Personal clothing as a potential vector of respiratory virus transmission in childcare settings

Previous investigations of fomite transmission have focused on the presence of pathogens on inanimate objects in clinical settings. There has been limited investigation of fomite transmission in non-clinical pediatric settings where there is a high prevalence of respiratory virus infections. Over a 5 week period, this study investigated whether the personal clothing of teachers working in childcare centers was contaminated with viral RNA, and potentially could mediate virus transmission. Matched morning and evening clothing and nasal samples were collected for 313 teacher work days (TWDs). Human rhinoviruses (hRV) RNA were detected from samples using real-time PCR. Human rhinovirus RNA was detected in clothing samples on 16 TWDs and in nasal samples on 32 TWDs. There were no TWDs when teachers provided both positive nasal and clothing samples and only three TWDs when hRV persisted on clothing for the entire day. The detection of hRV RNA was significantly predicted by self-recognition of symptomatic illness by the teacher 2 days prior to detection. These findings suggest that teachers' personal clothing in childcare settings is unlikely to facilitate the transmission of hRV.