Alcohols are commonly used as disinfectants for skin, surfaces and imm
ersion of some medical instruments. Measurement of the activity of alc
ohols against human immunodeficiency virus type 1 (HIV-1) must take ac
count of the compatibility of neutralizers used to stop the disinfecta
nt reaction, and of toxicity to the cell line used to detect residual
virus. We have developed protocols to measure the efficacy of alcohols
against HIV in suspension and dried onto surfaces in the presence of
high and low protein concentrations. High titres of HIV in suspension
were rapidly inactivated by 70% ethanol, independent of the protein lo
ad. When virus was dried onto a glass surface, the rate of inactivatio
n decreased when high levels of protein were present. Due to its rapid
evaporation, a spray or a wipe with alcohol cannot be guaranteed to d
isinfect a surface contaminated with blood or other body fluids withou
t preliminary cleaning.