Will The Tie Thing® Revolutionize The Medical Industry By Reducing Communicable Bacteria & Disease!?

A New Solution to an old, but serious Medical Challenge (2004-2015)

Preventing Communicable Bacteria/ Diseases in Non-Operating Room Environments?

A newly developed product application from Wilkins Medical Apparel.

"Mission Critical" ed. 2014: According to CDC's National Healthcare Safety Network, a growing number of healthcare-associated infections are caused by bacteria that are resistant to multiple antibiotics.

Related Study from the IDSA: "Do Nano-treated Neckties Reduce the Carriage of Bacterial Pathogens from Neckties of Physicians?"

Conclusions: Nano-treated neckties did not prevent the bacterial carriage on physicians’ neckties.

 John Cawley, BS, Mayo Clinic, Jacksonville, FL, Mary Hedges, MD, Mayo Clinic Florida, Salvador Alvarez, MD, Mayo Clinic Jacksonville, Jacksonville, FL, Wendelyn Bosch, MD, Infectious Diseases, Mayo Clinic Florida, Jacksonville, FL 

 "The white overcoat, worn by many doctors, can help keep doctors' clothes clean, but only if they're fastened — and worn." James Kenealy, an ear nose and throat specialist in Framingham, Mass., who often treats children, says he normally wears a white coat over his shirt and tie, but he sheds it "when a young patient looks anxious." There are numerous studies from Physicians in all fields of practice confirming this important point. "Rules & Recommendations" are insufficient to assure medical coats are used to secure neckties. Additional reviews of patient's experience also indicate this as typical and were also often surprised as to the potential hazards they had never considered before. Most are now on the lookout for swinging neckties on their Doctors. Additional Data can be found on the Physicians Page.

Since 2004, The Medical Community has been informed about Neckties Carrying Bacteria!

  • Amednews.com
  • American Medical News

    “Neckwear as germ-spreader? More than a stain on your tie”

    A new study provides a good lesson in cleanliness and could be a boon for the sale of tie clips and bow ties. (Note: It has not. Why?, because they failed to function as needed).

    By Damon Adams — Posted June 21, 2004

    Germ carrier

    A study of physician neckties in New York found that ties carry more than lunch stains. They are a nesting ground for bacteria that can cause disease. Here is what researchers discovered:

    • One in four neckties carried Staphylococcus aureus.
    • One in eight harbored hospital-acquired bacteria, such as Klebsiella pneumonia, Pseudomonas aeruginosa and Acinetobacter baumannii.
    • 47.6% harbored potential pathogens.


  • WebMD Health NewsTies Look Professional but May Carry Infection Risks for Patients Reviewed by Charlotte E. Grayson Mathis, MD
    1. By Jeanie Lerche Davis


      • Laboratory testing showed that 20 of 42 clinicians' neckties carried bacteria, compared with 1 out of 10 of the ties worn by security guards, reports Nurkin.
      • SOURCE: 104th general meeting of the American Society for Microbiology, New Orleans, May 23-27, 2004.    


    NewScientist“Doctors' ties harbour disease-causing germs”


  • NBCNEWS- Infectious Diseases “ Hospital Attire Harbors Nasty Bacteria NEW Study Says”
  • updated 8/31/2011 8:20:59 AM ET
  • By JoNel Aleccia Health writer msnbc.com

  • “…studies in Britain and the United States have suggested that hospital worker attire — including neckties, long-sleeved shirts or coats, and watches, rings and other jewelry — could harbor bacteria that might be passed on to patients.
  • http://www.nbcnews.com/id/44334682/ns/health-infectious_diseases/t/hospital-garb-harbors-nasty-bacteria-new-study-says/#.VTZuCbB_mM8
  • FORBES“Deadly Germs May Lurk In Your Doctor's Clothing” 
    1. Rob Szczerba 2/18/2015 @ 8:14AM
  • “According to the Centers for Disease Control and Prevention (CDC), about 1 in every 25 inpatients has an infection related to hospital care.”
  • “February 2014 issue of the Infection Control and Hospital Epidemiology journal addresses the issue of contamination of healthcare personnel attire in non-operating room settings
  • HCP (Healthcare Personnel Attire in Non-Operating-Room Settings)  
      • From: Infection Control and Hospital Epidemiology
      •                 “…we cannot recommend limiting the use of other specific items of HCP apparel (such as neckties). If neckties are worn, they should be secured by a white coat or other means * to prevent them from coming into direct contact with the patient or near-patient environment.”

    Ties: Several studies indicated that neckties may be colonized with pathogenic bacteria, including S. aureus. Lopez et al31 reported a significantly higher bacterial burden on neckties than on the front shirt pocket of the same subject. In 3 studies, up to 32% of physician neckties grew S. aureus.5,31,37 Steinlechner et al37 identified additional potential pathogens and commensals from necktie cultures, including Bacillus species and gram-negative bacilli. Two reports found that up to 70% of physicians admitted having never cleaned their ties.5,31


  • http://www.jstor.org/stable/10.1086/675066
  •                  Note: Tie Pins or Clips do not provide this security and can actually create other safety issues.               

