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Transfer of bacteria between fabric and surrogate skin

Published:November 11, 2021DOI:https://doi.org/10.1016/j.ajic.2021.10.040

      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

        • Otter JA
        • Yezli S
        • Salkeld JAG
        • French GL.
        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
        • Gusnaniar N
        • van der Mei HC
        • Qu E
        • et al.
        Physico-chemistry of bacterial transmission versus adhesion.
        Adv Colloid Interface Sci. 2017; 250: 15-24
        • Stephens B
        • Azimi P
        • Thoemmes MS
        • Heidarinejad M
        • Allen JG
        • Gilbert JA.
        Microbial exchange via fomites and implications for human health.
        Curr Pollution Rep. 2019; 5: 198-213
        • Huslage K
        • Rutala WA
        • Sickbert-Bennett E
        • Weber DJ.
        A quantitative approach to defining “high-touch” surfaces in hospitals.
        Infect Control Hosp Epidemiol. 2010; 31: 850-853
        • Bloomfield SF
        • Carling PC
        • Exner M.
        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
        • Munoz-Price LS
        • Arheart KL
        • Mills JP
        • et al.
        Associations between bacterial contamination of health care workers' hands and contamination of white coats and scrubs.
        Am J Infect Control. 2012; 40: e245-e248
        • Kampf G.
        How long can nosocomial pathogens survive on textiles? A systematic review.
        GMS Hyg Infect Control. 2020; 15
        • Gupta P
        • Bairagi N
        • Priyadarshini R
        • Singh A
        • Chauhan D
        • Gupta D.
        Bacterial contamination of nurses' white coats after first and second shift.
        Am J Infect Control. 2017; 45: 86-88
        • Takashima M
        • Shirai F
        • Sageshima M
        • Ikeda N
        • Okamoto Y
        • Dohi Y.
        Distinctive bacteria-binding property of cloth materials.
        Am J Infect Control. 2004; 32: 27-30
        • Sattar SA
        • Springthorpe S
        • Mani S
        • et al.
        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
        • Lopez GU
        • Gerba CP
        • Tamimi AH
        • Kitajima M
        • Maxwell SL
        • Rose JB.
        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
        • Varshney S
        • Pandey P
        • Gupta D
        • Sharma S.
        Role of fabric properties, moisture and friction in transfer of bacteria from fabric to fabric.
        Tex Res J. 2020; 90: 478-485
        • van Oss CJ.
        Acid-base interfacial interactions in aqueous media.
        Colloids Surf A. 1993; 78: 1-49
        • Liu Y
        • Strauss J
        • Camesano TA.
        Thermodynamic investigation of Staphylococcus epidermidis interactions with protein-coated substrata.
        Langmuir. 2007; 23: 7134-7142
        • Callewaert C
        • De Maeseneire E
        • Kerckhof FM
        • Verliefde A
        • van de Wiele T
        • Boon N
        Microbial odor profile of polyester and cotton clothes after a fitness session.
        Appl Environ Microbiol. 2014; 80: 6611-6619
        • Thati V
        • Shivannavar CT
        • Gaddad SM.
        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
        • Toval F
        • Köhler CD
        • Vogel U
        • et al.
        Characterization of Escherichia coli isolates from hospital inpatients or outpatients with urinary tract infection.
        J Clin Microbiol. 2014; 52: 407-418
        • Falloon S
        • Cottenden A.
        Friction between a surrogate skin (Lorica Soft) and nonwoven fabrics used in hygiene products.
        Surf Topogr Metrol Prop. 2016; 4034010
        • Dąbrowska AK
        • Rotaru GM
        • Derler S
        • et al.
        Materials used to simulate physical properties of human skin.
        Skin Res Technol. 2016; 22: 3-14
        • Teufel L
        • Pipal A
        • Schuster KC
        • Staudinger T
        • Redl B.
        Material-dependent growth of human skin bacteria on textiles investigated using challenge tests and DNA genotyping.
        J Appl Microbiol. 2010; 108: 450-461
        • van Loosdrecht MCM
        • Lyklema J
        • Norde W
        • Schraa G
        • Zehnder A.
        Electrophoretic mobility and hydrophobicity as a measure to predict the initial steps of bacterial adhesion.
        Appl Environ Microbiol. 1987; 53: 1898-1901
        • Greenwood JA
        • Williamson JP.
        Contact of nominally flat surfaces.
        Proc R Soc A. 1966; 295: 300-319
        • Sanders D
        • Grunden A
        • Dunn RR.
        A review of clothing microbiology: the history of clothing and the role of microbes in textiles.
        Biol Lett. 2021; 1720200700
        • Jiang H
        • Browning R
        • Fincher J
        • Gasbarro A
        • Jones S
        • Sue HJ.
        Influence of surface roughness and contact load on friction coefficient and scratch behaviour of thermoplastic olefins.
        Appl Surf Sci. 2008; 254: 4494-4499
        • Chen Z
        • Khajeh A
        • Martini A
        • Kim SH.
        Chemical and physical origins of friction on surfaces with atomic steps.
        Sci Adv. 2019; 5: eaaw0513
        • Akgun M.
        Effect of yarn filament fineness on the surface roughness of polyester woven fabrics.
        J Eng Fiber Fabr. 2015; 10: 121-128
        • Ong YL
        • Razatos A
        • Georgiou G
        • Sharma MM.
        Adhesion forces between E. coli bacteria and biomaterial surfaces.
        Langmuir. 1999; 15: 2719-2725
        • Gottenbos B
        • Grijpma DW
        • van der Mei HC.
        • Feijen J
        • Busscher HJ
        Antimicrobial effects of positively charged surfaces on adhering Gram-positive and Gram-negative bacteria.
        J Antimicrob Chemother. 2001; 48: 7-13
        • Edwards NW
        • Best EL
        • Connell SD
        • et al.
        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
        • Katsikogianni M
        • Missirlis YF.
        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
        • Qu W
        • Busscher HJ
        • Hooymans JM
        • van der Mei HC.
        Surface thermodynamics and adhesion forces governing bacterial transmission in contact lens related microbial keratitis.
        J Colloid Interface Sci. 2011; 358: 430-436