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[Problems of laundry hygiene].

As the bacteria found more frequently in hospital infections are the same found in the linen, it is speculated that hospital linens can contribute to the spread of nosocomial patologies. Nevertheless this consideration does not prove that linen constitutes a significant source for transmission of hospital infections, although some studies have strengthened this possibility. The hygienic problems of hospital linens washing have a great importance and in this contest the possibility of contagion throught infected sheets or overalls constitutes only a part of the question. The problem of the spreading of nosocomial infections has to be divided into (1) collection and arlage of the linens; and (2) their disinfection and washing. Collection and carriage need precautions to prevent the hospital staff and the patients from the direct contagion, while during the washing the infected, or potentially infected, linen are to be regarded as a potential risk, which can be avoided through a disinfection before the standard washing cycle. During the washing the processes of cleansing, the dilution and the effect of temperature could be sufficient to obtain the final results. The last consideration is linked to gestational aspects, that's to say the consumptions, the costs, the traditional organizing procedures and the alternative ones, such as the possibility of substituting disposable material to linens or to refer to central laundries placed outside the hospital building and independently operated.

Containment of Biohazards↗

Cancer mortality among laundry and dry cleaning workers.

A cancer mortality study of 8,163 deaths occurring among persons formerly employed as laundering and dry cleaning workers in 28 states is described. Age-adjusted sex-race cause-specific proportionate mortality ratios (PMRs) and proportionate cancer mortality ratios (PCMRs) were computed for 1979 through 1990, using the corresponding 28-state mortality as the comparison. For those aged 15-64 years, there were excesses in black men for total cancer mortality (PMR = 130, 95% confidence interval (CI) = 105-159) and cancer of the esophagus 1 (PMR = 215, 95% CI = 111-376), and in white men for cancer of the larynx (PMR = 318, 95% CI = 117-693). For those aged 65 years and over, there were statistically nonsignificant excesses for cancer of the trachea, bronchus, and lung in black women (PMR = 128, CI = 94-170) and for cancer of other and unspecified female genital organs in white women (PMR = 225, CI = 97-443). The results of this and other studies point to the need for the effective implementation of available control measures to protect laundry and dry cleaning workers.

Adolescent↗

Pregnancy outcome among women working in laundries and dry-cleaning shops using tetrachloroethylene.

Case-referent studies were performed within two cohorts of women engaged in laundry or dry-cleaning work. The aim was to elucidate if tetrachloroethylene (perchloroethylene) exposure increased the risk of adverse pregnancy outcome (spontaneous abortion, perinatal death, congenital malformations or birth weight less than 1,500 g). Pregnancies and outcomes were identified in national registers and exposure data were obtained from the women by postal questionnaires. Response rates were 75-88%. Conditional logistic regression analysis of the total material yielded an adjusted odds ratio for tetrachloroethylene exposure during the first trimester of 1.1 (95% confidence interval 0.6-2.0) when several potential confounding factors were accounted for. The total material included few highly exposed pregnancies and a limited number of cases of specific adverse outcomes. Consequently, the results do not invalidate the recommendation that tetrachloroethylene should be handled with caution by women in childbearing ages.

Abortion, Spontaneous↗

A simple and fast procedure for high quality DNA isolation from gels using laundry detergent and inverted columns.

A quick method for the recovery of DNA from agarose and polyacrylamide gels with high efficiency and quality is described. Excised gel slices, containing at least 10 ng DNA, are incubated for 15 min at 60 degrees C in the presence of laundry detergents. An "inverted column" is obtained by covering the extraction liquid by a layer of cotton wool, Sephadex G-50 and another layer of cotton wool. Following centrifugation the supernatant containing the DNA is recovered by aspiration and the DNA is precipitated with isopropanol and tRNA, washed with ethanol and air-dried. The yield of reisolated DNA does not depend on DNA fragment size and small quantities of gel volume. Thus, the technique may prove useful in a broad range of applications in the methodology of molecular biology.

Acrylic Resins↗

Stability of thermostable alkaline protease from Bacillus licheniformis RP1 in commercial solid laundry detergent formulations.

