Healthy Skin Clinical Trial
Official title:
Effect of Surfactants on the Skin Microbiome
Up to 10 volunteers will be recruited to evaluate the microbial environment on their forearms. Following informed consent, bacterial swabs will be obtained at baseline from the forearms of all subjects. Their forearms will then be washed with one of the study cleansers. Subjects will then have their forearms swabbed for bacteria at the following time points: 10 minutes, 6 hours, and 24 hours after the wash. DNA will be extracted from all swabs and bacterial diversity evaluated by 16S pyrosequencing.
The timeline for the patients will be as follows:
On Day 0, after being given a witnessed, written, informed consent, a medical history and a
limited physical exam will be performed. If using certain topical products and medications
that are not allowed during this study, patients may be asked to withhold them for the
remainder of the study. The study doctor or study coordinator will explain which medications
and activities are not allowed during this study. Baseline bacterial swabs from the bilateral
volar forearms will be collected followed by application and rinsing of a hand wash with an
antimicrobial compound (benzalkonium chloride or triclocarban) on the right forearm, and a
cleanser without an antimicrobial compound (control) on the left forearm. 200 microliters of
water/hand wash will be applied to the volar forearms and lather generated for 15 seconds
using a gloved hand. The lather will be allowed to stay in contact with the skin for an
additional 30 seconds. The total contact time will be 60 sec. The forearm will be rinsed with
running tap water for 15 seconds, air-dried for 5 minutes and the skin surface will again be
swabbed for bacteria 10 minutes after the wash. The same procedure will be repeated on the
2nd volar forearm with the opposing wash. Subjects will then have repeat skin swabs at 6
hours +/- 1 hour and at 24 hours +/- 6 hours after washing. Subjects will be instructed to
avoid rigorous exercise/swimming, significant sun exposure (i.e. sunbathing), cleaning the
forearms with other antibacterial products, and showering during these 24 hours.
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