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ST. Lukes Antimicrobial Performance

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ST. Lukes Antimicrobial Performance

  1. 1.     1     Master  In  Management  (MM  2012)   MANAGEMENT  CONSULTANCY  PROJECT         Aimecotex  Proposal  to  St.  Luke’s  Medical  Center   Antimicrobial  Performance  of  Medical  Textiles,  reduce  risk  in  patient  environment.                 Hemant  Goenka   MM  2012    
  2. 2.     2   Philippines  Economy:  -­‐   One  of  the  fastest  growing  South-­‐East  Asia  economies,  the  Philippines  is  an  archipelago   of   7107   islands,   sub-­‐divided  into   17   administrative  regions.   A   low-­‐middle   income   country,  fast  developing  into  high-­‐income  bracket,  likes  its   ‘Asian  Tiger’  neighbors.  The   Average  annual  family  income  is  as   high  as   a r o u n d   US$  7000  in  the   National  Capital   Region  (where   Manila  is  located),  while  families  in  the   poorest  regions  earn  less  than   a   third   of   this   amount.   With   population   of   94   Million   in   2010,   it   is   the   12th   most   populated  country  in  the  world.     With   high   population,   Philippines   Communicable   diseases   continue   to   be   major   causes  of  morbidity   and  mortality.  Diseases  such  as   tuberculosis  and   pneumonia  are   major   causes   of   death.   Increase   in   occurrence   of   Malaria,   Dengue   and   leprosy   remain  a  problem  in  a  number  of  regions  of  the  country.         Philippines  Healthcare  regulators:  -­‐   In   1941,   the   Department   of   Health   was   established   as   a   separate   legal   entity   created   from,  Department   of  Health  and   Public   Welfare.     Starting  1950s,  there   was   a  steady   and   gradual   improvement   in   patient   care,   medical   education,   and   public   health   comparable  to   other  Southeast  Asian  developing   countries.   In  2009,  the  Philippines   had  1,796  licensed  hospitals.  CALABARZON  has  the  highest  number  of  hospitals,  followed   by  Central   Luzon   and   National   Capital   Region   (NCR)  or  Metro   Manila.   29  new  hospitals   were  added  between  2005  and  2009.  The  DOH  was  created  for  the  below  objective:-­‐   • Developing  health  policies  and   programs;   • Enhancing  partners’  capacity  through  technical  assistance;  
  3. 3.     3   • Leveraging  performance  for  priority   health  programs  among  these  partners;   • Developing  and   enforcing  regulatory  policies  and   standards;   • Providing  specific   programs  that  affect   large  segments  of  the  population;  &   Providing  specialized  and   tertiary  level  care.   Distribution  of  licensed  hospitals,  2005-­‐2009   Region   2005   2006   2007   2008   2009   NCR   182   180   181   178   179   CAR   55   55   56   55   50   I  -­‐  Ilocos  Region   124   122   118   121   121   II  -­‐  Cagayan  Valley   77   87   86   87   90   III  -­‐  Central  Luzon   197   195   201   197   197   IVA  –  CALABARZON   222   236   233   232   234   IVB  –  MIMAROPA   56   57   60   63   65   V  -­‐  Bicol  Region   120   118   117   116   113   VI  -­‐  Western  Visayas   82   85   86   86   86   VII  -­‐  Central  Visayas   107   107   107   107   104   VIII  -­‐  Eastern  Visayas   69   72   72   70   73   IX  -­‐  Zamboanga  Peninsula   73   70   71   70   67   X  -­‐  Northern  Mindanao   105   104   107   109   109   XI  -­‐  Davao  Region   111   109   108   107   110   XII  –  SOCCSKSARGEN   97   93   103   103   106   CARAGA   53   63   55   57   58   ARMM   37   30   21   26   34   PHILIPPINES   1,767   1,783   1,782   1,784   1,796    Source  of  Raw  Data:  List  of  Hospitals  and  Other  Facilities,  BHFS-­‐DOH  (various  years).     In   Philippines   Private   hospitals   dominate   as   the   vital   institutions   that   provide   health   care   services   to   the  majority  of  the  population.  In  2009,  60%  of  the  hospitals  are   privately  owned  with  regard   to   utilization   and   48%   of   the   population   who   needed   inpatient   care   are   confined   in   private   hospitals   (NSO;   Macro   International,   2009).     Though  they  are  large  contribution,  these  institutions  are  also  influences  and  affected  in   their   viability,   sustainability   and   investment   by   the   political,   social   and   economic   dynamics  and  uncertainty  of  the  country.  
