Laundry Hygiene and Odor Control: State of the Science.

Laundering of textiles-clothing, linens, and cleaning cloths-functionally removes dirt and bodily fluids, which prevents the transmission of and reexposure to pathogens as well as providing odor control. Thus, proper laundering is key to controlling microbes that cause illness and produce odors. The practice of laundering varies from region to region and is influenced by culture and resources. This review aims to define laundering as a series of steps that influence the exposure of the person processing the laundry to pathogens, with respect to the removal and control of pathogens and odor-causing bacteria, while taking into consideration the types of textiles. Defining laundering in this manner will help better educate the consumer and highlight areas where more research is needed and how to maximize products and resources. The control of microorganisms during laundering involves mechanical (agitation and soaking), chemical (detergent and bleach), and physical (detergent and temperature) processes. Temperature plays the most important role in terms of pathogen control, requiring temperatures exceeding 40°C to 60°C for proper inactivation, while detergents play a role in reducing the microbial load of laundering through the release of microbes attached to fabrics and the inactivation of microbes sensitive to detergents (e.g., enveloped viruses). The use of additives (enzymes) and bleach (chlorine and activated oxygen) becomes essential in washes with temperatures below 20°C, especially for certain enteric viruses and bacteria. A structured approach is needed that identifies all the steps in the laundering process and attempts to identify each step relative to its importance to infection risk and odor production.

Pore-size and polymer affect the ability of filters for washing-machines to reduce domestic emissions of fibres to sewage.

When clothes are worn and washed, they emit fibres into the ecosystem via discharges of sewage that have been linked to the global dispersion of clothing fibres. Facilities that treat sewage divert some fibres from sewage effluent to sludge, but no current methods of filtration eliminate their environmental release. While filters for washing-machines are sold to consumers with the argument they will reduce the emissions of fibres from clothes to the environment, there is insufficient scientific peer-reviewed evidence assessing their ability to retain fibres from washed clothes and reduce environmental contamination. To improve our understanding and develop more realistic methods to assess the efficiency of filters, we washed replicate cotton and polyester garments in replicate domestic front-loaded washing-machines with and without replicate filters (micro- and milli-meter-sized pores), and then quantified the masses of the fibres retained by the filters and those released in the effluent. Here we show micrometer-sized filters significantly reduced the mass of cotton by 67% (F2,6 = 11.69, P<0.01) compared to effluent from appliances with no filters, whilst filters in general reduced polyester fibres in their effluent by more than 65% (micrometer-sized pores) and 74% (millimeter-sized pores) compared to effluent from appliances with no filters (F2,12 = 5.20, P<0.05). While filters with micrometer-sized pores caught larger masses and total proportions of fibres than filters with millimeter-sized pores, the differences were only significant for the total proportions of cotton (t = 4.799 df = 4, P<0.01). For tests with garments of either types of polymer, the filtered effluent still contained up to a third of the original masses of fibres released from the garments. Given the diversity of clothes, polymers, appliances and filters currently sold to consumers, our work shows the value of increasing the rigour (e.g. more levels of replication) when testing filters and the need for further studies that test an even greater diversity of materials and methods in order to meet the growing demand for knowledge from governments, industry and the public.

Silver Nanoparticle-Infused Cotton Fiber: Durability and Aqueous Release of Silver in Laundry Water.

Although the application of silver nanoparticles to commercial antibacterial items is well-established, there have been increasing concerns that such particles might leach out, particularly into laundry water from textile products. A recently developed process wherein silver nanoparticles are synthesized in situ within the cotton fiber itself promises, however, to achieve the desired washing durability. In this study, the silver release behavior of the silver nanoparticle-infused cotton fabric during consecutive launderings in water and a detergent solution was analyzed. Silver nanoparticles (12 ± 3 nm in diameter) were uniformly produced throughout the entire volume of cotton fiber with a concentration of 3017 ± 56 mg/kg. A combination of colorimetric, spectroscopic, and elemental analyses showed (1) nonlinear silver release behavior, with a rapid release from externally formed nanoparticles during the initial washing and a plateau-like release from internally formed nanoparticles during extended washing, and (2) superior nanoparticle-leach resistance compared to those in commercial and laboratory-prepared textiles analyzed in the literature. The internal nanoparticles immobilized within cotton fiber exhibited persistent antibacterial activity after 50 home laundering cycles.

