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    Do You Need a Pillow Protector?

    Experts explain how a good pillow protector can shield your bedding from unwanted allergens and bacteria

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    close up of hands putting pillow into pillow protector
    Pillow protectors provide an extra barrier against moisture, stains, and everyday wear.
    Photo: Getty Images

    When your head touches the pillow at night, the fact that it could be making you sick probably never crosses your mind. But there might be something on your pillowcase that’s harming your health: dust mites.

    These microscopic bugs and their droppings are a common household allergen that can be found in bedding, mattresses, upholstered furniture, and curtains—anywhere moisture and dead skin cells collect. Pillows are one of their favorite homes.

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    "Over time, hair, dead skin cells, sweat, and drool build up on the pillow," says Neil Kao, MD, an allergist-immunologist in Greenville, S.C. The result is a smorgasbord for dust mites but bad news for your health.

    More on Bedding

    "Dust mite debris can trigger allergies, asthma, and eczema," says Melanie Carver, chief mission officer at the Asthma and Allergy Foundation of America (AAFA). Symptoms can range from itchy eyes and runny noses (some of which can be remedied by over-the-counter medication), to more serious issues like difficulty breathing and sleeping, according to the American Lung Association.

    "For people with dust mite allergy and asthma, reducing exposure to dust mites is an important part of their asthma management plan," Carver says.

    A pillow protector that’s certified by the AAFA to reduce the accumulation of dust mites can help. Pillow protectors are designed to defend your pillows against damage and dirt. Acting as an additional layer that sits between your pillow and the pillow case, you fit them on just as you would a regular pillow case—with some pillow protectors featuring a zipper closure or fold-over flap. 

    AAFA-certified pillow protectors “have microscopic pores that are too small for dead cells and hairs to pass through into the pillow," Kao explains. Moreover, dust mites have a tough time building their homes without a food source. 

    You can expect to pay anywhere from $7 to $30 for a regular pillow protector and $20 to $60 for an AAFA-certified pillow protector.

    How to Find the Right Pillow Protector

    For a protector that will keep dust mites out of your pillow, check that the product label displays a fabric pore size (the size of openings in the weave) of no greater than 6 micrometers or microns. You’ll also want to look for the words "woven fabric" to ensure the pillow protector is made from a tighter knit material that will limit dust mite contact.

    It’s also a good idea to zero in on pillow protectors that are certified by the AAFA. These will say "Certified Asthma and Allergy Friendly" or "Meets Certification Standards" on the packaging, along with the AAFA logo. Pillows with this certification have been tested to make sure they block more than 99 percent of dust mite allergens before the first wash, and 95 percent after 18 washes. 

    But you’re not done just because you’ve zipped a protector over your pillow. Remember to wash the pillow and the protector regularly. "AAFA recommends that bedding materials be washed weekly in hot water to remove dust mites," says Carver. 

    Just remember that repeated washings can degrade a pillow protector’s permeability. So check the manufacturer’s recommendation for when to replace it. As a rule of thumb, Carver suggests replacing pillows every two years or sooner. And by using a certified asthma and allergy pillow protector, you may extend the life of your pillow, she adds.

    Shopping for pillows along with pillow protectors? Below, CR members can see four of the top-rated pillows from our tests. For more options, check out our full pillow ratings, which feature reviews of almost 40 pillows. You can also read our pillow buying guide to learn more about the different types of pillows and how we test each type.

    Best Pillows


    Haniya Rae

    Haniya Rae

    Haniya Rae is a former home and mattress reporter for CR. Previously, she wrote about consumer advocacy issues for The Atlantic, PC Magazine, Popular Science, and others.