  4. 4.     4   Private  hospitals  in  Philippines  operate  as  profit  institutions,  unlike  a  few  for  example,  St.   Luke’s   a   non   profit   organization   but   is   catering   to   the   highly   affluent   class   of   the   population   with   state   of   art   technology   and   modern   facilities.   Majority   of   sophisticated   private  hospitals  are  located  in  Central  Luzon  and  NCR.  These  areas  have  low  incidence  of   poverty.  Most  of  the  private  hospitals  are  Phil  Health  accredited.  The  accreditation  rate  of   private  hospitals  concomitantly  increases  with  hospital  level.  On  the  average  expenditure   of  patients  confined  in  private  hospitals  is  at  least  two  to  three  times  more  than  that  of   the  average  expenditure  of  patients  confined  in  public  hospitals.     Most   of   the   patients   confined   in   private   hospitals   are   more   likely   to   utilize   their   Phil   Health   benefits   compared   to   patients   in   public   hospitals.   However,   they   represent   the   affluent  class  of  the  population  and  are  in  the  position  to  shoulder  out-­‐of-­‐pocket  expenditure,   which  normally  exceeds  the  safety  nets  of  insurance  coverage  in  case  of  serious  illness.     Medical  tourism  promotion  in  the  Philippines   The  Philippines  is  exploring  its  next  sunrise  industry  in  the  medical  tourism.  A  study  titled   “Philippine   Medical   Tourism   Compendium   2011:     Facts,   Figures   &   Strategies”   estimated   that   during   the   period   of   2006   to   2010   the  country  earned  a  total  of  $1.30  billion   from   health   care   and   wellness   services.   There   is   a   projection   that   the   Philippines   has   the   potential  to  earn  as  much  as  $1  billion  in  additional  annual  revenue  by  2018  with  proper   investment  in  healthcare  infrastructures,  liberal  travel  arrangements  for  medical  tourists   and  strategic  and  extensive  international  marketing  promotions  campaign.   The  Philippines  has  a  high  potential  to  grab  a  larger  market  share  in  the  global  medical  
  5. 5.     5   Industry.  It  has  a  competitive  edge  since  these  world-­‐class  healthcare  services  generally   cost   lower   than   in   most   developed   countries   like   the   United   States   and   Canada,   Japan,   Korea  etc.  The  Filipino’s  command  on  English  communication  skills,  and  hospitable  culture   adds   competitive   advantage   that   made   the   country   one   of   the   Business   Process   Outsourcing  (BPO)  hubs  in  the  world  –  is  now  helping  to  position  as  top  global  healthcare   providers.   International   research   firm   Deloitte,   the   research   added,   has   identified   the   Philippines   as   one   of   the   emerging   players   in   the   multi-­‐billion   dollar   industry,   which   currently  is  dominated  in  Asia  by  Singapore,  India,  Malaysia  and  Thailand.     Hospital  accreditation     THE  health-­‐care  system  in  the  Philippines  is  considered  generally  to  meet  global  standards,   with   hospitals   and   other   medical   centers   in   the   country   able   to   pass   accreditation   tests   given  by  international  organizations.   Joint  Commission  International  (JCI)  has  cited  five  Philippine  hospitals  for  rendering  the   best  service  to  Filipino  patients.  They  are  Makati  Medical  Center,  The  Medical  City  in  Pasig   City,  St.  Luke’s  Medical  Center  (SLMC)  in  Quezon  City  and  Fort  Bonifacio  and  Chong  Hua   Hospital  in  Cebu.   The   honor   is   recognition   of   the   qualification   of   hospital   staff   in   the   Philippines,   Filipino   doctors  and  nurses  are  internationally  competitive,  with  majority  having  work  experience   in  many  hospitals  in  foreign  countries.   The  JCI  is  a  medical  commission  that  helps  international  health-­‐care  organizations;  public-­‐
