are widely used in medical practice. In case of severe inflammation or weeping, it is more advisable to use aerosols.

Gel. In dermatology, hydrogels, which are a colloidal dosage form, are more often used. The gel has a gelatinous consistency that can retain its shape and has elasticity and plasticity. According to the mechanism of action, hydrogels are close to mash, and in consistency - to an ointment free of fats. To make gels, hydrophilic substances (gelatin, agar-agar, gum arabic, etc.) are used, which swell in water to form a colloidal system. They add various pharmacological agents (glucocorticosteroids, fungicidal, antibacterial, etc.), which quickly penetrate the skin.

Varnish is a liquid that quickly dries on the surface of the leather to form a thin film. Most often, the varnish consists of a collodion into which various medicinal substances are introduced (Ac. salicylicum, resorcinum, gryseofulvinum, etc.). Typically, varnish is used when you want to have a deep effect on the tissue (for example, on the nail plate) and in a limited area.

Varnishes like Loceryl and Batrafen are widely used for the treatment of onychomycosis.

The ointment contains one or more medicinal substances, evenly mixed with a fatty ointment base (vaseline, lanolin, lard, naphthalan, etc.), which must be chemically neutral (so as not to cause skin irritation) and have a soft, elastic consistency that does not change under influence of body temperature.

Ointment bases made from synthetic substances are increasingly used: polymers of ethylene oxides, cellulose derivatives, esters of sorbitan and higher fatty acids, etc. Ointments on such a basis penetrate the skin better and are more easily freed from the drugs included in them, do not oxidize or decompose, and are well tolerated skin.

Ointments have a deep effect, so they are prescribed for chronic and subacute diseases, and for inflammatory infiltrate in the skin. Use 2-10% sulfur ointment, 2-3% tar, 1-3% white mercury, 2% salicylic, 2-5% ichthyol, 2-3% naphthalan ointment and etc. They use ointments with antibiotics (2.5-5% erythromycin, tetracycline, lincomycin, etc.). In the treatment of vesicular lichen and herpes zoster, interferon, oxolinic ointment, acyclovir, etc. are used.

Patient first aid kit

Local therapy products are divided into prescription drugs and those approved for sale without a doctor’s prescription. There are quite a lot of the latter on the market, and it is sometimes difficult for patients to navigate their choice. Meanwhile, in everyday life, various skin problems are often encountered, including microtraumas of the skin - cuts, minor injuries, superficial burns, scratches and abrasions. Therefore, the presence in every home medicine cabinet of a product that can cope with most of these problems seems quite justified.

To speed up regeneration processes and reduce inflammation in skin microtraumas, dry skin, and burns, the “Keeper” balm is widely used. The drug has an analgesic, regenerating, antiseptic effect. Promotes rapid resorption of wounds, accelerates the process of healing damage by regulating the regenerative process. The composition of the drug includes: corn oils, sea buckthorn, essential oils of eucalyptus and lavender, vitamins A, E, auxiliary components. Oils ensure rapid conductivity of active substances, due to which the speed of the regeneration process becomes faster and the barrier functions of the skin increase. Naftalan is one of the main components of the Guardian balm, has unique healing properties and has a healing effect on human skin. Vitamins A and E, which are part of the Guardian balm, are natural antioxidants, accelerate cell division processes, help increase skin elasticity, prevent scar formation, and protect the skin from adverse environmental factors.

In everyday practice, the balm is used:

• for mechanical damage to the skin (abrasions, wounds, scratches, cuts), • burns caused by exposure to high temperatures or UV rays, • frostbite and chapping, • urticaria, allergic skin irritations, • bruises, skin hematomas, • calluses, cracks, • excessive peeling, dry skin, • insect bites, nettle burns, etc., • as a symptomatic and prophylactic remedy for dry skin.

The balm is applied to damaged areas of the skin in an even thin layer, rubbing in a little, three times a day. For hematomas and bruises, it can be used as a compress. The average duration of therapy is 3–9 days and depends on the severity of the disease and symptoms. "Keeper" is not used for the treatment of open wounds. An important positive property of the balm is the absence of hormonal and antibiotic components in its composition. This makes it accessible to a wide range of people, including elderly patients, people with a history of allergies, and severe concomitant pathologies. Literature

