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PubMed1992

Bacillus cereus meningitis in two neurosurgical patients: an investigation into the source of the organism.

Two patients developed Bacillus cereus meningitis following neurosurgery. During the subsequent investigation into the source of the organism, linen was discovered to be heavily contaminated with B. cereus. No other prolific source of the organism was found. It seems probable that lint from contaminated fabric was the vehicle of transmission of the organism during extended surgery. Linen should be considered as a possible source of B. cereus infection.

Adult↗
PubMed1986

[Microbial decontamination of hospital linens using radiation].

The irradiation of hospital linen contaminated with radioresistant microorganisms or hospital microflora with gamma radiation in a dose of 10 kGy ensures the reliable microbial decontamination of such linen. Cotton linen has been found capable of withstanding 15 irradiation cycles in a dose of 10 kGy.

Bacillus subtilis↗
PubMed1987

A marketing orientation to modeling the hospital-supplier interface: a probabilistic approach.

The author adopts a marketing orientation to model the hospital-supplier interface. A probabilistic approach using logit models is employed. Internal validity of the models estimated is examined and found to be satisfactory. The implications of the modeling process and findings for both hospitals and linen service contractors are discussed. The study reported is the second in a programmatic inquiry. The results of the first study were reported in the March 1986 issue of this journal.

Bedding and Linens↗
PubMed1984

Reusables vs. disposables.

The question of whether to use disposable or reusable laundry and linen products is one that hospital managers have had to answer with increasing frequency over the past few years. Although it may ultimately depend on individual user or patient preference, each type of product does have its own advantages and disadvantages. On these two pages, a comparison of disposables and reusables is presented from the point of view of a major linen supplier and the director of the Canadian institutional laundry managers association. They discuss the benefits, and downfalls, of each with regard to costs, storage, convenience, disposal and infection control.

Bedding and Linens↗
PubMed1970

The irreducible minimum in cross-infection control and isolation nursing.

This is a survey of 10 years experience in trying to find out how to control hospital sepsis economically. We appear to have obtained reasonable improvements in hygiene by applying the teaching which has been given to students since the time of Leonard Colebrook. For our investigations we used only routine methods.The order of importance of the factors in reducing cross-infection would appear to be: (1) single rooms for all septic cases and for those requiring protective isolation; (2) a sister supported in complete authority over anyone entering the unit; (3) a simple, inflexible drill to introduce an impermeable layer between the nurse or doctor and the patient-gloves and apron provide this; (4) overshoes and barrier mats; (5) hygienic disposal of linen; (6) an efficient wet dusting and floor cleaning system. Anything beyond this must be justified by saving of nursing time or some factor other than prevention of infection.

Anesthesiology↗
PubMed1985

Investigative auditing.

The use of traditional audit approaches, such as those employed by the accounting profession, frequently fail to uncover losses or the causes of such losses in an operation such as hospital linen. In this article, the authors describe a different type of audit, called Investigative Auditing, and relate how it was used at one institution to uncover a serious theft problem and recommend better techniques.

Bedding and Linens↗
PubMed1986

Marketing linen services to hospitals: a conceptual framework and empirical investigation.

In light of the recent diagnosis related groups of illnesses (DRG) regulation, a very timely problem must be addressed concerning how linen service contractors can increase their penetration into the health care market. A conceptual framework is developed to understand the decision making porcess of hospitals with respect to linen services. An empirical investigation is reported, which assesses the relative importance of the factors involved in various phases of the decision making process using Thurstone's Case V analysis. Implications of the findings are discussed.

Bedding and Linens↗
PubMed1987

Mite fauna of dust from passenger trains in Glasgow.

The mite fauna of dust from cloth-covered seats of four passenger trains and bedding from a British Rail linen store in Glasgow was investigated; 22 samples containing 4488 mg of dust from a total surface area of 5.5 m2 were taken. Sixteen samples were positive for mites and 33 specimens belonging to 10 species were found. The most common species were Dermatophagoides pteronyssinus (Trouessart), Glycyphagus domesticus (De Geer), G. destructor (Schrank) and Euroglyphus maynei (Cooreman). The species composition bore considerable resemblance to that of house dust (although the density of mites was far lower) and the mites have probably been transported from homes via clothing and pets. Only five intact specimens, which may have been alive at the time of sampling, were found. The dust from trains consisted mostly of particles of soot. Very few skin scales, the food source of house dust mites, were detected. The small numbers of intact mites found and the absence of an identifiable food source make it unlikely that permanent populations of mites survive in upholstered seats on trains.

Animals↗
PubMed1981

Should linen in newborn intensive care units be autoclaved?

