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Updated: Sep 29, 2025

Determining Viral Disinfection Efficacy of Hot Water Laundering
Published on: June 21, 2022
Abstract:
Personnel follow hospital policies and regulatory guidelines to prevent surgical site infections. However, a potentially contaminated item may be overlooked-the linen. When perioperative team members transport patients to the OR, the linen on the beds and transport carts can contain a variety of microorganisms. Textile surfaces can serve as reservoirs for microorganisms that can be transferred to health care providers, patients, and the environment. These pathogens may then infect patients, particularly those who are immunocompromised or have direct portals of entry (eg, catheters, incision sites). This article provides an overview of how microorganisms that cause health care-associated infections can survive and thrive on hospital linen and related equipment; discusses the linen laundering, transport, and storage processes and best practices; and discusses antimicrobial interventions-including a silver-ion laundering additive that was added as an infection prevention measure to the laundry production cycle at a medical center's contracted laundry facility.
Insights
Hospital linen can harbor microorganisms, posing a risk for surgical site infections. Implementing antimicrobial interventions, like silver-ion additives in laundry, can enhance infection prevention strategies.
Area of Science:
- Infection Prevention and Control
- Healthcare Epidemiology
- Microbiology
Background:
- Hospital linen, including bedding and transport cart textiles, can act as reservoirs for microorganisms.
- These microorganisms pose a risk for transmission to healthcare providers, patients, and the environment, potentially causing healthcare-associated infections (HAIs).
- Patients who are immunocompromised or have direct portals of entry are particularly vulnerable to infections originating from contaminated linen.
Purpose of the Study:
- To provide an overview of microbial survival on hospital linen and related equipment.
- To discuss current linen laundering, transport, and storage processes and identify best practices.
- To explore antimicrobial interventions for reducing microbial contamination on hospital linen.
Main Methods:
- Review of literature on microbial survival on textiles in healthcare settings.
- Analysis of linen handling processes (laundering, transport, storage).
- Evaluation of antimicrobial interventions, including a silver-ion laundering additive.
Main Results:
- Hospital linen surfaces can sustain viable microorganisms, contributing to HAI transmission pathways.
- Standard laundering, transport, and storage procedures may not eliminate all microbial risks.
- Antimicrobial interventions, such as silver-ion additives, show potential for reducing microbial load on linen.
Conclusions:
- Hospital linen represents a potential vector for healthcare-associated infections.
- Optimizing linen management processes and implementing antimicrobial treatments are crucial for infection prevention.
- Silver-ion technology offers a promising approach to mitigate microbial contamination on hospital textiles.
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