1. Ayzyatulov R.F. Clinical dermatology. Donetsk: Donechchina, 2002. 2. Arabian E.R. Some “psychosomatic” dermatoses in the practice of a dermatocosmetologist. Sat. Art. NGO of cosmetologists. SPb., 2002, 4: 31-35. 3. Belousova T.A., Goryachkina M.V. Modern ideas about the structure and function of the skin barrier and therapeutic possibilities for correcting its disorders. 4. Volkova E.N. Rational therapy of combined skin lesions - dermatoses of combined etiology. E.N. Volkova, D.A. Lange. Dermatology [Electronic resource]. Electronic journal, 2011, 4. Access mode to the journal: https://www.consilium-medicum.com/magazines/magazines/cm/article/21324 5. Gadzhigoroeva A.G. Minoxidil in the treatment of alopecia. To help the practitioner, 2006, 5: 87-92. 6. Dashkova N.A. Acne: the nature of its occurrence and development, issues of systematization and modern guidelines in the choice of therapy. ON THE. Dashkova, M.F. Logachev. To help the practitioner, 2006, 4: 8-13. 7. Dermatovenerology: National guidelines. Yu.K. Skripkin, Yu.S. Butova, O.L. Ivanova. M.: GEOTAR-Media, 2011. 8. Dermatovenereology: Textbook for medical universities. A.V. Samtsov, V.V. Barbinov. St. Petersburg: SpetsLit, 2008. 9. Dermatological reference book. A.T. Sosnovsky, N.Z. Yagovdik, I.N. Belugina. 2nd ed., revised. and additional Minsk: Higher School, 2001. 10. Dribnokhod Yu.Yu. Cosmetology. 6th ed. Rostov n/d: Phoenix, 2010. 11. Zabarova V.A. Plants are sources of essential and vegetable oils used in dermatology. Russian Journal of Skin and Venereal Diseases, 2004, 2: 71-72. 12. Skin and venereal diseases: textbook. allowance. N.Z. Yagovdik, M.V. Kachuk, V.G. Pankratov. Minsk: Higher School, 1999. 13. Skin and venereal diseases. Yu.K. Skripkin, A.A. Kubanova, V.G. Akimov. M.: GEOTAR-Media, 2009. 14. Kochergin N.G., Belousova T.A. Problems of dry skin therapy. Attending Physician, 2009, 8: 36-39. 15. Kozin V.M. Dermatology: textbook. allowance. Minsk: Higher School, 1999. 16. Korobkova E.V. A combination of AHA acids and natural adaptogen β-1,3-glucan in cosmetic preparations for home and professional use. Sat. Art. NGO of cosmetologists. St. Petersburg, 2000, 2: 25-29. 17. Korotky N.P. Atopic dermatitis - treatment recommendations. To help the practitioner, 2006, 3: 58-59. 18. Korsun V.M. Herbal medicine for skin diseases: reference book. ed. V.F. Korsun, A.E. Sitkevich, Yu.A. Zakharov. Minsk: Higher School, 2001. 19. Mashkovsky M.D. Medicines. Vol. 1 and 2. 14th ed. M.: New Wave, 2000. 20. Monakhov K.N. “Basic” skin care for patients with atopic dermatitis. Sat. Art. NGO of cosmetologists. SPb., 2005, 5: 57-62. 21. Novoselov V.S. The place of photoprotectors in dermatological practice. V.S. Novoselov, A.V. Novoselov, A.E. Bogadelnikova. Dermatology [Electronic resource]. Electronic journal, 2008, 1. Journal access mode: https://www.consilium-medicum.com/dermotology/article/15766/ 22. Pavlova N.N. A little about shampoos. Sat. Art. NGO of cosmetologists. St. Petersburg, 2004, 5: 13-14. 23. Pashinyan A.G. Modern moisturizing products for sensitive skin. A.G. Pashinyan, E.S. Gordienko, D.G. Dzhavaeva A. 24. Perlamutrov Yu.N. Comparative assessment of the effectiveness of various treatment methods for rosacea. Yu.N. Perlamutrov, V.Sh. Saydalieva, K.B. Olkhovskaya. To help the practitioner, 2011, 3: 73-79. 25. The use of silver preparations in medicine: Sat. scientific tr. Ed. EAT. Blagitko. Novosibirsk, 2002. 26. Guide to dermatocosmetology. E.R. Arabian, E.V. Sokolovsky. St. Petersburg: Foliant Publishing House LLC, 2008. 27. Skripkin Yu.K. Modern view on pathogenetic therapy of atopic dermatitis. Yu.K. Skripkin, A.S. Dvornikov, L.S. Kruglova, P.A. Skripkina. To help the practitioner, 2006, 4: 36-39. 28. Tarasenko G.N. Treatment of chronic dermatoses with glucocorticoids. G.N. Tarasenko, I.V. Patronov, Yu.G. Tarasenko. Military Medical Journal, 2000, 1: 60. 29. Topical corticosteroids in dermatological practice. G.I. Sukolin, K.I. Plakhov, N.A. Imaeva et al. Farmateka, 2004: 12: 49-52. 30. Topical steroids in the treatment of dermatoses with severe hyperkeratosis. K.M. Lomonosov, D.V. Ignatiev. Dermatology [Electronic resource]. Electronic journal, 2009, 2. Journal access mode: https://www.consilium-medicum.com/dermotology/article/18741/ 31. Ferzhtek O. Cosmetology and dermatology: Trans. from Czech M.: Medicine, 1990. 32. Hill S. Study of the pharmacokinetics of 1% Lamisil cream when applied topically. S. Hill, R. Thomas, S. Schmit, A. Finlay. Bulletin of Dermatology and Venereology, 2011, 3: 120-125. 33. Shimansky N.L. Evolution of glucocorticosteroids used in dermatology. Farmateka, 2005, 3: 51-54. 34. Ebner F, Heller A, Rippke F, Tausch I. Topical use of dexpanthenol in skin disorders. Amer. J. Clinic. Dermatol., 2002, 3: 427-433.

