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Hand sanitizer vs soap and water: which is better?

Soap and water is better whenever a sink is available, especially when hands are dirty or greasy, after the toilet and before food. Alcohol hand sanitizer is the right choice when hands look clean and there is no sink nearby. Most homes and workplaces need both.

Last reviewed by the SANITIZER.PK team

Quick answer

  • Soap and water physically removes dirt, grease, chemicals and germs.
  • Sanitizer kills many germs quickly but does not remove dirt or chemicals.
  • Sanitizer works less well against norovirus, some parasites and bacterial spores.
  • Wash for at least 20 seconds; rub sanitizer for 20 to 30 seconds until dry.

Side by side

Soap and waterAlcohol hand sanitizer
How it worksLifts dirt, oil and germs off the skin; water rinses them awayAlcohol kills many germs on the skin; nothing is removed
Visibly dirty or greasy handsWorksDoes not work well
Chemicals such as pesticidesHelps remove themDoes not remove them
Norovirus (stomach bug), sporesBetter choiceLess effective
Needs a sinkYesNo
TimeAt least 20 seconds scrubbing20 to 30 seconds until dry
Best momentsAfter toilet, before food, after gardening or cleaningShared surfaces, entrances, travel, patient contact

Why sanitizer does not replace washing

Alcohol needs contact with the skin to work. Dirt, grease and food form a layer that protects germs and absorbs the alcohol. Some germs, including norovirus, the parasite Cryptosporidium and the spores of Clostridioides difficile, are hard to kill with alcohol and need to be washed off.

In kitchens and food businesses, handwashing is the rule. Sanitizer can be an extra step after washing, never a replacement.

How to wash properly

  1. Wet hands with clean running water.
  2. Apply soap and lather the backs of hands, between fingers and under nails.
  3. Scrub for at least 20 seconds.
  4. Rinse under running water.
  5. Dry with a clean towel or air dry. In shared washrooms, single-use paper towels are more hygienic than a shared cloth.

Setting up a home or workplace for both

Put soap and a towel at every sink, and sanitizer where there is no sink: the entrance, reception, the car, a school bag and outside meeting rooms. Where water supply is unreliable, keep a 5-litre sanitizer pack as a backup so hand hygiene does not stop when the tank runs dry.

Sources and standards referred to

  • US Centers for Disease Control and Prevention (CDC), guidance on hand sanitizer use.
  • World Health Organization, Guidelines on Hand Hygiene in Health Care (hand rub technique and duration).

This guide is general information about hygiene products, not medical advice. For a health condition, speak to a doctor or pharmacist.

Frequently asked questions

Is antibacterial soap better than ordinary soap?

For everyday use, plain soap and water is enough. Studies have not shown a clear everyday benefit from antibacterial soap for healthy people.

Is sanitizer bad for my skin?

A sanitizer with a moisturiser is usually gentler than frequent washing. If your skin cracks or burns, stop using that product and use a hand cream.

Which is better for children?

Soap and water is best. Use sanitizer when there is no sink, with adult supervision for children under six.

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