Microbiological Evaluation of Handkerchiefs: Enumeration and Identification of Bacterial Isolates

Authors

  • Shilpa K Department of Microbiology, Vydehi Institute of Medical and Research Center, Bangalore, Karnataka – 560066. Author
  • Yazhini R Under graduate students, Nandha Siddha Medical College and Hospital, Erode-638052. Author
  • Shri shanmathi K Under graduate students, Nandha Siddha Medical College and Hospital, Erode-638052. Author
  • Devipreya S Under graduate students, Nandha Siddha Medical College and Hospital, Erode-638052. Author
  • Dhanu Sri M Under graduate students, Nandha Siddha Medical College and Hospital, Erode-638052. Author
  • Bernaitis L* Associate professor, Department of Microbiology, Nandha Siddha Medical College and Hospital, Erode-638052. Author

Keywords:

Handkerchiefs, Bacterial contamination, Staphylococcus aureus, Personal hygiene, Pathogens, Public health

Abstract

Background: Handkerchiefs are widely used personal hygiene items that frequently come into contact with nasal, oral, and skin secretions, making them potential reservoirs of pathogenic microorganisms. Despite their routine use, limited research has been conducted to evaluate bacterial contamination on handkerchiefs, particularly among college students.

Objective: This study aimed to isolate, enumerate, and identify bacterial species from used handkerchiefs and assess their potential pathogenicity, with implications for personal hygiene and public health.

Methods: A total of 50 used handkerchief samples were collected from both male and female students of BSMS at Nandha Siddha Medical College and Hospital, Erode. Samples were obtained using sterile cotton swabs and inoculated on Nutrient Agar, MacConkey Agar, Mannitol Salt Agar, and Blood Agar. Cultures were incubated at 37 °C for 24–48 hours, followed by colony characterization, Gram staining, and standard biochemical tests for bacterial identification.

Results: Of the 50 samples, 40% yielded normal flora (including Staphylococcus epidermidis and Micrococcus spp.), while the remaining 60% showed potential pathogens such as Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa. The majority of contaminated samples were obtained from female participants.

Conclusion: The presence of potentially pathogenic bacteria on used handkerchiefs underscores the importance of regular washing, proper drying, and adherence to personal hygiene practices to prevent disease transmission. Public health education should emphasize the safe handling and maintenance of personal items to reduce microbial spread.

 

References

1. Boone SA, Gerba CP. Significance of fomites in the spread of respiratory and enteric viral disease. Appl Environ Microbiol. 2007;73(6):1687–96.

2. Fijan S, Turk SS. Hospital textiles, are they a possible vehicle for healthcare-associated infections? Int J Environ Res Public Health. 2012;9(9):3330–43.

3. Purohit G, Choudhary M, Rathore M. Microbial contamination of reusable cloth handkerchiefs: A potential health risk. J Clin Diagn Res. 2015;9(6):DC16–8.

4. Neely AN, Maley MP. Survival of enterococci and staphylococci on hospital fabrics and plastic. J Clin Microbiol. 2000;38(2):724–6.

5. Hota B. Contamination, disinfection, and cross-colonization: are hospital surfaces reservoirs for nosocomial infection? Clin Infect Dis. 2004;39(8):1182–9.

6. Otter JA, Yezli S, French GL. The role played by contaminated surfaces in the transmission of nosocomial pathogens. Infect Control Hosp Epidemiol. 2011;32(7):687–99.

7. Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis. 2006;6:130.

8. Pal P, Roy A, Moore G, Muzslay M, Lee E, Hall L, et al. Keypads and touch screen devices as a source of contamination in hospitals. J Hosp Infect. 2013;83(3):238–40.

9. Abdalla NM, Omar NY, Abdallah M, Ahmed BA, Mohammed MA. Bacterial contamination of mobile phones and hand hygiene awareness among medical students. Asian Pac J Trop Med. 2015;8(5):403–8.