special instructions

Ammonia + Glycerol + Ethanol is for external use only.

It is necessary to prevent the solution from getting into the eyes and mucous membranes; in case of accidental contact, rinse the areas where the mucous membranes come into contact with the drug with plenty of water.

In the presence of chronic diseases, there are no particularities in the use of the drug.

Impact on the ability to drive vehicles and complex mechanisms

The drug does not have a negative effect on the ability to drive a car or other complex equipment.

Differential diagnosis

Due to the weakening of the protective functions of the skin after an antiseptic, the risk of infection increases, and the symptoms of sanitizer abuse can hide the manifestations of pathologies. A dermatologist will conduct a differential diagnosis with the following conditions:

• allergic reactions;
• psoriasis;
• seborrhea;
• eczema;
• atopic dermatitis;
• ichthyosis.

Only an experienced specialist can determine the real cause of dryness, flaking and other signs that may be associated with the use of alcohol-containing products.

Reviews of Ammonia + Glycerol + Ethanol

Reviews about Ammonia + Glycerol + Ethanol, a dermatoprotective and softening agent for the skin of the hands, are overwhelmingly positive. Patients note that the solution effectively softens and soothes dry and inflamed hand skin, disinfects it, and also promotes rapid healing of small cracks and scratches. According to reviews, after using the drug the skin becomes elastic, soft and smooth. Patients also indicate positive results from using the product to treat rough and cracked skin on the feet - the drug eliminates dry skin, helps heal cracks and prevents their appearance in the future. The advantages of the product also include its low cost and long-lasting therapeutic effect, which is cumulative.

Almost everyone considers the disadvantage of the product to be the unpleasant and pungent smell of ammonia, which, however, quickly disappears. Sometimes tingling of the skin occurs when applying the drug, especially in the presence of scratches and micro-wounds. There are complaints about the lack of the drug on sale.

Cosmetic hand care – a necessity or a whim?

Elena KALASHNIKOVA, dermatocosmetologist

Our hands are always visible. Even a quick glance at the hands can tell a lot about the habits of their owner and his attitude towards himself.

Well-groomed, healthy, beautiful, they are an indicator of success, self-esteem, and dignity.

During the day, hands manage to do a hundred things and therefore especially need attention and care.

The skin of the hands is especially vulnerable because it contains very little water.

The number of sebaceous glands on its surface is small, and on the palms they are completely absent.

It is not surprising that the aging process in the skin of the hands is 10 times more intense than in the skin of the face.

Natural factors such as ultraviolet radiation, frosty or, conversely, dry and hot air, dirt, and aggressive chemicals also contribute to the loss of external attractiveness of the skin of the hands.

Thus, frequent and prolonged exposure to detergents leads to disruption of local immunity and the development of skin diseases, including allergic dermatitis and eczema.

Incredible, but true: most of us pay almost no attention to hand care - except to apply cream if the skin suddenly becomes dry and rough.

Meanwhile, such indifference to your own hands can lead to the appearance of wrinkles, small cracks and age spots.

That is why hand skin care should be of high quality and regular.

Dermatocosmetologists advise taking care of your hands no less carefully than your face.

So moisturizer is a must! And you need to use it not occasionally, but at least once a day - so as not to know what peeling, irritation, “pimples” and other troubles are.

If the skin of your hands is dry, the cream should be applied after each contact with water and always after washing your hands.

By the way, for the latter it is better to use products with a neutral pH and softening additives (lanolin, proteins, waxes, various oils, fatty acids, etc.).

Don’t think that hand creams are the simplest and most inexpensive cosmetic product. World-famous companies devote no less time to their creation than to the development of other care products.

The best hand cream. How to choose?

First of all, define your expectations from the product.

Protection

The protective cream envelops the skin of your hands like gloves and creates an imperceptible protective barrier against water, cold, and aggressive substances.

Hydration and nutrition

Moisturizing creams are quickly absorbed and are recommended for use in the warm season. Nourishing products are suitable for owners of very dry and irritated skin and for use in cold weather.

Treatment

Therapeutic creams act on the skin of the hands more intensively, promote its regeneration, and fight microcracks and roughness. Most often these are rather “heavy” products recommended for occasional use.

