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hygiene

Question
Hello,
I have a two year old child with CF and was wondering since when did we become aware of the importance of hygiene? And if with all this chlorination does cystic fibrosis actually progress more slowly? Is there data on this subject?

On the other hand if you are very strict concerning hygiene at home, it is necessarily less on our friends, families ... (you can not ask them not to use sponges and bleach every week) ... Is the risk of infection via these people really important? Should we deny our children with cystic fibrosis to use toilets, showers, sinks that are not ours? Should we ask the people who use sponges to wash their hands immediately after?

I thank you and congratulate you for your support for families!
Answer
Hello and thank you for your involvment!
One of the goals in the treatment of cystic fibrosis (among others) is to limit and delay chronic colonization with certain bacteria.
Knowing the places and situations most at risk at home and in the environment can reduce the risk of germ transmission. In the absence of studies proving that such a measure would prevent specific bacterial contamination in cystic fibrosis, it is recommended to follow general advice on basic hygiene.
The objective is to minimize stagnant wetlands and germ reservoirs (including the bathroom). [cf. study Schelstraete ERJ 2008; 31:822].
Bleach is a cheap disinfectant and an efficient help to reduce this risk but it must be used in accordance with its instructions.

For the well being of your child, for a better quality of life for the whole family and still awaiting the results of future studies on this subject it seems important today to apply at home the basic rules of hygiene, simple and without excess.
A study published by John Henderson in the European Respiratory Journal (ERJ) February 27, 2008, tends to prove that excessive use of household chemicals is harmful for the respiratory health of children.

Contamination is still possible, its origin is often overlooked and yet still random.

Sincerely
Yann Kerneur
18.02.2013