An outbreak of ST307 extended-spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae in a rehabilitation center: An unusual source and route of transmission.

OBJECTIVE: Nosocomial outbreaks due to multidrug-resistant microorganisms in rehabilitation centers have rarely been reported. We report an outbreak of extended-spectrum beta-lactamase (ESBL)-producing Klebsiella pneumoniae (ESBL-K. pneumoniae) on a single ward in a rehabilitation center in Rotterdam, The Netherlands. DESIGN: Outbreak description. SETTING: A 40-bed ward of a rehabilitation center in the Netherlands. METHODS: In October 2016, 2 patients were found to be colonized by genetically indistinguishable ESBL-K. pneumoniae isolates. Therefore, an outbreak management team was installed, by whom a contact tracing plan was made. In addition to general outbreak measures, specific measures were formulated to allow continuation of the rehabilitation process. Also, environmental cultures were taken. Multiple-locus variable-number tandem-repeat analysis and amplification fragment-length polymorphism were used to determine strain relatedness. Selected isolates were subjected to whole-genome multilocus sequence typing. RESULTS: The outbreak lasted 8 weeks. In total, 14 patients were colonized with an ESBL-K. pneumoniae, of whom 11 patients had an isolate belonging to sequence type 307. Overall, 163 environmental cultures were taken. Several sites of a household washing machine were repeatedly found to be contaminated with the outbreak strain. This machine was used to wash lifting slings and patient clothing contaminated with feces. The outbreak was contained after taking the machine temporarily out of service and implementing a reinforced and adapted protocol on the use of this machine. CONCLUSION: We conclude that in this outbreak, the route of transmission of the outbreak strain via the household washing machine played a major role.

Case Report of an Autopsy of a Child Who Died in a Drum-Type Washing Machine Tub: Pathophysiology Resulting in Death and Assessment of Previous Literature.

The patient was a 5-year-old boy who was found in a state of cardiorespiratory arrest in the tub of a washing machine without water with the door closed. The autopsy findings included severe facial congestion and petechiae of the facial skin and palpebral conjunctiva. Several organs exhibited congestion. Hemorrhagic spots were seen on the serous membranes of various organs, with particularly marked hemorrhagic spots seen on the lungs. The heart contained fluid blood without soft clots. There were no findings indicative of marked trauma, intoxication, or hyperthermia. The examination results suggested that asphyxia had occurred in this case. However, there were no findings indicative of cervical compression, oronasal obstruction, or the presence of a foreign body in the respiratory tract. Image analysis showed the child could make postural changes inside the washing machine tub. Consequently, impaired thoracic movement and postural asphyxia were considered unlikely to have occurred. The results of blood gas analysis showed no evidence of marked hypercapnia. We, therefore, concluded that the cause of the child's death was asphyxia due to hypoxia caused by being in a closed space, that is, a washing machine tub.

Introducing ergonomics requirements in the eco-design of energy-related products from users' behaviour approach.

Ergonomics has been a very important activity in the design process. However, ergonomics rarely includes the environmental requirements into the design of products. The article proposes and presents the Eco-Ergo model through its application to a real-world product, a washing machine, to allow designers and ergonomists to establish product design requirements in order to minimise environmental impacts related to user-product interaction during the use stage. This model uses a visual language of representation, Blueprinting-based, that helps designers explore problems they have not previously considered during the market research when a wide variety of products with different interaction elements is analysed. The application of this model allows direct efforts and attention on the user analysis phase in the most influential user's actions on the environmental performance of energy-related products during use, establishing ergonomics requirements related to users behaviour at the initial design phase. Practitioner summary: This study provides a proposal to incorporate ergonomics into the practice of eco-design through the use of human factors in the establishment of initial eco-design requirements. This blueprint-based model combines an empirical and theoretical approach, based on the product test developed by designers, ergonomists and environmentalists. Abbreviations: CO2: carbon dioxide; DBIM: design behaviour intervention model; DfSB: design for sustainable behaviour; DwI Method: design with intent method; LCA: life cycle assessment; LCD: liquid cristal display; MJ: megajoule; MTM: methods-time measurement; PSS: product-service system; RPM: revolutions per minute.

