How should hands be cleaned when they are NOT visibly soiled?

Correct answer: D. Alcohol-based hand rub (ABHR)

• A. Antiseptic wipes are not the standard recommendation for hand hygiene.
• B. Soap and water (antibacterial or regular) is required when hands ARE visibly soiled or when dealing with spore-forming organisms (C. diff, norovirus).
• C. Same as above — regular soap and water for visibly soiled hands or spore-forming pathogens.
• D. Per CDC/WHO guidelines: when hands are NOT visibly soiled, alcohol-based hand rubs (sanitizers) are the PREFERRED method. ABHRs are more effective than soap/water for most pathogens, faster, and less drying.