The American Academy of Pediatrics' Standards and Recommendations for Hospital Care of Newborn Infants recommends that linen in newborn intensive care, intermediate care, continuing care and admission observation areas be autoclaved. Questionnaires sent to 269 directors of newborn intensive care units (69% returned) showed that 74% of the respondents do not autoclave linen used in their newborn intensive care unit. There were 284 linen cultures performed in our newborn intensive care unit where linen is not autoclaved; 68% of the cultures were positive, but only 2.5% had a colony count greater than 20 colonies per plate. The most common organisms obtained were Staphylococcus epidermidis, diphtheroids, and Micrococcus species. Two cultures grew Staphylococcus aureus, one colony and two colonies per plate. Three-factor analysis of variance showed that the location of the linen in the top of the pile exerted a statistically significant effect on the bacterial contamination rate. The fact that three fourths of neonatal intensive care centers in this country do not autoclave nursery linen, the lack of reports in the literature relating linen contamination to nosocomial infections, and the microbiologic results of this study suggest that the recommendations of the American Academy of Pediatrics merit further study and reevaluation.

Bedding and Linens↗
PubMed1992

Conservation and laundry: using outside vendors to clean reusable linens.

Using outside laundry facilities is a viable and efficient means for hospitals to clean and sanitize soiled linens. Such services also allow hospitals to achieve cost-effective linen systems. All kinds of linen products, including gowns, sheets, blankets, pillowcases, mops, diapers, and surgical textiles, are easily processed through such purveyors. Even newer fabrics with improved barrier protection qualities can be serviced. The three elements that make up the laundry cost equation are purchasing, processing, and usage. Improvements and reductions in any one of these areas positively affect the other two. With this in mind, a hospital and an outside laundry service should work closely together to improve linen management, to control usage, and to remove waste, thus reducing hospitals' per-patient-day costs. Close interaction and teamwork will make the relationship work with dynamic results. Together, both parties will grow and meet the ever-evolving needs of the health care industry.

Bedding and Linens↗
PubMed2002

Polymicrobial ventriculitis and evaluation of an outbreak in a surgical intensive care unit due to inadequate sterilization.

At the end of 1999, a case of polymicrobial ventriculitis in the Department of Neurosurgery followed by an outbreak of Serratia marcescens mediastinitis in the intensive care unit of cardiovascular surgery occurred. These nosocomial surgical infections were considered to be the result of contamination of surgical sites with inadequately sterilized instruments or theatre linen. An epidemiological survey was focused on the central sterilization unit of the hospital. The microbiological results of this survey proved that the cause of the outbreak was the use of inadequately decontaminated theatre linen. This study indicates that strict infection control measures including the control of sterilization procedures and a well-organized infection control team are necessary to prevent nosocomial surgical infections.

Acinetobacter Infections↗
PubMed2002

Patient activity found to drive linen costs.

As the total cost of textile replacement, processing and in-facility distribution approached $1.4 million per year, the University of Arkansas Medical Center turned to a risk-sharing program offered by Medline Industries. So far, the change has resulted in savings of $516,000. Materials management director Gary Dollar explains how the program is working now.

Academic Medical Centers↗
PubMed1987

[Hygiene certification of the Society for Proper Quality of Linen Care, Incorporated].

This is a survey of textile-technical requirements, of quality controls, of the hygiene certificate as well as of the relevant valid legal provisions, regulations and directions. The test-list for works inspection is quoted. The hygienic-bacteriological control methods as well as the checking methods are described by means of selected examples.

Bedding and Linens↗
PubMed1990

Improving management practices: a case study of linen usage.

As part of an action research project, a thorough review was undertaken into the system for linen acquisition, distribution and usage in a large metropolitan hospital. As a result, new systems of management control were introduced, with considerable cost savings resulting. The project illustrated the importance to effective hospital management of the implementation of systematic review and redesign processes to incorporate measurement and accountability into management systems.

Bedding and Linens↗
PubMed2003

Investigation of an unexplained skin disorder in a prison clinic in the Netherlands in 2002.

An unexplained outbreak of skin disorder with itching papules or pustules occurred among drugs body packers in a detention clinic in the Netherlands in October-November 2002. The descriptive cohort study suggests this outbreak could be associated with an expired batch of disposable linens, with an overall attack rate of 30% in the study population (n=118). No additionnal cases have been noted since this expired batch was replaced.

Abdomen↗
PubMed1991

Optimizing the service of contracted hospital laundries.

Linen processing is a significant but essential expense to hospitals. To minimize this expense, it may benefit may hospitals to consider processing laundry by either an outside commercial vendor or cooperative association. A comprehensive bid package is the cornerstone to such a relationship and will help ensure acceptable and cost-beneficial quality service to the hospital.

Bedding and Linens↗
PubMed1990

[Specialty specific reference values in linen use in public health and social service as a basis for determining laundry capacities].

The use of linen in health and social care should primarily be seen from a hygienic angle. Disproportions between the use of linen in the various fields of health care and the available laundry capacities have a negative hygienic and economic effect. Laundry capacities should, therefore, be calculated on the basis of specialty-specific guidevalues. The authors propose indicators suitable to this aim and present the results of a comprehensive analysis for the inpatient departments of internal medicine, surgery, urology, ophthalmology and otorhinolaryngology.

Bedding and Linens↗