  6. 6.     6   health   agencies   and   health   ministries   evaluate,   improve   and   demonstrate   the   quality   of   patient   care.   It   has   accredited   approximately   450   public   and   private   health-­‐care   organizations   in   50   countries.   Patient’s   level   of   confidence   and   trust   increases   with   certified  accreditation  of  Hospital,  which  are  credible  and  provide  high  standards  of  health-­‐ care  service.     Now  with  a  new  hospital  building  in  Fort  Bonifacio  Global  City,  St.  Luke’s  is  expected  to   reach   a   larger   number   of   Filipinos   who   needs   medical   assistance.   With   its   mission   to   provide  outstanding  patient  care,  SLMC  is  reputedly  and  acknowledged  healthcare  leader   in   Asia.   St.   Luke’s   Medical   center   in   located   Fort   Bonafacio   City.   According   to   the   local   government-­‐zoning  map,  it  is  situated  in  a  highly  upcoming  urban  commercial  zone  with   high   density   of   residential   settlements   surrounding   the   hospital   with   high   per   capita   income.  Within  three  to  five  kilometer  radius  of  the  hospital,  the  area  is  sprawling  with   residents,  commercial  establishments  and  International  schools  of  which  the  hospital  can   tap.     The  medical  tourism  industry  in  the  Philippines  is  still  in  the  early  stage  of  development,   compared  with  its  Asian  counter-­‐parts.    It  is  engulfed  with  severe  competition,  since  all  the   major   hospitals   in   metro   manila   provide   more   or   less   equal   quality   of   service   and   infrastructure.    The  hospitals  in  NCR  need  a  differentiating  factor  from  their  competitors,  as   there   is   not   too   much   of   differentiation   with   regards   to   the   technology,   equipment   and   qualification  of  professionals  associated  with  other  institutions.   The  hospitals  today  are  not  putting  much  emphasis  on  the  very  basic  health  and  hygiene   factor   of   preventing   contamination   through   hospital   linen.   The   preventive   measures   on  
  7. 7.     7   linen  are  comparatively  much  lower,  than  the  other  major  expenses  associated  with  the   healthcare,   for   example   medical   equipment’s   and   salary   and   wages   of   highly   qualified   professionals.  The  stiff  competition  form  other  major  hospitals  are  squeezing  profits  and   reducing  bed  space  occupancy  resulting  in  revenue  losses.  Hospitals  today  are  looking  for   value  added  facilities  to  gain  patients  confidence  to  prefer  them  against  other  hospitals.  In   the  case  of  St.  Luke’s  they  face  stiff  competition  from     • Makati  Medical  Center     • Asian  Hospital  and  Medical  Center     • The  Medical  City     • Cardinal  Santos  Medical  Center     • Manila  Doctors  Hospital     • World  Citi  Medical  Center     • UST  Hospital     • Philippine  General  Hospital   There  has  to  be  a  differentiating  factor,  which  will  provide  a  sense  of  additional  confidence   among  the  client  patients  to  select  St.  Luke’s  against  the  other  options,  which  are  almost   equal   in   quality   and   standard   of   treatment.   The   additional   confidence   awareness   may   encourage  patients  to  even  pay  a  premium  to  the  hospital  and  the  first  choice  for  getting   admitted.   Differentiation   vide   value   creation   can   offer   a   relatively   inexpensive   business   strategy  to  hospitals  seeking  to  grow,  defend  or  hike  prices  in  highly  competitive  market   place.      