10. Bloomfield SF, Aiello AE, Cookson B, O’Boyle C, Larson EL. The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings. Am J Infect Control. 2007;35(10):S27–64.

11. Reynolds KA, Watt PM, Boone SA, Gerba CP. Occurrence of bacteria and biochemical markers on public surfaces. Int J Environ Health Res. 2005;15(3):225–34.

12. Cappuccino JG, Sherman N. Microbiology: A Laboratory Manual. 10th ed. Pearson; 2014.

13. Clarridge JE 3rd. Impact of 16S rRNA gene sequence analysis for identification of bacteria on clinical microbiology and infectious diseases. Clin Microbiol Rev. 2004;17(4):840–62.

14. Janda JM, Abbott SL. 16S rRNA gene sequencing for bacterial identification in the diagnostic laboratory: pluses, perils, and pitfalls. J Clin Microbiol. 2007;45(9):2761–4.

15. World Health Organization. Prevention of hospital-acquired infections: A practical guide. 2nd ed. Geneva: WHO; 2002.

16. Grice EA, Segre JA. The skin microbiome. Nat Rev Microbiol. 2011 Apr;9(4):244–53.

17. Otto M. Staphylococcus epidermidis—the ‘accidental’ pathogen. Nat Rev Microbiol. 2009 Aug;7(8):555–67.

18. Kumar R, Sharma M, Singh A. Microbial contamination of personal fabrics: a study on towels and handkerchiefs. Indian J Med Microbiol. 2020;38(3):421–6.

19. Walker CLF, Rudan I, Liu L, Nair H, Theodoratou E, Bhutta ZA, et al. Global burden of childhood pneumonia and diarrhoea. Lancet. 2013 Apr 20;381(9875):1405–16.

20. Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis. Clin Infect Dis. 2012 Nov;55(10):1279–82.

21. Murray BE. The life and times of the Enterococcus. Clin Microbiol Rev. 1990 Jan;3(1):46–65.

22. Olatunji AS, Akinloye OA, Ogunsanya JA. Bacterial contamination of handkerchiefs among students in tertiary institutions. Afr J Clin Exp Microbiol. 2021;22(1):43–9.

23. Nicholson WL. Roles of Bacillus endospores in the environment. Cell Mol Life Sci. 2002 Apr;59(3):410–6.

24. Nataro JP, Kaper JB. Diarrheagenic Escherichia coli. Clin Microbiol Rev. 1998 Jan;11(1):142–201.

25. Levine MM. Escherichia coli that cause diarrhea: enterotoxigenic, enteropathogenic, enteroinvasive, enterohemorrhagic, and enteroadherent. J Infect Dis. 1987 Nov;155(3):377–89.

26. Singh P, Kaur G, Chawla R. Prevalence of bacterial contamination on personal textiles. J Environ Public Health. 2022;2022:1–8.

27. Rahman M, Akter S, Ahmed S. Microbial diversity in reused handkerchiefs: a public health perspective. J Infect Public Health. 2023;16(2):241–7.

28. Bloomfield SF, Aiello AE, Cookson B, O’Boyle C, Larson EL. The effectiveness of hand hygiene procedures in reducing the risks of infections in home and community settings. Am J Infect Control. 2007 Dec;35(10):S27–64.

29. Aiello AE, Larson EL, Levy SB. Consumer antibacterial soaps: effective or just risky? Clin Infect Dis. 2007 Aug 1;45(Suppl 2):S137–47.

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Published

2025-08-10

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How to Cite

[1]
Shilpa K, Yazhini R, Shri shanmathi K, Devipreya S, Dhanu Sri M, and Bernaitis L*, Trans., “Microbiological Evaluation of Handkerchiefs: Enumeration and Identification of Bacterial Isolates”, WJAMS, vol. 2, no. 8, pp. 1–6, Aug. 2025, Accessed: Mar. 23, 2026. [Online]. Available: https://wasrpublication.com/index.php/wjams/article/view/54