Prospective analysis of pediatric ocular chemical burns: laundry detergent pods.

PURPOSE: To present data on chemical ocular burns in children seen at a single tertiary care facility resulting from accidental eye exposure to the contents of laundry detergent pods. METHODS: All emergent pediatric ophthalmology consultations specific for chemical ocular burns at a level I trauma center were included as part of a prospective quality improvement investigation over a 13-month period. Age, causative agent, and examination findings at presentation and final follow-up were recorded and analyzed. RESULTS: A total of 12 children with chemical ocular burns were seen during the study period. All patients were ≤5 years of age. Most chemical ocular burn consultations (n = 8) were specific to ocular exposure of laundry detergent pod contents; the remainder were associated with conventional cleaning agents or pesticides (n = 4). There was a significant association between laundry detergent pod as causative agent and a patient age of 2-5 years, compared to <2 years and any other agent (P = 0.018 [Fisher exact test]). CONCLUSIONS: In our study, laundry detergent pods were the most frequent cause of chemical ocular burns in children. Additionally, preschoolers may be at a higher risk of sustaining these injuries. Increased public awareness, product safety improvements, and/or regulation may be advisable to decrease the ocular hazards associated with laundry detergent pods.

Laundry in a washing machine as a mediator of secondary and tertiary DNA transfer.

The aim of this work was to investigate the possibility of secondary and tertiary DNA transfer during laundry. The modes of transfer tested were mixed and separate laundry of worn and unworn garments in household and public washing machines. In addition, the possibility of a background DNA carry-over from a washing machine's drum was investigated. In the mixed (worn and unworn garments washed together) laundry experiment, 22% of samples from new unworn socks with no traceable DNA prior to experiment produced DNA profiles post-laundry. In the tertiary DNA transfer experiment performed in a public washing machine (unworn garments only), no detectable DNA profiles were observed. Samples collected from the internal drum of 25 washing and drying machines did not produce detectable STR profiles. The implications of these results are discussed in the context of forensic DNA casework analysis. Graphical Abstract ᅟA real-life scenario of secondary DNA transfer between worn and unworn garments during machine washing has been evaluated. Experiments demonstrated this scenario is possible (22% of samples) and may in fact result in high quality DNA profiles. On the contrary, testing washing machine's interior for deposition of biological material between separate washing cycles to serve as a mediator of tertiary DNA transfer resulted in no DNA profiles.

Prevalence of ß-lactamase genes in domestic washing machines and dishwashers and the impact of laundering processes on antibiotic-resistant bacteria.