  8. 8.     8     The  few  major  area’s  of  concern  unnoticed  today  by  local  healthcare  facility  are:  -­‐   1) Unpopularity  of  Anti  Microbial  treated  hospital  linen,  and  confidence  and  protection   to  patient  against  bacterial  and  fungal  infections.   2) Contamination  of  linen  while  being  transported  or  stored  in  warehouse.   3) Flexibility  of  local  sourcing  as  per  specification  and  requirements.   The  current  environment  and  medical  industry  in  particular  is  challenged  by  the  presence   of   micro-­‐organisms   and   their   negative   effects.   It   causes   deterioration,   defacement   and   odors.   The   fabric   surfaces   can   also   act   as   a   microbial   "harbor",   as   they   provide   ideal   environments  for  the  harmful  microorganism  proliferation.  Education,  media  and  Internet   today  has  resulted  in  heightened  public  concern  and  awareness  about  cross  contamination   issues  and  infection  control  in  general.  This  increase  in  public  awareness  is  encouraging   antibacterial  and  antimicrobial  consumer  product  demand  for  application  in  care  facility’s   environment.   Healthcare  industry  must  prepare  an  action  plan  for  avoidance  and  control  of   airborne,   human,   and   surface-­‐sourced   microbial   contaminants.   Strategies  for   control   of   microbes  must  be  exercised  in  garments,  beddings,  linens,  wipes,  surgical   fabrics,  and   other  textiles   used.  The  microbial  colonization  of  environmental  surfaces  and  linen  in   hospitals  can  produce  infective,  allergenic,  and  toxigenic  risks  for  occupants.    Traditional   disinfectant/sanitizer   formulations   do   not   provide   sustained   control   of   microbial   contamination,  at  low  levels  and  their  extended  use  is  potentially  hazardous  to  people  
  9. 9.     9   and  the  environment.  The      application      of      chemical      disinfectants      to  control  microbial   colonization   of   hospital   surfaces   started   in   1860’s,   when   Joseph   Lister   atomized   a   5%   Phenol  solution  to  control  “hospital  gangrene.”  Ever  since  developments  in  disinfectant  is   popular   to   provide   an   increasing   toxic   arsenal   to   destroy   germs.     Current   methods   of   Micro-­‐aerosol   dispersion,   micro-­‐encapsulation,   and   impregnation   of   the   biocide   into   a   variety  of  polymeric  resins,  have  been  used  to  expand  the  capabilities  of  these  agents  and   to  reduce  toxic  consequences  for  man  and  the  environment.     Antimicrobial   Treatment   of   Hospital   linen   will   solve   major   problems   and   create   value   creation   for   customers   to   give   preference   to   St.   Luke’s   compared   to   other   reputed   healthcare  institutions.                       Additional  value  I  created  when  leveraged  as  a  market   strategy.  Introduction  of  a  customized  product  to  gain   the   appreciation,   confidence,   popularity   and   acceptance   of   the   end   user,   and   its   value   creation   among  the  target  segment.   Incremental   value   is   created   when   the   improvement  in  product  or  service  quality   is   one   that   provides   the   institution   with   an   enduring   point   of   differentiation   compared  to  others  in  the  same  industry. customer’s   confidence  and  popularity  and  accptablity   of  the  service  almong  the  customers   The   additional   product   or   service  quality  must  provide   a   compelling   and   relevant   consumer  benefit.   . Value   Creation  
  10. 10.     10   Nosocomial   infection   today   is   a   serious   problem   affecting   health   care   facilities   such   as   hospitals   and   nursing   homes.   The   cost   associated   with   its   treatment   is   expensive   and   requires  a  multifaceted  solution.       St.  Luke’s  and  many  hospitals  spend  a  fortune  to  chemically  disinfect  the  linen  after  use.   Every  wash  with  treatment  is  costing  around  29  Philippine  Pesos  per  bed  sheet.  The  linen   is  sent  to  its  Quezon  City  operations  for  laundry,  on  return  may  be  contaminated  again  on   transit.  The  possibility  of  contamination  is  high  when  stored  in  the  hospital  warehouse  for   a   longer   duration   causing   odor,   and   thereby   transferring   the   harmful   bacteria   to   the   patient.  The  net  result  is  money  wasted  on  the  washing  and  treatment  of  the  linen.     The   antimicrobial   Shield   technology   prevents   contamination   of   hospital   linen   during   distribution,  transportation  and  storage.  
