---
title: "Porous versus Non-Porous: Who wins the trophy for most effective transmission?"
description: "Porous versus Non-Porous: Who wins the trophy for most effective transmission?"
---

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## Porous versus Non-Porous: Who wins the trophy for most effective transmission?

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acc5fd63b5f292878cf/1498845329901//img.jpg.com/static/595689fc9de4bbc892200518/t/59568acc5fd63b5f292878d0/1498843852656/1000w/>

The truth of the matter is any surface or fomite has the  
 potential to transmit pathogenic bacteria, viruses or fungi.  However, the effectiveness of[ transmission](http://medical-dictionary.thefreedictionary.com/transmission) and likelihood any surface in particular could be directly linked to  
 transmission and ultimately lead to infection are two entirely different  
 things.   Equate transmission to  
 transportation.  A [bicycle ](http://en.wikipedia.org/wiki/Bicycle)will get you  
 to from point A to point B faster than walking, but the[ 2014 Porsche 911 Turbo](http://www.autogo.ca/en/news/industry-news/2014-porsche-911-turbo-and-turbo-s-cabriolet-will-dry-your-hair-very-quickly) which can go from 0 - 60 in 3.2 seconds is the obvious winner in terms of speed  
 of getting you from point A to point B.

Similar to the differences in effectiveness of  
 transportation between bicycles and sports cars, there are distinct differences  
 in the effectiveness of transmission between hard, [non-porous](http://www.thefreedictionary.com/nonporous) surfaces such as  
 glass, laminates or smooth plastics and porous, soft surfaces such as privacy  
 curtains, lab coats and bed linens.

There is evidence to support the fact that hard,  
 non-porous surfaces such as tables, door handles or toilets are far more  
 effective in transferring germs from their surfaces to the hands of healthcare  
 workers (HCWs) than  soft, porous  
 surfaces like fabrics.  Just using a  
 little common sense can see how this would be true.  [Fabrics](http://dictionary.reference.com/browse/fabric), [sponges](http://en.wikipedia.org/wiki/Sponge_(material)) and other [porous](http://www.thefreedictionary.com/porous), soft  
 surfaces by their very nature have crevices, pits or divots.  What better place for germs to hide.  Have you ever used a sponge to paint or  
 stamp?  When you apply paint to the  
 sponge and then press it to a surface does the paint spread uniformly?  No.   
 There are pockets of the surface that the colour did not transfer.  The reason?   
 The paint was hiding in the crevices.   
 Similarly, these crevices decrease the effectiveness of germs  
 transferring to hands of HCWs. 

Now picture a hard, non-porous surface such as a table or  
 plastic touch screen.   Such surfaces do  
 not offer the same crevices for germs to hide.   
 If you were to use a plastic square to stamp what would happen?  The paint would cover the surface uniformly  
 and when you then pressed that plastic square to a surface you would get a  
 nice, uniform square of colour.  From an  
 infection transmission perspective a hard non-porous surface provides a far  
 more effective transfer of germs to hands.

A[ 2001 study by Sattar et al.](http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2672.2001.01347.x/full) investigated how bacteria  
 is transferred from fabrics to hands and then to other fabrics again.  I particularly like this study because the  
 research team applied a quantitative protocol for assessing the transfer of  
 bacteria from fabrics of 100 percent cotton and a 50-50 cotton/polyester blend  
 to fingerpads or other pieces of fabric.   
 Transfer from fabric to fabric was performed by direct contact using  
 moist and dry fabrics. Transfers from fabrics to fingerpads of adult volunteers  
 were tested using moist, dry and re-moistened pieces of the fabrics, with or  
 without friction during the contact. Bacterial transfer from fabrics to  
 moistened fingerpads was also studied.   
 Sattar and his team concluded that bacterial transfer from moist donor  
 fabrics using recipients with moisture was always higher than that to and from  
 dry ones.  Further, friction increased  
 the level of transfer from fabrics to fingerpads by as much as fivefold.  
 Bacterial transfer from poly/cotton was consistently higher when compared with  
 that from all-cotton material.

What does this all mean?   
 Well, we know that germs are able to be survive on soft surfaces such as  
 fabrics, and certainly there is evidence that they can be transferred from  
 fabric to hand or fabric to fabric.  But,  
 transfer was most successful when fabric or hands were wet.  How often to HCWs touch patients with wet  
 hands/gloves?  Are soft surfaces a true  
 concern for infection prevention or are we simply hypothesizing that based on  
 findings from a few studies that have show germs can live and survive on soft  
 surfaces that such surfaces MUST then be the reservoir for all the transmission  
 we see in hospitals?  Personally, I think  
 not.  Hard, non-porous surfaces are still  
 by far the most efficient in transferring and thereby transmitting  
 disease.  I think we need to take a  
 harder look at all of those pieces of shared patient care equipment and really  
 investigating who is cleaning them (if in fact they are being cleaned) and how  
 they are contributing to the spread of HAIs.

Stay tuned for next week's blog...... A New Claim on the  
 Block!  Can you guess where I'm going  
 with this?

*Bugging Off!*

*  
*

*  
*

Nicole

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