Household safety
Laundry during chemotherapy
Only if they are soiled with urine, stool, vomit or blood, and only for the first day or two after a cycle. Ordinary worn clothes go in with everybody else's, for the whole course. There is no need to run a separate wash for months, and doing so exhausts the household for nothing.
The short answer
Should clothes be washed separately during chemotherapy?
Only if they are soiled with urine, stool, vomit or blood, and only for the first day or two after a cycle. Ordinary worn clothes go in with everybody else's, for the whole course. There is no need to run a separate wash for months.
Soiled items should be handled with gloves, kept apart, rinsed if heavily soiled and then washed on their own in hot water with ordinary detergent. After that short window, everything goes back to normal.
The person doing the laundry is who this protects
Not the patient. That is why pregnant women and children should not handle soiled washing in those first days, and why gloves are worth keeping in the house before you need them.
Skin is often sensitive, which changes the detergent
Separate from any safety question, skin frequently becomes dry and easily irritated during treatment. A mild unscented detergent and a thorough rinse make more difference to comfort than anything else on this page.
Ask your nurse how many days the soiled-laundry precautions apply for your drugs, and write it down.How to do it
The practical steps
- Ordinary worn clothes
- Wash with the household's, as usual, throughout the course. No separation, no special temperature, no separate bucket. This covers the great majority of the laundry.
- Soiled items in the first days
- Anything with urine, stool, vomit or blood on it during the first day or two after a cycle. Gloves on, kept in a separate bag, rinsed if heavily soiled, washed alone in hot water.
- Who handles them
- Any adult other than a pregnant or breastfeeding woman. Keep children out of it. If household help does the laundry, tell them which days apply and make sure gloves are available.
- The detergent
- Ordinary detergent is sufficient for safety. For comfort, choose a mild unscented one and rinse thoroughly, because skin becomes easily irritated during treatment. Skip fabric softener and heavy perfume.
- Bedding and towels
- Changed as often as usual, more if there has been sweating, which is common. Give the patient their own towel to reduce sharing of infections within the household rather than for drug safety.
- Drying
- In sunlight where possible, which is a reasonable everyday habit. Bring washing in before dust and evening damp, particularly if somebody in the house has a cough.
Not sure whether this applies to you?
Ask an oncologistComfort
Making clothes easier to live in
Often more useful day to day than the safety rules.
Soft cotton, loosely cut
Skin becomes dry and easily irritated, and seams, elastic and synthetic fabric all rub. Loose cotton, washed in something mild, is what most people end up living in through a course.
Avoid
- Tight waistbands and rough seams
- Strongly perfumed detergent and softener
Nothing tight over a port or line
Bra straps, bag straps and shoulder seams sitting directly over a chest port rub and ache. Front-opening tops also make treatment days far easier for everybody.
Plan for sweating
Night sweats are common, and so is waking in damp clothes. Keep two spare sets and a spare sheet within reach of the bed so a change does not mean somebody hunting through a cupboard at 3am.
Keep by the bed
- A change of clothes and a towel
- A spare sheet or draw sheet
Protect the mattress
A washable sheet or protector saves a great deal of trouble if there is vomiting or incontinence. Unglamorous, cheap, and the thing families most often wish they had bought earlier.
Being straight with you
What this page cannot tell you
It cannot tell you the exact number of days. It varies by drug, from about a day to several, and your nurse can give you the figure for your own treatment in a sentence. Ask once and write it down for the household.
It also cannot tell you whether a skin problem is from detergent or from the treatment. Rashes, dryness and peeling are common side effects in their own right, and a rash that is spreading or blistering needs reporting rather than a change of washing powder.
Do not turn this into a daily ritual
Separate buckets, boiling water and gloves for the whole course exhausts whoever is doing it and protects nobody beyond those first days. The energy is needed elsewhere, particularly in the difficult week.
Tell whoever actually does the washing
Household help, a visiting relative, or a dhobi collecting clothes. If the instruction lives only with the main attendant, it will not be followed on the day they are at the hospital.
Agree who does it before the first cycle
This is one of the household jobs that quietly lands on whoever is already doing everything else, usually the main attendant, who is also the person going to the hospital and managing the medicines. Name somebody else for the laundry if you can. It is a small task on any single day and a heavy one across six months, and sharing it out is the kind of decision that keeps a household functioning to the end of a course rather than running out of energy in the middle of one.
Hand washing by the bucket is the harder case
Many households wash by hand rather than by machine, which means longer contact with soiled items. Gloves matter more here, as does a separate bucket kept only for that purpose during those first days, rinsed out afterwards. If a machine is available for soiled items in that window, use it in preference.
What to do next
Ask how many days the soiled-laundry precautions apply. Keep disposable gloves and a spare sheet in the house. Switch to a mild unscented detergent. Give the patient their own towel. And put a change of clothes within reach of the bed.
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Commonly believed
Four beliefs about laundry
Only soiled items, and only for the first day or two after a cycle. Ordinary worn clothes go in with everybody else's throughout. A separate wash for months tires the household and achieves nothing.
Hot water and ordinary detergent are sufficient for soiled items in that window. Boiling everything damages clothes, uses fuel and adds no protection. Save the effort for the week it is actually needed.
Strongly perfumed detergents and fabric softeners irritate skin that treatment has already made dry and sensitive. A mild unscented detergent with a thorough rinse is better for comfort and equally safe.
They do, because they are the people actually handling the washing. Tell them which days apply, make gloves available, and agree that they stay away when they are unwell themselves.
Questions we are asked
Common questions about laundry
Do all the patient's clothes need separate washing?
No. Only items soiled with urine, stool, vomit or blood, and only during the first day or two after a cycle. Ordinary worn clothes go in with the household's wash throughout.
For how long after a cycle?
Usually the first day or two, varying by drug from about a day to several. Ask your nurse for your own figure and write it down so the household is not guessing.
How should soiled items be washed?
Gloves on, kept in a separate bag, rinsed first if heavily soiled, then washed alone in hot water with ordinary detergent. Wash hands well afterwards.
Who should not handle them?
Pregnant and breastfeeding women, and children. Ask another adult in the household, and make sure gloves are available so it is not a reason for anybody to refuse.
Which detergent is best?
A mild unscented one, rinsed thoroughly, because skin becomes dry and easily irritated during treatment. Skip fabric softener and heavy perfume. Ordinary detergent is fine for safety.
What about towels and bedding?
Change as usual and more often if there has been sweating, which is common. Give the patient their own towel, which reduces sharing of ordinary infections within the house.
Should we protect the mattress?
A washable sheet or protector is well worth it if there is vomiting or any incontinence. Families most often wish they had bought one earlier than they did.
My skin is itching. Is it the detergent?
It may be, and dryness and rashes are also common side effects in their own right. Try a mild unscented detergent, and report a rash that is spreading or blistering rather than changing washing powder again.
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Sources
- Cancer Research UK — Safety at home during chemotherapy
- Macmillan Cancer Support — Having chemotherapy at home
- National Cancer Institute — Chemotherapy and You
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
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