Which of the following should be used instead of handwashing if hands are not visibly soiled?

The recommended choice for hand hygiene when hands are not visibly soiled is an alcohol-based hand rub. This option is favored because these hand sanitizers contain a significant percentage of alcohol, which is effective in killing a wide range of pathogens, including bacteria and viruses. Their use is particularly suitable in situations where immediate handwashing with soap and water is not feasible, allowing for quick disinfection while maintaining compliance with infection control protocols.

Alcohol-based hand rubs dry quickly and do not require rinsing or drying with towels, making them convenient for frequent use. They are also less harsh on the skin compared to some other products, which can encourage adherence to hand hygiene practices among staff and patients.

Other options such as soap and water are essential for removing visible dirt or organic material from the hands, but are not as practical when hands are clean. Wet wipes and antiseptic gels can have limited efficacy compared to alcohol-based rubs and may not meet the same standard for disinfection unless specifically formulated for that purpose. Thus, opting for an alcohol-based hand rub ensures effective hand hygiene when soap and water are not necessary or available.