The stability of crude extracellular protease produced by Bacillus licheniformis RP1, isolated from polluted water, in various solid laundry detergents was investigated. The enzyme had an optimum pH and temperature at pH 10.0-11.0 and 65-70 degrees C. Enzyme activity was inhibited by PMSF, suggesting that the preparation contains a serine-protease. The alkaline protease showed extreme stability towards non-ionic (5% Tween 20% and 5% Triton X-100) and anionic (0.5% SDS) surfactants, which retained 100% and above 73%, respectively, of its initial activity after preincubation 60 min at 40 degrees C. The RP1 protease showed excellent stability and compatibility with a wide range of commercial solid detergents at temperatures from 40 to 50 degrees C, suggesting its further application in detergent industry. The enzyme retained 95% of its initial activity with Ariel followed by Axion (94%) then Dixan (93.5%) after preincubation 60 min at 40 degrees C in the presence of 7 mg/ml of detergents. In the presence of Nadhif and New Det, the enzyme retained about 83.5% of the original activity. The effects of additives such as maltodextrin, sucrose and PEG 4000 on the stability of the enzyme during spray-drying and during subsequent storage in New Det detergent were also examined. All additives tested enhanced stability of the enzyme.

Bacillus↗

Environmental risk assessment of phosphonates, used in domestic laundry and cleaning agents in The Netherlands.

In the long-term cooperative project Voluntary Plan of Action (1990) between the Dutch Soap and Detergent Association (NVZ) and the Dutch Ministry of Housing, Spatial Planning and the Environment (VROM) environmental risk assessments of several main components of laundry cleaning formulations were completed. As a part of that project the environmental risk assessment of HEDP, ATMP, EDTMP and DTPMP phosphonates used in detergent applications has been carried out according to the EU Technical Guidance Document for Environmental Risk Assessment for New and Existing Chemicals. All PEC/PNEC ratios were well below 1. Results of this assessment based on the total industry volumes from 1995 and 1998 indicate that the environmental risk of these phosphonates is low in The Netherlands with properly functioning sewage treatment plants.

Chelating Agents↗

Evaluation of adverse reaction reports for a newly laundry product.

The marketing of widely used consumer products inevitably results in some reports of adverse dermatologic reactions which are tentatively attributable through medical history to the use of these products. Just as it is important for manufacturers to perform thorough premarket safety testing, it also is important for them to investigate these reported reactions to confirm the safety of the product under widespread use conditions. This report describes the results of such a follow-up investigation into 300 adverse reaction reports obtained during the first year of marketing of new laundry product. The results of diagnostic patch and prick tests, controlled reuse testing, and definitive diagnoses by physicians (mostly allergists and dermatologists) demonstrated that this product was highly unlikely to have caused the reported dermatologic conditions. Widespread distribution of free samples of the new product appeared to be largely responsible for the frequency of anecdotal association of adverse reactions to use of the product. The diagnostic follow-up program is described.

Dermatitis, Atopic↗

Use of quantitative microbial risk assessment for evaluation of the benefits of laundry sanitation.

The goal of this study was to evaluate the risk assessment process for quantifying the contribution of contamination in the home to microbial infections. Whereas risks of enteric pathogens spread through food has been assessed, the spread of fecal-oral pathogens through surfaces likely at low rates would be difficult to address through epidemiologic studies. An alternative is quantitative risk assessment. The 4-step process of hazard identification, dose-response, exposure assessment, and risk characterization can be used; however, exposure assessment may follow a complicated pathway consisting of survival and transference. Microbial hazards in the home have focused primarily on enteric bacteria. Dose-response data are available; however, the transfer from the hands to the dose is uncertain. Through day care studies, Shigella has been shown to be transferred in this manner, and a dose-response model is available. By using these data and information on the transference of bacteria between clothing and hands, risk estimates were made for contaminated laundry. Risks were calculated as high as 10 per million population to much lower levels associated with lower excretion rates of the bacteria in the feces. Approximately a 90% and 99% reduction in the probability of disease through laundering and use of a sanitizing detergent, respectively, were suggested by the models. Better data are needed on incidence of disease in the population, excretion rates over the course of an infection, amount of feces spread in the home, distribution of bacteria, survival, and the transfer of the bacteria from surfaces to the hands and to the mouth.

Clothing↗

Effects of laundry detergents on Dermatophagoides farinae, Dermatophagoides pteronyssinus, and Euroglyphus maynei.