AIMS: To investigate the prevalence of ß-lactamase genes in domestic washing machines and dishwashers, and the decontamination efficacy of laundering. METHODS AND RESULTS: For the first investigation, swab samples from washing machines (n = 29) and dishwashers (n = 24) were analysed by real-time quantitative PCR to detect genes encoding ß-lactamases. To test the impact of laundering on resistant bacteria, cotton test swatches were artificially contaminated with susceptible and resistant strains of Pseudomonas aeruginosa, Klebsiella pneumoniae and Staphylococcus aureus within a second investigation. They were washed in a domestic washing machine with or without activated oxygen bleach (AOB)-containing detergent at 20-50°C. ß-Lactamase genes (most commonly of the AmpC- and OXA-type) were detected in 79% of the washing machines and in 96% of the dishwashers and Pseudomonadaceae dominated the microbiota. The level of bacterial reduction after laundering was ≥80% for all Ps. aeruginosa and Kl. pneumoniae strains, while it was only 37-61% for the methicillin-resistant Staph. aureus outbreak strain. In general, the reduction was tendentially higher for susceptible bacteria than for the resistant outbreak strains, especially for Staph. aureus. CONCLUSIONS: ß-Lactamase genes seem to be frequently present in domestic appliances and may pose a potential risk for cross-contamination and horizontal transfer of genes encoding resistance against clinically important ß-lactams. In general, higher temperatures and the use of AOB can improve the reduction of antibiotic-resistant bacteria, including Staph. aureus which appears to be less susceptible to the decontamination effect of laundering. SIGNIFICANCE AND IMPACT OF THIS STUDY: Data on the presence of antibiotic-resistant bacteria in the domestic environment are limited. This study suggests that ß-lactamase genes in washing machines and dishwashers are frequent, and that antibiotic-resistant strains are generally more resistant to the used washing conditions.

Release of polyester and cotton fibers from textiles in machine washings.

Microplastics are widely spread in the environment, which along with still increasing production have aroused concern of their impacts on environmental health. The objective of this study is to quantify the number and mass of two most common textile fibers discharged from sequential machine washings to sewers. The number and mass of microfibers released from polyester and cotton textiles in the first wash varied in the range 2.1 × 105 to 1.3 × 107 and 0.12 to 0.33% w/w, respectively. Amounts of released microfibers showed a decreasing trend in sequential washes. The annual emission of polyester and cotton microfibers from household washing machines was estimated to be 154,000 (1.0 × 1014) and 411,000 kg (4.9 × 1014) in Finland (population 5.5 × 106). Due to the high emission values and sorption capacities, the polyester and cotton microfibers may play an important role in the transport and fate of chemical pollutants in the aquatic environment.

Laundry hygiene-how to get more than clean.

Although laundering should mainly remove stains and dirt from used and worn textiles, the elimination of microbial contamination is an important aim of the laundry process as well. While industrial and institutional laundering employs standardized processes using high temperatures (i.e. 60°C and above) and bleaching agents to ensure a sufficient hygienic reconditioning of textiles, domestic laundering processes are less defined and not always led by purposeful aims. The strive for energy efficiency of household appliances has resulted in a decrease in washing temperatures in Europe during the last decades and convenience aspects led to an increased use of liquid detergents that do not contain bleach which in turn impacts the antimicrobial efficacy of domestic laundering. This review compiles the different factors that influence the input and removal of micro-organisms in the laundering process and discusses the possible adverse effects of microbial contaminants in the washing machine and on the textiles as well as suitable counteractions.

Release of synthetic microplastic plastic fibres from domestic washing machines: Effects of fabric type and washing conditions.

Washing clothes made from synthetic materials has been identified as a potentially important source of microscopic fibres to the environment. This study examined the release of fibres from polyester, polyester-cotton blend and acrylic fabrics. These fabrics were laundered under various conditions of temperature, detergent and conditioner. Fibres from waste effluent were examined and the mass, abundance and fibre size compared between treatments. Average fibre size ranged between 11.9 and 17.7µm in diameter, and 5.0 and 7.8mm in length. Polyester-cotton fabric consistently shed significantly fewer fibres than either polyester or acrylic. However, fibre release varied according to wash treatment with various complex interactions. We estimate over 700,000 fibres could be released from an average 6kg wash load of acrylic fabric. As fibres have been reported in effluent from sewage treatment plants, our data indicates fibres released by washing of clothing could be an important source of microplastics to aquatic habitats.

Hospital Clostridium difficile outbreak linked to laundry machine malfunction.

Clostridium difficile is a gram-positive, spore-forming anaerobic bacillus that is associated with diarrheal disease. C difficile is shed in the feces of affected individuals and its spores can survive on surfaces for prolonged periods of time. These spores can contaminate a hospital environment by spread through health care workers and suboptimal environmental cleaning practices. We report an outbreak of health care facility-onset C difficile infection that was eventually linked to contaminated mop pads after a laundry machine malfunction.

