Contact precautions

Clean, clean, clean

As my microbio professor noted,
"bugs" don't just float/crawl/jump/swim/teleport around, they are found in some form of substrate, be it a gallon bucket of pond bottom sludge or microscopic dust particles floating on air currents. The drier and tinier the substrate (other than purposeful weaponization measures), the less likely the organism is, statistically, to survive.

The Pareto Prinicple applies here. You can get the most antimicobial effect (the 80% part of the equation) through some of the simplest means of reducing the microbe load (the 20% part of the equation); these are covering coughs and sneezes (the air), washing hands until they are clean (#1 means of transfering critters from/to yourself), and scrupulously cleaning environmental surfaces (reduce the fomite reservoir, and catches airbornes which have ceased to float). Almost everything else is a refinement, except for one aspect: chemicals designed to be used to kill microbes chemically (anitseptics, antibiotics, antivirals. Use of sunlight and artificial UV is the exception, but it can be argued that UV is a radiative means of antimicrobial).

People fall victim to the "holy water syndrome", whereby they find a useful means to control infections (i.e., antibiotics, alcohol handwashes, etc) and begin to ignore the basic measures. If you watch many people apply alcohol hand cleaners, they use about 1/4 to 1 tsp of cleaner, rapidly slather it over their hands, then either let it absorb and evaporate, or wipe it off on their clothes or a paper towel. Spray cleaners: spritz a light mist on, then wipe it around. Disruption of the protective substrate is not effective, and it is not removed.

Remember what Mom and Mr Clean taught you: use an effective cleaner (detergent, polar or nonpolar solvent, soap), get a clean rag or paper towel or running waterl, scrub it until it is clean (not just saturated with your "holy water") then throw it away, rinse it down the drain or disinfect it terminally (fire, high % bleach, autoclave, etc). Don't take that smelly mop or funky moist table wiper and swish it around, trusting the "Mighty Brand X Buggetta" to work it's magic.

C.difficele is an anal-oral bug which sporulates. It doesn't fly out your arse or spring from the toilets and bedpans like mayflies. There is a link in our health institutions which carries fecal contaminated material to our mouths, pure and not so simple. Break as many routes for it to get out of the GI tract to the environment and you will cut it back appreciably.
 
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