  11. 11.     11   Advantages  of  Antimicrobial  treatment  on  Hospital  Linen:     • Prevents  blanket  staining  due  to  mold  and  mildew  growth  that  occurs  on  damp   blankets  prior  to  laundering.   • Controls  blanket  deterioration  due  to  microbial  growth  that  occurs  on  blankets   during  storage.   • Controls  odors  caused  by  bacteria  and  fungus  normally  found  in  blankets.   • Provides  3  times  more  protection  from  microbes  than  an  untreated  blanket.   • Anti  microbial  property  intact  with  linen  even  after  50  washes.       Patient  Concern  about  Hospital:  almost  80%  patient  expressed  concern  about  presence  of   bacteria  when  staying  in  hospital.    Healthcare  professional  concern  about  hospital:  Over   97%  healthcare  professional  acknowledge  concerns  about  the  presence  of  bacteria  in  their   healthcare  facility.   Patient  Concern  About   Hospital   Healtcare  Professional   concern  about  Hospital   47.8   76.3   31.5   21.1  18.2   2.2  2.5   0.04   A  survey  of  20  Patient  and  20  Healthcare  professional  each,  in  5   Philippines  hospital     Very  Concerned   Somewhat  Concerned   Not  Very  Concerned   Not  At  All  Concerned  
  12. 12.     12     The  above  date  shows  that’s  patient  expect  maximum  concern  while  using  Bed  sheet  76%,   Pillows  73%,  Mattress,  Mattress  pads  and  covers  and  bedspreads  at72%  and  comforters   and   blankets   at   70%.   Signifying   the   awareness   and   concern   of   patients   against   the   microbial  attacks.   The  Philippines  garments  and  textile  industry  started  from  a  cottage-­‐type  industry  in  the   early  ‘50s.  From  then,  it  has  expanded,  strongly  positioning  itself  as  the  country’s  leading   0   10   20   30   40   50   60   70   80   90   100   Vinly  bath  mat   Toilet  Flushing  handle   Shower  curtains   Wash  basin   Toilet  seats   Bath  Towels   Bed  Spreads   Comforters  /  Blankets   Pillows   Mattress  pads  and  covers   Mattress   Bed  Sheets   Doctors  Tie   Doctors  coat   Patient  expect  Antimicrobial  protection  in  Hospital  Furnishing  and   linen.   Total   Somewhat  Important   Very  Important  
  13. 13.     13   non-­‐traditional   export.   FromUS$36   million   worth   of   garments   and   textiles   exported   in   1970,   it   has   grown   tremendously,   reaching   its   first   billion   dollar   in   year   1987.   The   Philippines   government   and   the   private   sector   undertook   aggressive   joint   marketing   efforts,  that  helped  sustain  the  industry’s  performance  through  the  ‘90s  despite  the  Asian   crisis.   In   year   2000,   the   industry   breached   the   three   billion   dollar   mark.   But   lately   the   industry  is  facing  stiff  competition  from  china,  Bangladesh,  Vietnam  and  Sri  Lanka  and  the   factories  and  margins  are  shrinking  at  accelerated  pace.   Philippines   textile   industry   is   a   dominant   in   circular   knitting   technology   and   weaving   machines   can   be   hardly   found   because   of   high   investment   and   high   labor   cost.   The   hospitals  in  the  Philippines  are  consuming  almost  95%  of  their  linen  in  form  of  weaving,   resulting   in   importation   of   the   product   from   neighboring   countries,   i.e.   china,   Indonesia   and  Vietnam  thereby  killing  the  manufacturing.  Thus  with  attempt  to  offer  and  promote   knitted  fabric  for  Philippines  healthcare,  It  will  benefit  the  healthcare  institute  to  source   good  quality,  regular  and  prompt  supply  of  their  merchandise  locally,  and  be  self  sufficient.   On   the   other   hand   it   will   also   support   and   revive,   the   sunset   textile   industry   of   the   Philippines.     The  big  advantage  for  Philippines  healthcare  industry  to  shift  from  use  of  woven  fabric  to   knitted  fabric  is  the  easy  availability  of  ready  stock,  and  to  avoid  dependence  on  imported   material.   The   consistency   can   be   maintained   in   relation   to   price,   quality   and   supply.   If   locally  produced,  the  basic  raw  material  i.e.  yarn  can  be  sourced  from  a  local  yarn  spinning   mill  namely  Indo-­‐Phil  Textile  or  Solid  Textile  Mills.  The  Circular  Knitting,  done  locally  can   help   produce   fabric   as   per   personal   specification   and   quality   requirement.   Local   well-­‐ equipped  dyeing  factories  can  perform  the  antimicrobial  treatment  and  dyeing  process.  If  
