skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: The effect of shower/bath frequency on the health and operational effectiveness of soldiers in a field setting: Recommendation of showering frequencies for reducing performance-degrading nonsystemic microbial skin infections

Technical Report ·
OSTI ID:5172227
;  [1]; ;  [2];  [3];  [4]
  1. Lawrence Livermore National Lab., CA (United States)
  2. California Univ., San Francisco, CA (United States). Dept. of Dermatology
  3. Army Biomedical Research and Development Lab., Fort Detrick, MD (United States)
  4. Brooke General Hospital, Fort Sam Houston, TX (United States)

Historically, military personnel deployed in the field, particularly in hot, humid environments, have suffered disabling microbial infections of the skin severe enough to contribute to significant reductions in combat-troop strength. Currently, the US Army makes facilities available to field personnel for showering on a weekly basis to prevent infestations of the body louse and the subsequent spread of louse-borne disease. However, a weekly showering frequency has never been evaluated for its efficacy in preventing microbial infections of the skin -- a significant cause of man-days lost from combat in modern-day military conflicts. Consequently, field showers may be more important for maintaining combat effectiveness of military personnel than previously thought; however, providing such facilities requires tremendous logistical support. Therefore, we developed shower frequencies for troops in field environments that should minimize or prevent microbial skin infections. According to our calculations, the optimum showering frequency can range from as often as four times per day to as little as once every seven days, depending on skin integrity, environmental conditions, and cleansing agent. We also reviewed the scientific and regulatory information concerning the efficacy and safety of skin-cleansing products; the antimicrobial and antiseptic compounds, triclocarban and chlorhexidine, may be the most suitable for routine use by US military personnel.

Research Organization:
Lawrence Livermore National Lab., CA (United States)
Sponsoring Organization:
USDOD; Department of Defense, Washington, DC (United States)
DOE Contract Number:
W-7405-ENG-48
OSTI ID:
5172227
Report Number(s):
UCRL-CR-107449; ON: DE92014792; CNN: 90PP0826
Country of Publication:
United States
Language:
English