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Article

Our Hygeine Blindspots: What’s on Your Pillowcase?

Tuesday, October 10th 2023 10:00am 4 min read
Dr. Jessica Peatross dr.jess.md @drjessmd

Hospitalist & top functional MD who gets to the root cause. Stealth infection & environmental toxicity keynote speaker.

Many individuals make it a routine to take a shower or cleanse their faces before going to sleep, and some even opt to change their sleepwear daily. Nevertheless, the importance of maintaining the hygiene of bedsheets and pillowcases often goes unnoticed. Research has demonstrated that after just one week of use, pillowcases can accumulate levels of bacteria that are nearly 20,000 times higher than those present on a toilet seat—a startling fact that often goes overlooked.

To minimize potential health hazards, experts strongly recommend establishing a regular practice of changing bed linens.

Approximately one-third of an individual’s lifespan is spent sleeping. While healthy adults require a minimum of seven hours of sleep each day, infants and adolescents require even more to support their growth and development. A survey conducted by the National Sleep Foundation revealed that 73 percent of respondents considered comfortable bedsheets crucial for achieving a restful night’s sleep, and 68 percent believed that a clean bedroom contributes to improved sleep quality. This survey indicated that maintaining clean bedding could indeed enhance the overall sleep experience.

However, the actual cleanliness of our bedsheets might not align with our assumptions. In reality, they often serve as breeding grounds for dust mites and bacteria, transforming into “hygiene blind spots” within our homes.

In a study conducted by AmeriSleep, an American bedding company, participants were instructed to refrain from washing their bedsheets for a period of four weeks. The results disclosed that by the conclusion of the study, the pillowcases contained 39 times more bacteria than a pet bowl, while the bedsheets harbored 5.4 times more bacteria than a toothbrush holder. Shockingly, pillowcases left unwashed for a mere week accumulated 17,442 times the number of bacteria found on a toilet seat!

The study also identified four primary types of bacteria within bedding, including gram-negative rods (41.45 percent), gram-positive rods (24.94 percent), bacilli (23.38 percent), and gram-positive cocci (10.23 percent).

According to the U.S. Centers for Disease Control and Prevention (CDC), most gram-negative bacteria are hazardous and have the potential to lead to antibiotic resistance. On the other hand, bacillus is a notable contributor to food poisoning and infections.

A YouGov survey from 2014, a UK-based public opinion research organization, unveiled that 33 percent of individuals wash their bedsheets on a weekly basis, while 14 percent wait for at least a month before doing so.

In 2015, Yahoo conducted a survey among 1,187 readers to assess their habits regarding changing bedsheets. The outcomes indicated that merely 44 percent of women wash their bedsheets weekly. Thirty-one percent opt for washing them bi-monthly, and 16 percent choose to wash them monthly. Additionally, 32 percent of women admitted to infrequently changing their pillows.

Each time we utilize our beds, we shed dead skin cells, along with dirt, sweat, or oils that have accumulated on our skin throughout the day. Even if we cleanse our faces or take a shower before retiring to bed, trace amounts of cosmetics and lotions applied to our bodies can linger on the bed. Furthermore, dust and allergens, including dust mites, can progressively accumulate over time and infiltrate our bedsheets, pillows, and mattresses.

Dust mites are minuscule arthropods that commonly reside in our households. While they do not bite humans, they can induce skin rashes and irritation, potentially aggravating allergy symptoms for numerous individuals. Dust mites rely on deceased skin cells for sustenance and can reproduce in substantial numbers. Regardless of whether you are allergic to dust mites or not, sharing your bed with thousands of them is far from desirable.

Apart from dust mites, our beds also harbor an array of fungi. A study featured in the Allergy journal unveiled that feather and synthetic pillows utilized for periods ranging from 1.5 to 20 years might contain up to 16 different types of fungi. Among these, the most prevalent fungus discovered in pillows is Aspergillus fumigatus, which has the potential to trigger aspergillosis—an ailment responsible for a significant number of fatalities among leukemia and bone marrow transplant patients. Furthermore, fungi can exacerbate asthma symptoms in adults.

The buildup of bacteria, oils, grime, sweat, and allergens on unclean bedding can have implications for human health, manifesting as skin breakouts, allergies, asthma, and even fungal infections. As reported by the Cleveland Clinic, here are several common health repercussions linked to untidy bedding:

Aggravation of Asthma and Allergy Symptoms: Bedding infested with dust mites can intensify allergy and asthma symptoms.

  • Onset of Rashes and Eczema: Bacteria residing in dead skin cells can heighten the risk of developing rashes. Eczema, one of the prevalent skin rash types, arises from a combination of dry skin and the overactive growth of bacterial colonies on the skin. Additionally, dust mites can also incite skin rashes.
  • Acne and Folliculitis: Bacteria can trigger folliculitis—an infection characterized by itchy skin, acne-like bumps, and sometimes discomfort.
  • Infections from Fungi and Parasites: Household pets can harbor fungal organisms and parasites like ringworm and scabies, which can then transmit to bedding and subsequently affect human skin.

The National Sleep Foundation underscores the significance of maintaining clean bedding to uphold both health and sleep quality. It is advisable to change bed sheets and pillowcases on a weekly basis. In situations where pets share your sleeping space, changing the bedding every three to four days is recommended.

Furthermore, the Cleveland Clinic suggests more frequent bedding changes for specific circumstances. If you reside in a notably hot climate, experience excessive nighttime perspiration (e.g., due to hot flashes), are recuperating from illness or infection, suffer from allergies or asthma, or choose to sleep unclothed, increasing the frequency of bedding changes is advised.

While blankets, pillows, and mattresses do not necessitate washing as frequently as bed sheets and pillowcases, they still accumulate bacteria, allergens, and dirt over time.

The National Sleep Foundation proposes cleaning comforters and blankets every two to three months, pillows every four to six months, and mattresses approximately every six months. Regular cleaning not only prolongs the lifespan of mattresses and bedding but also enhances sleep quality and overall well-being.

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