Anti-age

Anti-aging creams can be classified as a separate group.

After 40-45 years, the already thin and dry skin of the hands becomes even drier and thinner, and its water balance is disturbed.

That is why anti-age hand products contain an increased amount of nutritional and moisture-retaining components, primarily vegetable oils, as well as antioxidants and components that accelerate regeneration (vitamins A and E, coenzyme Q10, bioflavonoids). They not only moisturize and nourish, but also smooth out wrinkles and lighten age spots.

In late autumn and winter, to prevent abrasion of the skin of your hands, you can use products with AHA acids (creams, gommages, masks, etc.).

New product from England for the beauty of your hands – COSFO 0

The formula of the new cream in the COSFO line is designed specifically for daily care, restoration and protection of the skin of the hands.

The secret of its effectiveness is its balanced composition: the active components of oat extract, oat oil and oat flour instantly soften, eliminate the feeling of dryness and discomfort, soothe the skin and stimulate cellular regeneration. Sunflower and shea butters restore the natural balance of skin moisture, and vitamin E improves its elasticity and firmness and slows down the aging process.

Panthenol moisturizes and softens, providing resistance to adverse environmental factors.

It is no coincidence that oats were chosen as the main component of the cream.

It is famous for its powerful softening and soothing effect, provides active hydration, and restores the skin's protective barrier.

Oat extract has antioxidant properties, prevents skin aging under the influence of ultraviolet radiation, tightens it and activates regeneration processes.

The cream gives your hands a feeling of softness and velvety and forms a breathable film on the skin, thus providing additional protection from external influences (hard water, household chemicals, wind, heat, frost).

Thanks to its delicate texture, it is quickly absorbed without leaving sticky greasy marks and is comfortable to use.

COSFO 0

– an almost universal care product that is perfect for the whole family at any time of the year.

COSFO

- this is always excellent quality and a constant feeling of comfort and lightness for the whole day.

Hand care rules

Wash your hands properly

Use only warm water: too cold will cause peeling and discomfort on your hands, and too hot will degrease the skin, depriving it of its natural protection. After washing, wipe your hands dry - this will help avoid the appearance of hangnails.

Choose the right soap

Preferably with natural ingredients, liquid or gel form. Leave ordinary hard soap, and even more so laundry soap, for other purposes.

Use gentle exfoliation or scrubs

They will help to delicately remove dead skin particles that prevent the penetration of moisturizers and nutrients into the skin.

Wear rubber gloves

Protect your hands when washing dishes and when handling liquids. If it is impossible to use gloves for one reason or another, apply a special protective cream to your hands - it will prevent contact of harmful substances with the skin.

Apply nourishing cream regularly

Every day. Or better yet, after each contact with water or other liquids. Make it a rule to nourish your skin at any time of the year, and especially in winter.

Protect your skin in the cold

To avoid redness, apply protective cream to your hands an hour before going outside.

Give a hand massage

Massage perfectly copes with fatigue, which means it helps maintain youth and beauty.

Pamper your hands

Hand masks at least once a week are a must!

Alternative sanitizers

If the skin of your hands reacts sensitively after an antiseptic, you can choose a composition with chlorhexidine. The following components will additionally take care of your hand skin:

• D-panthenol – softens, moisturizes the dermis, enhances the regeneration of damaged tissues. Heals wounds and eliminates discomfort.
• Lavender essential oil has an additional antifungal effect.
• Levomenthol is a natural antiseptic with a cooling effect. By itself, it is weak to fight viruses, but as part of auxiliary components it enhances the effect of sanitizers.
• Aloe extract actively moisturizes, enhances the production of collagen and hyaluronic acid. The skin restores its own hydration mechanisms.

Both alcohol-based antiseptics and their analogues do not completely replace hand washing with soap. In case of acute skin reaction, you can choose soap with the listed ingredients to maintain the condition of your hands.

How to help the skin of your hands

Avoid homemade antiseptics using improvised means. It is impossible to accurately calculate the concentration of active substances and check their quality! The following will help reduce irritation after antiseptic:

• fatty creams based on plant extracts: chamomile, lavender, mint;
• baths with essential oils: sage, sandalwood, chamomile, calendula, almond, grape seeds;
• panthenol.

Try changing the product, do not use laundry soap to wash your hands. Try to limit skin contact with aggressive surfactants of household chemicals, use gloves. If this does not help, consult a dermatologist - peeling and dryness accompany not only the destruction of the lipid protective layer, but also dermatological pathologies.

Psychosomatics of irritated, dry skin of the hands cannot be excluded.
Frequent stress, lack of sleep, internal experiences and conflicts cannot pass without leaving a mark on the condition of the skin. The sooner the true cause is determined, the easier it will be to eliminate it. September 1, 2021
Author of the article: dermatologist Mak Vladimir Fedorovich