  14. 14.     14   all  process  is  locally  performed,  every  stage  of  development  can  be  inspected,  controlled   and  monitored,  to  ensure  high  quality  of  the  finished  products.  It  will  also  improve  the  local   economy  and  provides  employment  to  a  vast  population.   The   healthcare   linen   industry   is   challenged   by   the   presence   of   microorganisms   and   the   negative  effects  they  cause.  Deterioration,  defacement  and  odors  are  all  dramatic  effects,   which  occur  from  the  microbial  contamination  of  woven.  They  can  also  act  as  a  "harbor"  as   most  they  offer  ideal  environments  for  medically  significant  microorganisms.  The  ability  to   replace   woven   fabric   with   knitted   fabric   and   treating,   them   to   resist   to   microbial   contamination  has  advantages  in  many  healthcare  applications.  The  health  care  industry  is   challenged  with  providing,  the  best  possible  care  for  its  patients  and  a  safe  environment  for   health  care  workers.    Microorganisms  are  the  most  prevalent  and  potent  pollutants  in  the   indoor  environment.     The   business   is   designed   as   a   team   work,   since   not   everything   can   be   perfected   by   an   individual  we  have  partnered  with  the  best  in  their  field  to  work  together  to  come  up  with   a  full  proof  solution  to  offer  the  best  possible  product.  The  Proposal  is  to  source  yarn  from   a  local  Spinning  Mill  i.e.  either  Indo-­‐Phil  Textile  or  Solid  Development.  The  construction  of   high   quality   Single   jersey,   Pique   or   Interlock   fabric   will   outsourced   to   circular   knitting   machines.   The   second   Partner   in   our   business   i.e.   Blue   Ocean   Trading   Inc.   who   is   responsible  for  the  importation  of  the  patented  antimicrobial  solution  from  the  USA  under   the  FDA  approved  “Micro  ban”  Brand,  they  will  be  also  coordinating  with  the  Local  Dye   house  i.e.  Saffron  Philippines  Inc.  for  the  final  finishing  and  antimicrobial  treatment  of  the   fabric.     The   final   stage   sewing   and   stitching   of   the   linen,   will   be   performed   by   the   Philippines  registered  Bamboo  Fiber  Textile  Inc.,  a  reputed  100%  (Export  Oriented  Unit)  
  15. 15.     15   EOU,  with  operations  in  PEZA  (Philippines  Special  Economic  Zone).  They  have  extensive   expertise  in  this  industry  and  catering  to  major  healthcare  industry  of  Europe  and  USA  for   last  15  years.     We   are   currently   going   to   use   virgin   fiber   yarn   which   may   be   slightly   expensive,   but   in   future  we  have  the  option  to  use  yarn  made  from  recycle  fiber  which  not  only  is  highly   economic   and   providing   cost   benefit,   but   also   environment   friendly   and   complying   with   environment  protection  campaign.  In  the  current  situation  Philippines  has  no  producer  for   recycled   yarn   and   thus   has   to   be   imported   from   Indonesia,   China   or   Vietnam.   The   local   demand  for  the  recycle  fiber  yarn  may  encourage  the  local  spinning  mills  to  manufacture   the  same  in  the  Philippines  in  near  future.   This   premium   quality   knit   fabric   is   made   of   a   soft   spun   yarn,   cotton   rich   blend   of   52%   Cotton,  48%  Polyester.    High  cotton  percentage  provides  absorption  of  moisture  it  provides   a  soft,  air-­‐trapping  layer  between  the  mattress  and  body,  while  the  fabric  structure  delivers   increased  permeability  for  good  airflow.  The  user  is  kept  warmer  and  less  likely  to  suffer   from  skin  shear  or  compression  sores.  The  most  ideal  situation  will  be  to  use  100%  cotton   Yarn,  Cotton  fiber  being  100%  natural  product  is  most  suitable  and  comfortable  for  human   contact,  the  risk  is  with  relation  to  high  price  and  volatility  which  the  market  of  Philippines   may   not   be   ready   to   absorb   at   this   moment   but   eventually   the   application   of   which   is   inevitable.   With  respect  to  durability  the  knitted  fabric  structure  eliminates,  running  or  zippering  if  a   hole  is  accidentally  made.  And  the  extra  stretchy  material  prevents  slipping  when  bed  is   raised   and   lowered.   The   elasticity   of   this   material   ensures   a   proper   fit   for   almost   all   hospital  mattress  depths.  The  contoured  bottom  sheet  has  "envelope"  design  corners  that  
  16. 16.     16   wrap  deeply  around  the  mattress  for  a  smooth,  secure  fit  that  will  not  slip  off  and  stretches   to   accommodate   mattress   overlays.   The   semi-­‐fitted   top   sheet   is   designed   with   two   contoured  corners  to  keep  the  bed  tidy  and  has  a  "Foot-­‐Ease"  fold  at  the  end  of  the  sheet   that  provides  extra  foot  room  and  reduces  pressure  on  the  heels.  With  saving  point  of  view   the  2  ways  stretch  and  Wrinkle  resistant,  avoids  the  extra  cost  of  ironing.  Thus  is  economic   with  respect  to  power  saving,  time  saving  and  convenient.      