BACKGROUND: House-dust mites in clothing and bedding are the source of major allergens. Based on studies of Dermatophagoides pteronyssinus only, weekly washing in hot water is recommended to kill dust mites and remove allergens from clothing and bedding. However, in the United States, washing is most often done in warm or cold water, and other mite species are involved. OBJECTIVE: The purpose of this study was to investigate the lethal effects of various temperatures of hot water alone and hot, warm, and cold water containing detergents and chlorine bleach on Dermatophagoidesfarinae, D. pteronyssinus, and Euroglyphus maynei. METHODS: Mites were soaked in test solutions at various temperatures and for various lengths of time, allowed time to recover, and then analyzed for survival. RESULTS: D. farinae was the most temperature-sensitive and chlorine bleach-sensitive of the three species. In 50 degrees C water alone, 100% mortality for D. farinae was obtained in 10 minutes, whereas most D. pteronyssinus and E. maynei survived. However, 53 degrees C-soaks for 12 and 5 minutes were needed to kill all D. pteronyssinus and E. maynei, respectively. Laundry detergents at their recommended and doubled concentrations and chlorine bleach generally increased mite mortalities over water alone for the three species. Soaking for 4 hours in warm water containing various detergents alone induced mortalities of 19 to 50%, 2 to 35%, and 14 to 46% for D. farinae, D. pteronyssinus, and E. maynei, respectively. CONCLUSIONS: Washing bed linens weekly in warm water with a 4-hour presoak containing most detergents and bleach will kill most D. farinae and, depending on the detergent brand, moderate numbers of D. pteronyssinus. Four-hour soaks in warm water containing the recommended concentrations of various detergents alone also kills moderate numbers of D. farinae, D. pteronyssinus, and E. maynei. Therefore, the cumulative effect of weekly washing with long presoaks should significantly reduce mite levels over time in bed linens, particularly when mattresses and pillows are encased to prevent reinfestation.

Animals↗

Mite and mite allergen removal during machine washing of laundry.

BACKGROUND: Few studies have investigated live house dust mite and mite allergen removal from clothing and bedding by washing machines. No studies have investigated the transfer of mites from infested to uninfested clothing and bedding during washing. OBJECTIVE: The purpose of this study was to wash different types of clothing and bedding in residential washing machines to determine the live Dermatophagoides farinae mite and allergen removal and the mite transfer from mite-infested items to mite-free items. METHODS: Clothing and bedding items were machine washed in 6- and 8-lb loads in warm (36 degrees C-38 degrees C) or cold (22 degrees C-27 degrees C) water with and without recommended concentrations of laundry detergent and sodium hypochlorite bleach. Live mites and allergen present in washed versus unwashed and washed mite-infested versus washed mite-free items were compared. RESULTS: Washing clothing and bedding in water alone, detergent, or detergent plus bleach removed 60% to 83% of the live mites. Washing removed more mites from some items than from others. When mite-infested items were washed with identical sets of mite-free items, many live mites were transferred to the previously mite-free items. Overall, 84% of Der f 1 was removed from items washed in water alone or in detergent and 98% from items washed in detergent plus bleach. CONCLUSIONS: Washing clothing and bedding in cold or warm water with detergent or detergent plus bleach removed most allergen and a significant (P <.05) portion of live mites. Repeated washing is required to further reduce mite levels. Live mites were transferred from mite-infested to mite-free items during washing.

Air Pollution, Indoor↗

Cardiac strain among women workers in an industrial laundry.

Occupational heat exposure standards define permissible thermal conditions on the basis of metabolic heat production. However, even when energy expenditure is low, upright posture and repetitive upper limb motion may influence thermoregulatory behaviour through increased cardiovascular stress. The present study was undertaken to examine the relationship between work activity, thermal exposure and cardiac strain among women laundry workers engaged in sedentary, repetitive work activity. Ambient temperatures, work activity and heart rate were recorded during complete work shifts for 11 women over three days in summer and three days in winter. Workstation temperatures were significantly higher in summer. Analysis of continuous recordings of heart rate with respect to work activity showed (i) parallel increases in pulse rate and dominant arm movement frequency; (ii) different patterns of heart rate fluctuations for the two work cycles, with peaks during particular sub-tasks and when arms were in elevated positions. Recommended limits for cardiac strain indices were surpassed in both seasons, although in summer they were exceeded significantly more frequently. The part of cardiac effort attributable to thermoregulatory adjustments was also higher in summer while the fraction reflecting metabolic needs did not change with the season. These findings demonstrate high levels of cardiac strain in this work situation and raise the question of redefining heat exposure standards to include the prevention of excessive cardiac strain resulting from cumulative effects of heat load and ergonomic stressors.

Adult↗

Aquatic risk assessment of a polycarboxylate dispersant polymer used in laundry detergents.

