Highlights
- •Fabrics have been established as fomites causing HAIs
- •Transfer of bacteria between fabrics and surrogate skin monitored in the study
- •Smoother surfaces and higher frictional force encourage transfer
- •Surface energy and absorbency also crucial factors in transfer of bacteria
Background
Contaminated textiles serve as fomites in healthcare settings. The extent of transfer
of pathogens from fabrics depends on the surface properties of the 2 contact surfaces.
Methods
In the current study, the effect of surface energy and surface roughness of fabrics
on the transfer of Escherichia coli and Staphylococcus aureus to and from textiles to surrogate skin were determined. Three fabrics (100% cotton,
100% polyester, and 50-50 blend of cotton and polyester) having identical constructional
parameters, were characterised on the basis of surface roughness, and energy. Assessment
of transfer of bacteria was carried out by bringing the matrix seeded with inoculum
in contact with the sterilized matrix for a predetermined period of time, followed
by dislodging of cells from the recipient surface by vortexing, and plating.
Results and Discussion
Results showed that 100% polyester attracted the highest number of bacterial cells
compared to the others. It also released the maximum number of bacteria upon coming
in contact with surrogate skin. Properties of fabrics like absorbency, surface energy,
and surface roughness, simultaneously affected transfer.
Conclusions
It is advisable to minimize the use of 100% polyester in healthcare settings to curb
the transfer load of bacteria from one surface to another.
Keywords
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References
- Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings.Am J Infect Control. 2013; 41: S6-S11
- Physico-chemistry of bacterial transmission versus adhesion.Adv Colloid Interface Sci. 2017; 250: 15-24
- Microbial exchange via fomites and implications for human health.Curr Pollution Rep. 2019; 5: 198-213
- A quantitative approach to defining “high-touch” surfaces in hospitals.Infect Control Hosp Epidemiol. 2010; 31: 850-853
- A unified framework for developing effective hygiene procedures for hands, environmental surfaces and laundry in healthcare, domestic, food handling and other settings.GMS Hyg Infect Control. 2017; 12: Doc08
- Associations between bacterial contamination of health care workers' hands and contamination of white coats and scrubs.Am J Infect Control. 2012; 40: e245-e248
- How long can nosocomial pathogens survive on textiles? A systematic review.GMS Hyg Infect Control. 2020; 15
- Bacterial contamination of nurses' white coats after first and second shift.Am J Infect Control. 2017; 45: 86-88
- Distinctive bacteria-binding property of cloth materials.Am J Infect Control. 2004; 32: 27-30
- Transfer of bacteria from fabrics to hands and other fabrics: development and application of a quantitative method using Staphylococcus aureus as a model.J Appl Microbiol. 2001; 90: 962-970
- Transfer efficiency of bacteria and viruses from porous and nonporous fomites to fingers under different relative humidity conditions.Appl Environ Microbiol. 2013; 7: 5728-5734
- Role of fabric properties, moisture and friction in transfer of bacteria from fabric to fabric.Tex Res J. 2020; 90: 478-485
- Acid-base interfacial interactions in aqueous media.Colloids Surf A. 1993; 78: 1-49
- Thermodynamic investigation of Staphylococcus epidermidis interactions with protein-coated substrata.Langmuir. 2007; 23: 7134-7142
- Microbial odor profile of polyester and cotton clothes after a fitness session.Appl Environ Microbiol. 2014; 80: 6611-6619
- Vancomycin resistance among methicillin resistant Staphylococcus aureus isolates from intensive care units of tertiary care hospitals in Hyderabad.Indian J Med Res. 2011; 134: 704-708
- Characterization of Escherichia coli isolates from hospital inpatients or outpatients with urinary tract infection.J Clin Microbiol. 2014; 52: 407-418
- Friction between a surrogate skin (Lorica Soft) and nonwoven fabrics used in hygiene products.Surf Topogr Metrol Prop. 2016; 4034010
- Materials used to simulate physical properties of human skin.Skin Res Technol. 2016; 22: 3-14
- Material-dependent growth of human skin bacteria on textiles investigated using challenge tests and DNA genotyping.J Appl Microbiol. 2010; 108: 450-461
- Electrophoretic mobility and hydrophobicity as a measure to predict the initial steps of bacterial adhesion.Appl Environ Microbiol. 1987; 53: 1898-1901
- Contact of nominally flat surfaces.Proc R Soc A. 1966; 295: 300-319
- A review of clothing microbiology: the history of clothing and the role of microbes in textiles.Biol Lett. 2021; 1720200700
- Influence of surface roughness and contact load on friction coefficient and scratch behaviour of thermoplastic olefins.Appl Surf Sci. 2008; 254: 4494-4499
- Chemical and physical origins of friction on surfaces with atomic steps.Sci Adv. 2019; 5: eaaw0513
- Effect of yarn filament fineness on the surface roughness of polyester woven fabrics.J Eng Fiber Fabr. 2015; 10: 121-128
- Adhesion forces between E. coli bacteria and biomaterial surfaces.Langmuir. 1999; 15: 2719-2725
- Antimicrobial effects of positively charged surfaces on adhering Gram-positive and Gram-negative bacteria.J Antimicrob Chemother. 2001; 48: 7-13
- Role of surface energy and nano-roughness in the removal efficiency of bacterial contamination by nonwoven wipes from frequently touched surfaces.Sci Technol Adv Mat. 2017; 18: 197-209
- Concise review of mechanisms of bacterial adhesion to biomaterials and of techniques used in estimating bacteria-material interactions.Eur Cell Mater. 2004; 8: 37-57
- Surface thermodynamics and adhesion forces governing bacterial transmission in contact lens related microbial keratitis.J Colloid Interface Sci. 2011; 358: 430-436
Article Info
Publication History
Published online: November 11, 2021
Identification
Copyright
© 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.