Frontiers in Public Health (May 2023)

Textiles impregnated with antimicrobial substances in healthcare services: systematic review

  • Guilherme Schneider,
  • Leticia Genova Vieira,
  • Herica Emilia Félix de Carvalho,
  • Álvaro Francisco Lopes de Sousa,
  • Álvaro Francisco Lopes de Sousa,
  • Evandro Watanabe,
  • Denise de Andrade,
  • Renata Cristina de Campos Pereira Silveira

DOI
https://doi.org/10.3389/fpubh.2023.1130829
Journal volume & issue
Vol. 11

Abstract

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BackgroundAntimicrobial textiles have proved to be a promising biosafety strategy. Thus, the current study was focused on identifying which antimicrobial substances impregnated in textiles used in healthcare services confer efficacy in reducing the microbial load present in these textiles and/or the Healthcare-Associated Infection (HAI) rates, when compared to conventional textiles.MethodsA systematic review of intervention studies using MEDLINE via the PubMed portal, EMBASE, CINAHL, Web of Science, Scopus, Google Scholar and medRxiv. The studies identified were selected according to eligibility criteria and submitted to data extraction and methodological quality evaluation through Joanna Briggs Institute specific tools. The outcomes were synthesized qualitatively.Results23 studies were selected to comprise the final sample, in which antimicrobial textiles were used by hospitalized patients, by health professionals during work shifts and in inanimate healthcare environments.ConclusionsCopper, silver, zinc oxide, titanium and silver-doped titanium impregnated in textiles used by patients confer efficacy in reducing the microbial load of these textiles and/or the HAI rates. Quaternary ammonium, chlorhexidine, silver and copper together, quaternary ammonium, alcohols and isothiazolone derivatives together, chitosan and dimethylol dimethyl hydantoin together, all impregnated in textiles used by health professionals confer efficacy in reducing the microbial load of these textiles. Quaternary ammonium impregnated in textiles used in inanimate healthcare environments confers efficacy in reducing the microbial load of these textiles.

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