Both usually have nothing to do with acne. Its usually hormone imbalance related instead. Changing the pillow cases often does make a big difference to the condition of the acne on peoples faces. To get around the problem, you could buy some cheap towels from a supermarket, wash them at 90C and wrap your pillow in 1 half of the towel, then the other half the next night and then change the towel and wash it again.
Wouldn't get rid of spores, as pretty much nothing can, yet no bacteria would survive that which can live in household conditions anyway.
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