Polycarboxylates enhance detergent soil removal properties and prevent encrustation of calcium salts on fabrics during washing. Laundry wastewater typically reaches wastewater treatment plants, which then discharge into aquatic environments. The yearly average concentration of a 4500 molecular weight (MW) sodium acrylate homopolymer reaching U.S. wastewater treatment plants will be approximately 0.7 mg/L. Publications showing the low to moderate acute aquatic toxicity of polycarboxylates are readily available. However, there are no published evaluations that estimate wastewater removal and characterize the probability of exceedance of acceptable chronic aquatic exposure. WW-TREAT can be used to estimate removal during wastewater treatment and PG-GRIDS can be applied to characterize risk for exceedance in wastewater treatment plant outfalls. After adjustments for the MW distribution of the homopolymer, WW-TREAT predicted that 6.5% will be removed in primary treatment plants and 60% will be removed in combined primary and activated sludge treatment plants. These estimates are consistent with wastewater fate tests, but underestimate homopolymer removal when homopolymer precipitation is included. Acceptable levels of chronic outfall (receiving water) exposure were based on aquatic toxicity testing in algae, fish, and Daphnia magna. PG-GRIDS predicted that no unreasonable risk for exceedance of acceptable chronic exposure will occur in the outfalls of U.S. wastewater plants. Future development of wastewater treatment models should consider polymer MW distribution and precipitation as factors that may alter removal of materials from wastewater.

Acrylates↗

Laundry detergents as a source of heavy metals in Irish domestic wastewater.

Concentrations of Cd, Cu and Zn in 175 detergent samples representing twenty-one brands of washing powders were analysed. Mean concentrations of 3.03 (+/- 0.50) microg Cd/g, 2.61 (+/- 1.22) microg Cu/g and 15.23 (+/- 7.26) microg Zn/g were recorded. The concentration of cadmium was much lower than previously reported. The daily contribution of metals from laundry washing are in the order of 54.5 microg Cd/ca/d, 47.0 microg Cu/ca/d and 274.1 microg Zn/ca/d. In Irish municipal wastewater the contribution from detergents of these metals are 31.9% for Cd, 0.24% Cu and 0.30% for Zn. This has important implications for sewage sludge disposal.

Detergents↗

Comparison of methods for recovery of Escherichia coli and Staphylococcus aureus from seeded laundry fabrics.

To assess the effect of laundry procedures on fabric-associated bacteria, a standard method of enumeration is needed. We evaluated six methods for enumeration of Escherichia coli and Staphylococcus aureus seeded (10(2) and 10(5) CFU/100 cm2 of fabric area) onto sterilized hospital sheets and terry . Two methods involved maceration of seeded swatches in broth followed by passage of the broth through a 0.45-micron-pore-size, 47-mm-diameter filter membrane. Three methods involved agitation of seeded swatches in broth with a paint shaker and membrane filtration of the broth to recover eluted bacterial cells, and the final method involved direct enumeration of cells on fabrics by overlaying seeded swatches with agar containing triphenyltetrazolium chloride as an indicator. The most convenient recovery method employed a 90-s agitation followed by serial dilution of broths and membrane filtration. This method provided 44/57% (low seed/high seed) recovery of E. coli from sheets and 133/31% from terry and 34/74% recovery of S. aureus from sheets and 58/57% from terry . Although maceration provided similar recovery of E. coli and S. aureus, it is a less-practical method. The direct enumeration method was ineffective for enumerating gram-positive bacteria. We conclude that either the agitation or maceration method used enumerated the seeded bacteria to within 1 log10 of their expected number and can be used to assess the bactericidal effectiveness of various steps in the laundering process.

Bacteria↗

Specific characteristics of family 45 endoglucanases from Mucorales in the use of textiles and laundry.

We examined the characteristics of family 45 endoglucanases (glycoside hydrolases family 45; GH45) from Mucorales belonging to Zygomycota in the use of textiles and laundry. The defibrillation activities on lyocell fabric of family 45 endoglucanases from Mucorales, such as RCE1 and RCE2 from Rhizopus oryzae, MCE1 and MCE2 from Mucor circinelloides, and PCE1 from Phycomyces nitens, were much higher than those of the other family 45 endoglucanases. By contrast, family 45 endoglucanases from Mucorales were less resistant to anionic surfactant and oxidizing agent, main components in detergents, than the other family 45 endoglucanases. RCE1 consists of two distinct modules, a catalytic module and a carbohydrate-binding module family 1 (CBM1), and these common specific characteristics were considered to due to the catalytic module, but not to the CBM1.

Cellulase↗

[Female workers health: the case of a laundry at a sodium chlorate factory].

This article presents a case study on working and health conditions of female workers and former workers in the laundry at a sodium chlorate plant. The women's main function was to wash uniforms of workmen who handled metallic mercury during production and maintenance. The aim of this study is to show the health effects of this work process by analyzing workplace conditions, evaluating clinical aspects in the women, and performing individual interviews in order to obtain more precise information based on their personal experience. The authors demonstrate how harmful this type of work is to the women workers' health, posing a serious risk for them in particular and workers' conditions in general in the factory. They also point out that most of what is known about women's occupational activity (in terms of its contents and risks), in addition to their specific problems and different diseases, may be disguised by gender relationships.

English Abstract↗