Sanitize vs Sterile
OK, a bit of Med/Sug nursing 101 here:
Sanitise is the reduction of "germs" to levels where they will be least likely to cause illness.
Sterile is to render a surface totally free of micro-organisms likely to cause illness.
In a hospital setting there are sterile and merely sanitizsed areas. In the OR, for instance you have what is called a "sterile field", which means everything within that area is supposed to be sterile. Outside of that area is only sanitised. In the sterile field linens,instruments,gowns,and so on would have been autoclaved orotherwise rendered sterile before use. The linens nurses make up the bed in your room with have only been "sanitised" that is laundered in such a way pathogen levels have been reduced.
It is impossible to render anything "sterile" that is not handled the same way. For instance even if one could remove 100% of all pathogens in laundry, unless one transferred that same laundry to a dryer using "sterile" techniques, it would likely be reinfected with whatever is on the surfaces the laundry comes into contact with.
For instance, most people load dirty laundry in such a way it touches the outside or parts of the washing machine that are not likely to come in contact with washing solution. Thus taking laundry out and allowing it to drag across those surfaces would "infect" them once again.
Commercial laundries that deal with "infected" laundry may have dual door washers. Onen side is "dirty" and the other "clean". Soiled laundry is loaded on one side of the unit, and clean laundry removed from the other. In this way clean laundry does not ever come in contact soiled. Many of these laundries will extend this to having a "soiled" and "clean" side of the laundry room physically separated from each other. This further insures minimal transfer of pathogens from soiled laundry and surfaces it has come in contact with, to clean laundry.
Yes, temp alone unless subected to pressure like an autoclave or oven is not always enough kill all pathogens. This is why sterlisation takes place after an item has been throughly cleaned. In fact to properly disenfect any surface/item gross filth and soil should be cleaned away before application of chemicals. Even chlorine bleach is more effective as a laundry sanitiser if used in the presence of low levels of pathogens. This one of the reasons why commercial laundries have a separate cycle for bleaching, which follows the main wash cycle. The main wash cycle will remove most of the soils and germs, leaving bleach to take care of the rest. This also allows for use of much lower levels of bleach, as the bleach does not have to overcome large amounts of pathogens/soils.
Launderess