Financial and environmental modelling of water hardness--implications for utilising harvested rainwater in washing machines.

A study was conducted to determine the financial and environmental effects of water quality on rainwater harvesting systems. The potential for replacing tap water used in washing machines with rainwater was studied, and then analysis presented in this paper is valid for applications that include washing machines where tap water hardness may be important. A wide range of weather conditions, such as rainfall (284-1,794 mm/year); water hardness (14-315 mg/L CaCO3); tap water prices (0.85-2.65 Euros/m(3)) in different Spanish urban areas (from individual buildings to whole neighbourhoods); and other scenarios (including materials and water storage capacity) were analysed. Rainfall was essential for rainwater harvesting, but the tap water prices and the water hardness were the main factors for consideration in the financial and the environmental analyses, respectively. The local tap water hardness and prices can cause greater financial and environmental impacts than the type of material used for the water storage tank or the volume of the tank. The use of rainwater as a substitute for hard water in washing machines favours financial analysis. Although tap water hardness significantly affects the financial analysis, the greatest effect was found in the environmental analysis. When hard tap water needed to be replaced, it was found that a water price of 1 Euro/m(3) could render the use of rainwater financially feasible when using large-scale rainwater harvesting systems. When the water hardness was greater than 300 mg/L CaCO3, a financial analysis revealed that an net present value greater than 270 Euros/dwelling could be obtained at the neighbourhood scale, and there could be a reduction in the Global Warming Potential (100 years) ranging between 35 and 101 kg CO2 eq./dwelling/year.

Traumatic eye injuries from collapsible wire laundry hampers.

Two patients presented to the University of Illinois at Chicago Eye and Ear Infirmary within 1 year with penetrating eye injuries caused by similar collapsible cloth and wire laundry hampers. Penetrating eye injuries in children are relatively rare but can result in poor visual outcomes and multiple vision-threatening complications. Both injuries at the University of Illinois resulted in an eye laceration as well as retinal complications similar to those reported with a high velocity injury. This now represents a significant pattern of eye injury and suggests that there exists a nontrivial risk for all children in households with this type of collapsible laundry hamper. Parents should receive a warning of the risks of these hampers.

Maximum allowable values of the heavy metals in recycled water for household laundry.

Household laundry as a new end use of recycled water in dual reticulation systems has a great potential as the significant amount of potable water from urban households can be saved. However, there is still no sufficient evidence and supporting recycled water quality guidelines for this particular use. A key gap in knowledge is the impact of heavy metals in recycled water on clothes and washing machines. Thus, this study aims to determine the maximum allowable values (MAVs) of the heavy metals iron (Fe), lead (Pb), zinc (Zn), copper (Cu), and manganese (Mn) in recycled water for washing clothes in washing machines. Six different concentrations of each targeted metals were prepared in tap water for the washing machine experiments. The tearing/tensile strength tests were used for the assessment of cloth durability. MINITAB 16 as a statistical tool was used and ANOVA one way test was applied for the significance analysis (Turkey's test p<0.05). The results show that the MAVs of the heavy metals Fe, Pb, Zn, Cu and Mn were found to be 1 mg/l, 1 mg/l, 10 mg/l, 5 mg/l and 1 mg/l respectively in terms of cloth durability.

The potential impact of washing machines on laundry malodour generation.

A multidisciplinary approach has been adopted to investigate and identify the source of malodour in washing machines and the potential for cross-contamination of laundry. Four washing machines were olfactively graded, and the number of colony-forming units (CFUs) bacteria was determined in four specific locations. Then, samples of terry-towel and fleece were washed, without the use of detergent, in the machines, and the occurrence of malodour over a 52-h period was assessed. Analysis of the scrapings from the four locations in the two malodorous machines identified a plethora of volatile organic compounds (VOCs) by either olfactory detection or mass spectral identification post-gas chromatographic separation. In addition, microbiological analysis from the swabs from the four locations within all four washing machines was carried out. Quantitative analysis of VOCs from 66 microbiological isolates from either the washing machines or fabrics was carried out. In total, 10 VOCs were identified: dimethyl disulfide, 3-methyl-1-butanol, 2,4-dithiapentane, dimethyl trisulfide, 2-tridecanone, indole, 2-phenylethanol, isovaleric acid, isobutyric acid and 1-undecene.

