Dial Complete antimicrobial foaming hand soap, 40 oz. refill, helps remove unwanted dirt, residue, and bacteria from skin, comes in a 40 oz. bottle to refill smaller pump bottles (sold separately), and has a mild formula that makes it suitable for very frequent hand washing. It is effective against both hospital-acquired and community-acquired MRSA (methicillin-resistant Staphylococcus aureus), and against VRE (vancomycin-resistant enterococci). It is certified by NSF International (formerly the National Sanitation Foundation) with an E-2 rating, meeting appropriate food safety regulations for hand-washing and sanitizing products.