  17. 17.     17   The  Fabric  is  treated  with  antimicrobial  solution  before  the  bleaching  process  at  90  degree   Centigrade   to   infuse   the   antimicrobial   properties   inside   the   fiber   to   maintain   its   effectiveness   even   after   50   washes   at   5%   concentration,   and   100   washes   at   10%   concentration   of   the   anti   microbial   solution.   Since   every   step   of   the   process   is   locally   performed   the   quality   control   can   be   monitored   strictly   unlike   when   ready   fabric   is   imported.    Additional  colored  Reactive  non  bleeding  dyeing  process  allowing  them  to  be   used   and   washed   with   existing   white   sheets   and   pillowcases   and   other   white   linens,   without  worrying  about  colors  bleeding  and  discoloring  the  other  linen.          
  18. 18.     18   Biodegradable:  -­‐  In  the  capitalistic  3.0  economy  (Profit,  People,  Planet)  the  planet  plays  a   vital   role,   hence   the   developed   product   needs   to   meet   the   minimum   requirement   of   protecting   the   environment.   The   product   is   100%   biodegradable.   It   contains   no   heavy   metal  or  toxic  chemicals  it  is  of  composed  of  a  silane  quaternary  ammonium  salt.  Silane   basically   turns   to   sand,   and   ammonia   is   nitrogen,   which   transforms   into   fertilizer   when   mixed  with  soil,  during  landfill.  The  solution  is  in  compliance  with  EU  BPD  and  global  (US   EPA)   regulations.   The   Healthcare   industry   today   is   subject   to   enterprise   wide   risk   management.  As  one  of  the  risk  assessment  it  has  to  ensure,  they  are  using  environment   friendly   products   i.e.   biodegradable   material   to   comply   by   their   corporate   social   responsibility,   To   avoid   any   unwanted   allegation   from   the   social   media   or   social   organization  to  safeguard  and  protect  their  reputation.     With   introduction   of   this   new   concept   of   Antimicrobial   hospital   linen   produced   from   knitted  virgin  or  recycled  fiber  will  allow  St.  Luke’s  to  provide  value  creation  and  attract   customers.  It  will  encourage  and  improve  the  standard  of  the  Philippines  Health  industry  to   the  level  of  the  developed  European  and  USA  healthcare  industry.  It  will  hone  and  provide   competitive  advantage  to  the  emerging  healthcare  tourism  industry  in  the  Philippines.    
  19. 19.     19         Republic of the Philippines Department of Science and Technology INDUSTRIAL TECHNOLOGY DEVELOPMENT INSTITUTE Gen. Santos Ave., Bicutan, Taguig, Metro Manila Tel. nos. 837-2071 to 82 (DOST Trunklines) Fax : 837-3167; 837-0032 I T DI______________________________________________________________________________________ Our Business is Industry REPORT OF ANALYSIS STD-0503-003 Antimicrobial Activity-Dynamic Test of Surfaces ASTM E 2149 The Antimicrobial Activity-Dynamic Test of Surfaces ASTM E 2149 determines the effectiveness of fabric as a bactericidal antimicrobial. Method The antimicrobial activity of the Fabric was evaluated by the Antimicrobial Activity Dynamic Test of Surfaces ASTM E2149 for 105 CFU/ml of Escherichia coli ATCC 8739 and Candida albicans ATCC 10231. Plate counts are performed at zero hour and after 1 hour of inoculation at 37 0 C. Test Article: Fabric (Jersey) Test Organism: Escherichia coli ATCC 8739 Candida albicans ATCC 10231 Sample Size: 2.00 +/- 0.01 g Pre-Wet Medium: 0.01% Triton 100X Inoculum Concentration: E. coli = 141 x 105 -208 x 105 CFU/ml C. albicans = 24 x 10 4 -137 x 10 4 CFU/ml MICROORGANISM CONTAC T TIME SAMPLE INOCULUM LEVEL CFU PERCENT REDUCTION Treated 141 x 105 223 x 103 98.4%0 hr Untreated 141 x 10 5 62 x 10 5 56.0% Treated 208 x 105 25.4 x 103 98.8% Escherichia coli 1 hr Untreated 208 x 105 118.5 x 105 42.5% 0 hr Treated 137 x 10 4 224 x 10 3 83.6% Untreated 137x 104 117 x 104 14.2% 1 hr Treated 24 x 10 4 37 x 10 3 84.6% Candida albicans Untreated 24 x 104 180 x 103 25.0%
