Antiseptic drugs and disinfectants with experience of the second year of COVID-19 pandemic-related side effects

This review covers publications during the period January 2021 to December 2021 on adverse reactions to antiseptic drugs and disinfectants. Specific agents discussed are alcohols (ethanol, isopropanol), aldehydes (formaldehyde), ethylene oxide, guanidines (chlorhexidine, polyhexamethylene guanidine, and polyhexamethylene biguanidine), benzalkonium compounds, triclosan, povidone-iodine, and sodium hypochlorite. No new data were identified for glutaraldehyde, cetrimide, tosylchloramide, triclocarban, and phenolic compounds. The use of antiseptic drugs and disinfectants has increased considerably since 2020 in various medical and occupational settings, in commerce and gastronomy, as well as in the home, due to their antiviral properties against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the still ongoing Coronavirus Disease 2019 (COVID-19) pandemic. Irritant effects on the respiratory system, the skin and eyes were the most common adverse reaction, while the widespread and occasionally excessive use led to increased reports of poisonings as well as of oral misuse of disinfectants, sometimes associated with serious outcomes such as death from methanol intoxication. Eye exposures in children caused by inadvertent exposures due to unsupervised dispensers in public spaces were pointed out as being specifically problematic. Side effects in the eye may also occur in the general population by improper and unprotected use of UV lamps. The need to improve the safe use of disinfectant devices was pointed out in general.