Washing when the sun is shining! How users interact with a household energy management system.

To make optimal use of sustainable energy, domestic electricity consumption should shift to match local supply conditions. Energy management systems (EMS) are a new sustainable technology that can help to disrupt consumers' habits concerning electricity consumption, whilst reinforcing desired behaviours. This research examined the factors that influence the likelihood that people will shift their electricity consumption to match sustainable supply. Twenty-one interviews were conducted with households who had used the EMS 'Smart Wash' for several months. The findings showed that the likelihood of behaviour change is influenced by a combination of the user's motivation, specific contextual factors and the design of the EMS. Based on these results, several recommendations are given for the future design of EMSs. PRACTITIONER SUMMARY: Energy management systems (EMS) are a new technology that encourages people to shift electricity consumption to match local solar supply. Interviews among users of an EMS showed that the likelihood of behaviour change is influenced by the combination of the user's motivation, contextual factors and the EMS design.

Multi-criteria analysis towards the new end use of recycled water for household laundry: a case study in Sydney.

This paper aims to put forward several management alternatives regarding the application of recycled water for household laundry in Sydney. Based on different recycled water treatment techniques such as microfiltration (MF), granular activated carbon (GAC) or reverse osmosis (RO), and types of washing machines (WMs), five alternatives were proposed as follows: (1) do nothing scenario; (2) MF+existing WMs; (3) MF+new WMs; (4) MF-GAC+existing WMs; and (5) MF-RO+existing WMs. Accordingly, a comprehensive quantitative assessment on the trade-off among a variety of issues (e.g., engineering feasibility, initial cost, energy consumption, supply flexibility and water savings) was performed over the alternatives. This was achieved by a computer-based multi-criteria analysis (MCA) using the rank order weight generation together with preference ranking organization method for enrichment evaluation (PROMETHEE) outranking techniques. Particularly, the generated 10,000 combinations of weights via Monte Carlo simulation were able to significantly reduce the man-made errors of single fixed set of weights because of its objectivity and high efficiency. To illustrate the methodology, a case study on Rouse Hill Development Area (RHDA), Sydney, Australia was carried out afterwards. The study was concluded by highlighting the feasibility of using highly treated recycled water for existing and new washing machines. This could provide a powerful guidance for sustainable water reuse management in the long term. However, more detailed field trials and investigations are still needed to effectively understand, predict and manage the impact of selected recycled water for new end use alternatives.

Ultrasonic system for continuous washing of textiles in liquid layers.

The use of ultrasonic energy for washing of textiles has been tried several times without achieving practical development. In fact, the softness of the fibres makes the cavitation to produce small erosion effect and the reticulate structure of the fabric favours the formation of air bubble layers which obstruct wave penetration. In addition, a high proportion of water with respect to the wash load and a certain water degassing is required to assure efficiency and homogeneity in the wash performance. Such requirements have hindered the commercial development of the ultrasonic washing machines for domestic purposes. For specific industrial applications, a great part of these limitations may be overcome. This article deals with a new process in which the fabric is exposed to the ultrasonic field in a flat format. Such process has been implemented at laboratory and at semi-industrial stage by using specially designed power ultrasonic transducers with rectangular plate radiators. The cleaning effect is produced by the intense cavitation field generated by the plate radiator within a thin layer of liquid where the fabric is introduced. The homogeneity of such effect is achieved by the successive exposure of all the fabric areas to the intense acoustic field. In this paper the structure and performance of the developed system are shown.