<s>[INST] My 8 year old neice is on weekly injection of methatrexate for rheumatoid arthraitis and eye infection involement.  She has developed an adversion to the smell of the alcohol wipe used to sanitize the injection site.  The smell of the alcohol gives her nausea  and a headache.  Can something else be used to sanitize the vile top and skin area--something with less odor? [/INST] Thank you for consulting in Healthcare,of cause you can use other antiseptics like as chlorhexidine.You shoud know wiping during approximately five seconds on average  cannot possibly provide complete sterility. I advise to nurses to clean at the first big area,then the skin prior to injection to reduce the risk of contamination from the patient’s skin flora.Swabbing the injection site with a saturated 70% alcohol or other antiseptic swab for 30 seconds and allowing to dry for 30 seconds .Best regardsDr.Svetlana </s>