Gaps in Protection

Theoretically you should protect all the mucosal surfaces
(eyes, nose and mouth).

– Dr. Anthony Fauci1

Protecting the face is critical because the mucous membranes around the transmission zone (T-zone)—which includes the eyes, nose, and mouth—are portals for infection.2 While gloves, masks, shields, gowns and alcohol-based hand sanitizers are necessary components of personal protective equipment (PPE), there still may be gaps that leave the T-zone vulnerable.

Consider the following:

  • We touch our faces an average of 23 times an hour.3 Touching contaminated surfaces or patients with gloves, and then touching the T-zone is one way viruses like the cold, flu, and even COVID-19 can be transmitted.4
  • In addition to contaminated-surface transmission, COVID-19 and other respiratory viruses may be spread via droplet transmission and potentially even airborne transmission when the T-zone is unprotected.5,6
  • According to a Johns Hopkins University School of Medicine study, “ocular surface cells including conjunctiva are susceptible to infection by SARS-CoV-2, and could therefore serve as a portal of entry as well as a reservoir for person-to-person transmission of this virus.”7
  • Excessive hand washing and use of alcohol-based hand sanitizers not only dry the skin, but they have been shown to break down the skin’s barrier—increasing the risk of infection.8
  • Alcohol has limited residual effects, meaning frequent re-applications of alcohol-based hand sanitizers.
  • Prolonged wearing of PPE can cause pressure, friction and skin breakdown, possibly making healthcare workers less compliant with wearing their PPE.

Close the Gaps, With Theraworx Protect Advanced Hygiene for Hand & T-Zone Defense

Theraworx Protect Product Group

Clinically proven, non-toxic, Theraworx Protect offers advanced hygiene and skin barrier support where healthcare workers need it most—the hands and T-zone. Take a closer look:

  • In addition to frequent hand cleansing, the CDC recommends frequent facial cleansing to help prevent and control disease.9 Theraworx Protect complies with the CDC’s guidelines as a no-rinse, hand and facial cleansing solution, safe even for the vulnerable mucosal surfaces of the T-zone.
  • Because our solution is safe to use on the ocular mucous membranes, it can be used as an additional ocular contact safety measure before donning PPE, supporting the Johns Hopkins study recommendations on taking extra ocular contact precautions to prevent COVID-19 infection and transmission.7
  • What’s more, Theraworx Protect supports the skin’s natural antimicrobial barrier and defensive functions, helping to prevent skin breakdown and maintain the integrity of the skin, which is especially important for healthcare workers donning PPE.
  • Plus, our solution supports the skin for up to 4-6 hours, meaning fewer re-applications vs. alcohol-based hand sanitizers.

Get Hand &
T-Zone Defense

How to Use Theraworx Protect Foam for Hands & T-zone

Follow these protocols when you enter the healthcare facility, and repeat them throughout the day as necessary, in accordance with your policies and procedures.

Hand Protocol

Note: If you’re a healthcare worker, the CDC recommends using hand sanitizer for your hand hygiene protocols, and Theraworx Protect can be used as a persistent adjunct to those protocols.


Apply 1-2 full pumps of foam onto one hand.


Rub hands together until fully absorbed, covering all surfaces of the palms and the backs of both hands. Be sure to get in between the fingers and underneath the fingernails, too.


Do not rinse your hands. Allow to air dry fully before donning gloves. Repeat these steps every 4-6 hours, after washing your hands, or as often as needed. It’s also important to follow this hand protocol before doffing PPE such as face masks, goggles or face shields, and again once the PPE is safely stored or disposed of.

T-Zone Protocol


After you’ve completed the hand protocol, apply 1-2 full pumps of foam onto your palms.


Gently rub into your face until fully absorbed, paying particular attention to the T-zone, which is the area around your eyes, nose, and mouth.*


If you will be donning PPE, apply to any skin where the equipment may create friction and pressure, like behind the ears, on the forehead, and on the tops of the cheeks. Make sure you allow time to fully dry before donning PPE. View our recommended protocol for applying Theraworx Protect under PPE to avoid skin breakdown.


Gently rub just inside each nostril, using a circular motion.


Do not rinse your face. If desired, follow with the hand protocol again. Repeat these steps every 4-6 hours, after washing your face, or as often as needed. For best results, use Theraworx Protect before applying makeup, sunscreen or moisturizers.

*Not intended for oral ingestion. Can be applied around the eyes and on the eyelids, but do not put directly in the eyes, as it may cause eye irritation. If eye contact occurs, rinse thoroughly with water.

Theraworx Protect - Frequently Asked Questions


See some of the most frequently asked questions about using Theraworx Protect for the hands and T-zone.

Get Answers

Theraworx Protect - Connect with Us

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Learn more about how Theraworx Protect can help safeguard healthcare workers, or inquire about placing an order for your facility.

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  1. ABC News website. Dr. Fauci: wear goggles or eye shields to prevent spread of COVID-19; flu vaccine a must. Accessed October 14, 2020.
  2. The New York Times website. Stop touching your face! Accessed October 14, 2020.
  3. APIC website. Don’t touch your face. Accessed October 14, 2020.
  4. CDC presentation slides. Guidance for the selection and use of personal protective equipment (PPE) in healthcare settings. Accessed October 14, 2020.
  5. WHO website. Transmission of SARS-CoV-2: implications for infection prevention precautions. Accessed October 14, 2020.
  6. CDC website. Scientific brief: SARS-CoV-2 and potential airborne transmission. Accessed October 14, 2020.
  7. Lingli Z, Zhenhua X, Gianni M. ACE2 and TMPRSS2 are expressed on the human ocular surface, suggesting susceptibility to SARSCoV-2 infection. Johns Hopkins University School of Medicine. bioRxiv 2020.05.09.086165; doi: Accessed October 14, 2020.
  8. Medical News Today website. Hand washing: expert advice for people with skin conditions. Accessed October 14, 2020.
  9. CDC website. Facial cleanliness. Accessed October 14, 2020.
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