<?xml version="1.0" encoding="utf-8"?>
<article article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
    <front>
        <journal-meta>
            <journal-id journal-id-type="publisher-id">TOBIOJ</journal-id>
            <journal-title>The Open Biology Journal</journal-title>
            <abbrev-journal-title abbrev-type="pubmed">Open Biol. J.</abbrev-journal-title>
            <issn pub-type="epub">1874-1967</issn>
            <publisher>
                <publisher-name>Bentham Open</publisher-name>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="publisher-id">TOBIOJ-6-1</article-id>
            <article-id pub-id-type="doi">10.2174/1874196701306010001</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Biology</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Safety of Using Diapers Containing Copper Oxide in Chronic Care Elderly Patients</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>I</surname>
                        <given-names>Weinberg</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>A</surname>
                        <given-names>Lazary</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff1">1</xref>
                    <xref ref-type="corresp" rid="cor1">&#x002A;</xref>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>A</surname>
                        <given-names>Jefidoff</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff1">1</xref>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>J-J</surname>
                        <given-names>Vatine</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff1">1</xref>
                    <xref ref-type="aff" rid="aff2">2</xref>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>G</surname>
                        <given-names>Borkow</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff3">3</xref>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>N</surname>
                        <given-names>Ohana</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff1">1</xref>
                </contrib>
            </contrib-group>
            <aff id="aff1">
                <label>1</label>Reuth Medical Center, 2 Ha'Hayil Blvd., Tel Aviv 61092, Israel</aff>
            <aff id="aff2">
                <label>2</label>Department of Rehabilitation Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 61092, Israel</aff>
            <aff id="aff3">
                <label>3</label>Cupron Scientific, Hasadnaot 10, Herzliya 46733, Israel</aff>
            <author-notes>
                <corresp id="cor1">
                    <label>&#x002A;</label>Address correspondence to this author at the Reuth Medical Center, 2
Ha'Hayil Blvd., Tel Aviv 61092, Israel; Tel: +972-3-6383674;
Fax: +972-3-6383649; E-mail: <email xlink:href="lazary@reuth.org.il">lazary@reuth.org.il</email></corresp>
            </author-notes>
            <pub-date pub-type="epub">
                <day>22</day>
                <month>2</month>
                <year>2013</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2013</year>
            </pub-date>
            <volume>6</volume>
            <fpage>1</fpage>
            <lpage>7</lpage>
            <history>
                <date date-type="received">
                    <day>3</day>
                    <month>12</month>
                    <year>2012</year>
                </date>
                <date date-type="rev-recd">
                    <day>14</day>
                    <month>01</month>
                    <year>2013</year>
                </date>
                <date date-type="accepted">
                    <day>15</day>
                    <month>01</month>
                    <year>2013</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>&#x00A9; 2013 Weinberg <italic>et al</italic>.</copyright-statement>
                <copyright-year>2013</copyright-year>
                <copyright-holder>Weinberg I</copyright-holder>
                <license license-type="open-access" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://creativecommons.org/licenses/by/4.0/legalcode">
                    <p>This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: <uri xlink:href="https://creativecommons.org/licenses/by/4.0/legalcode">https://creativecommons.org/licenses/by/4.0/legalcode</uri>. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</p>
                </license>
            </permissions>
            <abstract>
                <p>Copper has very potent antibacterial, antifungal, antiviral and acaricidal properties. Recently the use of copper
alloys in hospital wards has been shown to reduce bioburden and nosocomial infection rates. We hypothesized that the use
of copper oxide in textiles and other products that are in close contact with the patients may significantly reduce
bioburden in clinical settings and consequently reduce the risk of nosocomial infections. In order to test this hypothesis we
intend to conduct a trial in which we will examine if the nosocomial infection rates in a chronic care ward will be reduced
when all the textile products will include copper oxide. The risk of adverse reactions due to dermal contact with copper
are considered extremely low and medical devices containing copper, such as intrauterine devices and dental amalgams,
are safely used for decades. Textile products containing copper oxide are being sold worldwide for several years and not
even one adverse reaction was noted. However, in spite of all the above, and in preparation to the clinical trial we intend
to conduct in a chronic care ward (long-term care facility), we conducted this preliminary study in which we examined the
safety of using copper oxide impregnated diapers in 16 chronic care patients that used the diapers for 6 consecutive
months. Importantly, not even one adverse reaction was recorded during the whole trial, indicating the high safety of the
diapers. Therefore, this study allows us to examine the efficacy of textiles containing copper oxide in reducing nosocomial
infections in larger populations, including in frail chronic care patients.</p>
            </abstract>
            <kwd-group>
                <title>Keywords</title>
                <kwd>Vegetative state</kwd>
                <kwd>clinical trial</kwd>
                <kwd>copper oxide</kwd>
                <kwd>diapers</kwd>
                <kwd>safety</kwd>
                <kwd>skin</kwd>
            </kwd-group>
        </article-meta>
    </front>
</article>
