According to UGA TODAY
Rethinking Hand Hygiene: From Alcohol to Nitric Oxide
For decades, alcohol-based sanitizers have been a cornerstone of public cleanliness—effective, fast, but fleeting in their protection. Now, University of Georgia researchers have unveiled NORel, a novel gel infused with nitric oxide that not only eliminates over 97% of bacteria and fungi—including tough, antibiotic-resistant strains—but also continues to protect the skin for up to two hours after application.
This emergence challenges long-held assumptions about hand hygiene and offers a promising path forward, especially for environments where infection prevention is critical and frequent reapplication is impractical.
The Science Behind NORel’s Extended Protection
Lead author Elizabeth Brisbois, Associate Professor at UGA’s College of Engineering, explains the key innovation: while alcohol rapidly evaporates from the skin—taking its microbe-killing power with it—nitric oxide persists. This provides sustained antimicrobial defense following a single application.
Fortified with moisturizing and antimicrobial ingredients like ethanol, tea tree oil, and glycerin, the gel balances hygiene and skin health.

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A Clear Advantage Over Traditional Sanitizers
Lab tests show NORel performs on par with commercial alcohol-based gels containing 62% ethyl alcohol. But its real strength lies in duration—most alcohol sanitizers lose effectiveness within 30 to 60 minutes, while NORel remains active for nearly two hours.
Such an extended window of protection could have major implications. In busy healthcare settings, where nosocomial infections are a constant risk, NORel’s lesser need for frequent reapplication could reduce cross-contamination risks.
Promise for High-Risk Settings
The researchers emphasize NORel’s potential in hospitals, long-term care facilities, and clinics—environments where preventing hospital-acquired infections is vital.
Moreover, its gentle formulation addresses a frequent downside of alcohol gels: dryness and skin irritation, which can worsen with repetitive use.
Built on Years of Nitric Oxide Research
UGA’s team did not arrive at NORel by chance. Their prior work on nitric oxide in wound healing and acne treatment paved the way.
This interdisciplinary innovation underscores the value of leveraging cumulative research insights into practical applications—turning scientific knowledge into tangible public health tools.

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What Lies Ahead: Broader Testing and Formulation Improvements
NORel’s next evaluation steps include testing against viral pathogens—such as SARS-CoV-2—and additional fungi beyond those in the initial study. Researchers are also working to improve the gel’s shelf life and stability at room temperature, essential for global deployment.

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The study appears in Biomaterials Science and received funding from the National Heart, Lung, and Blood Institute (NHLBI) at NIH.
A Fresh Approach to Hygiene in a Post-Pandemic World
The COVID-19 pandemic dramatically elevated awareness of hand hygiene. But it also revealed limitations of existing solutions—primarily those using alcohol which burn, dry, and evaporate quickly.
NORel offers a smoother, longer-lasting alternative. If it proves equally effective against viral threats and practical to manufacture, it could redefine norms around sanitizing.
Broader Implications: From Laboratories to the Front Line
In schools, public transit, retail settings, and beyond—anywhere communal surfaces are frequently touched—this extended protection may significantly reduce pathogen spread.

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Balancing Innovation and Access
With compelling performance comes responsibility. To translate NORel from lab to market and ensure equitable access, researchers must navigate FDA regulatory approvals, manufacturing scale-up, and cost management.
While initial costs may be higher than conventional gels, the long-term benefits—fewer infections, reduced medical costs, and increased compliance—could justify the investment.
Looking Ahead: A Sanitizer for the Future
NORel doesn’t just make it optional—it makes protecting hands smarter, more durable, and more skin-friendly.
In a world still shaping its post-pandemic defenses, NORel stands as a bold step toward reimagining hygiene—a future where protection endures long beyond the gel’s initial application.
References
WHO – Infection prevention and control
According to UGA TODAY