  • USA Today “Germy lab coats and ties prompt dress code for doctors”             
  •   Kim Painter, Special for USA TODAY 4:13 p.m. EST January 21, 2014

  • Studies have yet to show that grimy coats and swinging ties play a major role in spreading those germs, but a push for cleaner attire makes sense, says new expert guidance from the Society for Healthcare Epidemiology of America, published online last week in the journal Infection Control and Hospital Epidemiology.
  • "We've not made the definitive link showing someone getting a hospital-acquired infection from the tip of someone's neck tie, but there's reason to suspect it could happen," says Gonzalo Bearman, an infectious disease specialist from Virginia Commonwealth University, Richmond. He was on the committee that developed the recommendations. He says they are "common sense" ideas "based on scientific evidence,"
  • Studies have found that about a third of doctors' ties are contaminated with Staphylococcus aureus bacteria – and that up to 70% of physicians admit to never cleaning them
  • http://www.usatoday.com/story/news/nation/2014/01/21/doctor-dress-code-germs/4718253/

  • ABC NEWS“Study Finds Doctors' Neckties Carry Pathogens”

  • By Amanda Onion May 25 2015
  • “When your doctor smoothes his tie, leans over, places a stick in your mouth and asks you to say "ah," have you ever found yourself wondering where his tie has been?” 
  • Steven Nurkin, the fourth-year medical student at the Bruce Rappaport Faculty of Medicine in Haifa, Israel, got to thinking that with hospital infections affecting 5-10 percent of all admitted patients, it might be interesting to analyze doctors' neckties for disease-causing pathogens, presented his findings Monday at an American Society for Microbiology meeting.
  • Among 42 male surgical clinicians surveyed at the New York Hospital, Queens, nearly half were toting infection-causing pathogens on their ties. Some of the surveyed doctors wore white coats, but almost none kept them closed because, Nurkin says, they found it too restricting.”
  • "The necktie is important for the doctor-patient relationship," said Nurkin. "But it's also there on the front lines — dangling in front of patients as the doctor makes his rounds." 



                        Summary: (ABC NEWS Cont.)


  • Infections can be a deadly and pricey problem for hospitals. A 2003 study found that hospital-borne pathogens lead to over 2 million infections and about 90,000 deaths a year. The problem costs the health care industry $4.5 billion to $5.7 billion a year, concluded the research, which appeared in the New England Journal of Medicine.


    Nurkin is quick to point out that his study did not prove doctors' neckties spread infection in hospitals, only that they carry this potential.


    Among the assorted agents found on doctors' neckties in Queens, Nurkin found the bacteria Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus and the fungus, Aspergillus, all of which can cause infection, particularly in patients who are already ill.


    Nurkin adds, however, that while some of the agents he found on the doctors' ties tend to be acquired in hospitals and drug resistant, none are serious, multidrug-resistant organisms.


    Still, he says, the results raise a red flag.


    "This shows that we need to increase our awareness of what we bring to our patients' bedsides," said Nurkin, who recalled seeing doctors carefully wash their hands before seeing their patients and then taking a moment to straighten their tie before entering the examining room (and possibly re-contaminating their hands).


    The white overcoat, worn by many doctors, can help keep doctors' clothes clean, but only if they're fastened — and worn. James Kenealy, an ear nose and throat specialist in Framingham, Mass., who often treats children, says he normally wears a white coat over his shirt and tie, but he sheds it "when a young patient looks anxious."


    White coats aside, Judith Rasband, an image management consultant based in Provo, Utah, argues the benefits of wearing a tie for male doctors outweigh any infectious risk (!).

  • http://abcnews.go.com/Technology/story?id=99526

    What we do:

    We have developed a solution to an increasingly critical medical challenge of substantially reducing the cross-contamination of potentially dangerous bacteria and pathogens in Non-Operating Environments between patients and physicians during exams and other medical procedures.


    Through a very our simple patented device applied to any physicians apparel which reduces significantly potentially contaminated surfaces such as neckties which have been proven to reside on Physicians/Medical Assistant's neckties since studies began in earnest in 2004, but yet to be addressed or solutions found to a then $5.7 Billion* annual expense to clinics, hospitals and physician's nationally directly attributed to physician to patient contact and contamination.

    Solution: The Physician's Necktie Restraint [PNR] “The Tie Thing” ® www.thetiething.com Originally designed and patented to control men’s ties from swinging over food, blowing in the wind, and generally moving about at will.

    The Tie Thing®, [PNR] which is a well-constructed, small fabric device which, after being slipped through the loop/tag behind the tie, is then buttoned to the shirt above and below the loop keeping the “trouble” end [bottom third] out of harm’s way.

    Since Clips and Pins are unable to control the bottom of the tie (and are rarely used in hospital/clinic environments), and, as stated above, white coats are often open or removed leaving the tie to become contaminated, The Tie Thing® by Wilkins Apparel LLC is the perfect, easy-to-use and inexpensive solution to address a multi-Billion dollar risk in the medical community and is quickly being embraced by the medical/biological/communicable disease population.