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. 2020 Aug 25;8:e9790. doi: 10.7717/peerj.9790

Table 3. Case studies of healthcare-associated infection outbreaks associated with contaminated textiles.

Microorganism Outbreak Concluded source Reference
B. cereus Meningitis following neurosurgery (n = 2). Surgical scrubs contaminated with spores. Barrie et al. (1992)
G. bronchialis Sternal infection in postoperative patients (n = 3). Surgical scrubs contaminated by a domestic washer-extractor machine colonised with G. bronchialis. Wright et al. (2012)
MRSA MRSA infections across three wards (n = 25). Transmission from healthcare worker attire to patients or vice versa. Osawa et al. (2003)
ESBL K. oxytoca Colonisation of paediatric ward patients (n = 14). Knitted clothing laundered in a domestic washer-extractor machine colonised with K. oxytoca. Schmithausen et al. (2019)
ESBL K. pneumoniae Colonisation of rehabilitation centre patients (n = 14). Contamination of clothing and lifting slings from a colonised domestic washer-extractor machine; inadequate laundering parameters for soiled laundry (30–40 °C and detergent without activated oxygen bleach). Boonstra et al. (2020).
Acinetobacter sp. Colonisation and/or infection of patients in a German hospital (n = 187). High-level contamination of pillows, which was resolved by switching the laundering cycles of the pillows from 60 °C to 85 °C. Weernink et al. (1995)
A. baumannii Carbapenem-resistant A. baumannii infection outbreak in an intensive care unit (n = 13). Privacy curtains, bed surfaces, equipment and mop heads colonised with A. baumannii. Das et al. (2002)
C. difficile Healthcare associated C. difficile infection in one hospital (n = 14). Washer-extractor machine programming error where bleach was not dispensed, leading to inadequate decontamination of mop heads. Sooklal, Khan & Kannangara (2014)
B. cereus B. cereus bacteraemia (n = 11). Contamination of linen by a continuous tunnel washer employing recycled water. Sasahara et al. (2011)
Colonisation of neonates with B. cereus in one UK hospital during the summer months (n = 42). Proliferation of B. cereus on used linen and inadequate decontamination during laundering with a continuous tunnel washer. Hosein et al. (2013)
B. cereus outbreak in a Singapore hospital (n = 171). Proliferation of B. cereus on linen stored in air-tight plastic bags, and high levels of B. cereus in air samples. Balm et al. (2012)
Rhizopius sp. Rhizopius sp. outbreak in hospital patients (n = 5). Linen contaminated post-laundering. Duffy et al. (2014)
Rhizopius sp. outbreak in hospital patients (n = 4). Linen contaminated post-laundering by linen carts which were not cleaned routinely. Teal et al. (2016)
Invasive cutaneous Rhizopius sp. infection (n = 6). Linen contaminated post-laundering. Cheng et al. (2016)