Scrubbing and rubbing

For routine surgical hand preparation alcohol-based handrubs are superior to scrubs because they are equally effective but cause less skin irritation, are cheaper, and use less water.
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A distinction is made between medicinal products that require marketing authorisation and those that do not require authorisation. Proprietary medicinal products in accordance to the German Medicines Act (AMG), e.g. Sterillium®, may only be sold when they are authorised by the competent authority. For this, the authority needs to evaluate comprehensive preclinical and clinical documentation and attest a good risk-benefit ratio. For proprietary medicinal product the authorisation needs to be extended after 5 years.
Use disinfectants carefully. Always read label and product information before use.