  20. 20.     20   Clinical  Test  Results  of  treated  Antimicrobial  Fabric.   TABLE  II    (Results)   AATCC  Method  100,  Antimicrobials  on  Fabrics1   AEM  5700  Antimicrobial  Agent  Treated  Bed  sheet   Microorganisms       Sample    %Reduction     Staphylococcus  aureus     Control     16   Gram  (+)  Bacteria       Treated  2     100       Escherichia  coli       Control     0   Gram  (-­‐)  Bacteria       Treated     99.6       Klebsiella  pneumonia     Control     0   Gram  (-­‐)  Bacteria       Treated     100       Saccharomyces  cerevisiae     Control     0   Yeast           Treated     99.9   1  DuPont  FC-­‐170  surfactant  used,  substituted  for  Rohm  and  Haas  Triton  X-­‐100   2  Fabric  was  Hospital  Bed  sheet    
  21. 21.     21   Overview:  -­‐   Antimicrobial   agents   are   used   to   kill   or   limit   growth   of   microorganisms.     Antimicrobial   Shield,  an  antimicrobial  agent  composed  of  a  silane  quaternary  ammonium  salt,  is  featured   for  its  durability  and  efficacy  against  both  gram-­‐negative  and  gram-­‐positive  bacteria.  This   research   studied   the   effectiveness   of   the   antimicrobial   agent   as   a   treatment   for   cotton   fabric.   Cotton   fabric   samples   were   coated   with   the   antimicrobial   agent,   and   then   tested   against  three  species  of  bacteria.  The  samples  were  shaken  in  a  bacterial  solution  to  allow   contact  with  the  microbes,  and  the  numbers  of  viable  bacteria  were  counted.  The  data  were   compared  to  the  numbers  of  bacteria  with  untreated  fabric.  This  research  reveals  that  the   antimicrobial  agent  reduced  the  numbers  of  bacteria  exposed  to  the  treated  cotton  fabric.   Research:  -­‐   Ø The  three  types  of  bacteria  were  Escherichia  coli,  Staphylococcus  epidermidis,  and   Bacillus  subtilus.  For  each  test,  the  bacteria  were  grown  in  Tryptic  Soy  Broth  (TSB)   for   eighteen   hours   at   room   temperature.   The   bacteria   were   diluted   in   0.003M   KH2PO4   to   72   percent   transmission   using   a   Vitek   Colorimeter.   For   testing,   the   bacteria  were  diluted  1:1000  to  1.5-­‐3.0  x  105  cfu/mL.  Then,  50mL  aliquots  of  the   diluted  bacteria  were  distributed  into  sterile  250mL  flasks.     Ø The  numbers  of  bacteria  were  determined  by  the  pour  plate  method  using  Tryptic   Soy  Agar  (TSA).  The  control  was  plated  at  “0”  contact  time.  The  nine  flasks  were   agitated  in  a  reciprocal  shaker  at  120  RPM.  After  one  hour,  all  bacteria  samples  were   plated  and  incubated  for  24  hours  at  35°C.      
  22. 22.     22   Results:  -­‐  It  was  discovered  that  the  antimicrobial  agent  did  exhibit  the  ability  to  kill  the   three  species  of  bacteria.   Acknowledgement:  -­‐  This  research  was  conducted  as  part  of  the  2004  Spaceflight  and  Life   Sciences  Training  Program  funded  by  the  National  Aeronautics  and  Space  Administration.   The  authors  recognize  the  support  of  the  Dynamac  Corporation,  the  NASA  Spaceflight  and   Life   Sciences   Training   Program   Academic   Partner   Alliance   and   the   United   States   Department  of  Agriculture.       Above  Graph:  Comparison  of  all  pure  cultures  used  with  and  without  the  antimicrobial   agent   Best  Care  Always  …..     Thank  you!       0 50 100 150 200 250 300 E.coli Staph Bacillus PresentBacteriaCFU/mL(X1000) Treated Untreated Control
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