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
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
• 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

23.
23