title: Aerial release of bacteria from cot mattress materials and the sudden infant death syndrome.
abstract: OBJECTIVE
  To investigate aerial release of bacteria from used cot mattresses and to assess factors that may influence this process.
  
  
  RESULTS
  Movement on used mattresses, simulating that of an infant's head, significantly enhanced aerial release of naturally acquired bacteria from the polyurethane foams (total count data, P = 0.008; Staphylococcus aureus, P = 0.004) or from polyvinyl chloride covers (total count data, P = 0.001). Aerial release of naturally acquired bacteria from used cot mattresses showed high variability and was poorly correlated (R2 < or = 0.294) with bacterial cell density within the materials. In experiments involving inoculation of S. aureus and Escherichia coli onto the polyurethane of unused cot mattresses, aerial release of the species correlated well (R2 > or = 0.950) with inoculation density when simulated infant head movement was applied. Aerial release of these bacterial species from the material decreased with increase in width or aqueous content of the material, and was lower from polyurethane foam of a used cot mattress.
  
  
  CONCLUSIONS
  Simulated infant movement and mattress related factors influence aerial release of bacteria from cot mattress materials. With simulated infant movement on cot mattress polyurethane foam, levels of airborne bacteria above the material are proportional to bacterial population levels inoculated onto the material.
  
  
  CONCLUSIONS
  Cot mattresses harbouring relatively high levels of naturally acquired toxigenic bacteria, such as S. aureus, could pose a relatively high risk of infection to the infant's respiratory tract through increased aerial contamination. This has impact in the context of recent findings on cot mattress related risk factors for sudden infant death syndrome.
authors.affiliation: Leicester School of Pharmacy, De Montfort University, Leicester, UK.
authors.forename: R E
authors.initials: RE
authors.lastname: Sherburn
authors.forename: R O
authors.initials: RO
authors.lastname: Jenkins
mesh_terms: D016902:Air Pollution, Indoor; D001419:Bacteria; D001424:Bacterial Infections / Q000382:microbiology / Q000635:transmission; D001512:Bedding and Linens; D015169:Colony Count, Microbial; D004197:Disease Reservoirs; D004926:Escherichia coli; D006801:Humans; D007223:Infant; D015370:Infant Equipment; D007231:Infant, Newborn; D009068:Movement; D016017:Odds Ratio; D011140:Polyurethanes; D011143:Polyvinyl Chloride; D012306:Risk; D013211:Staphylococcus aureus; D013398:Sudden Infant Death / Q000209:etiology*
chemical_list: D011140:Polyurethanes; D011143:Polyvinyl Chloride