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. 2021 Jun 25;87(14):e03002-20. doi: 10.1128/AEM.03002-20

TABLE 1.

Factors influencing the occurrence of bacteria/viruses/molds in laundry

Factor(s) Description Reference(s)
Fabric composition Thickness, material, coloring agents; the thicker the fabric, the greater the survival of bacteria during laundering; greater survival of coliforms in hand/face towels after laundering and drying S. K. Tamimi, S. L. Maxwell, L. Sifuentes, and C. P. Gerba, unpublished data; Gerba, unpublished
Storage conditions Bacterial no. increases in hampers and if stored under high humidity (molds and total bacterial no.); we have found that clothing stored in hampers between laundering can result in the growth of bacteria in clothing Kennedy and Gerba, unpublished
Usage Location on body where worn (higher no. on undergarments and in pockets than on shirts; face and kitchen towels have higher no.); length of time worn; highest no. of enteric bacteria found in face towels and underwear (e.g., coliforms) 10; Gerba et al., unpublished
Season Higher no. of bacteria during summer (mold); warmer weather and perspiration encourage growth of bacteria K. A. Reynolds and C. P. Gerba, unpublished data
Age of clothing Possibility of biofilm buildup; microorganisms adapt to repeated washing conditions and are not always removed Reynolds Gerba, unpublished
Type of detergent Additives to enhance detergent performance, i.e., enzymes and multiple surfactants Reynolds and Gerba, unpublished
Dirt load Type and quantity affect the performance of detergent and bleach Kennedy and Gerba, unpublished
Wash temp and time Greater survival of microbes at lower temp 45, 62; Kennedy and Gerba, unpublished
Drying temp and time Greater survival at lower temp and shorter length of drying time 45; Kennedy and Gerba, unpublished
Air drying Bacterial no. may increase in the clothing under humid outdoor conditions; prolonged exposure to sunlight may decrease no. of fungi 13
Type of microorganism Resistance of microorganisms to washing varies with species and strain of microorganism; Mycobacterium, Enterobacter, and enteric viruses are more resistant to release from textiles and removal 13, 45; Kennedy and Gerba, unpublished
Concn of microorganisms in bodily excretions or secretions Enteric viruses and bacteria can be excreted in high concn in feces; Salmonella occurrence at concn as high as 1010 bacteria/g and norovirus occurrence at concn as high as 1011 particles/g of feces 63
Concn of bodily excretions or secretions in clothing The avg pair of adult underwear contains an avg of 0.1 g of feces 63
Method of washing Machine washing versus handwashing; no data found on handwashing but expected to be less efficient 3
Quality of wash water In developing countries, fecally contaminated water may be used, such as in streams 39