R4Stars Monthly Contributors

Infection Control and Cystic Fibrosis
by Dr. Lynne M. Quittell, MD
Associate Clinical Professor of Pediatrics and Medicine
Director, Cystic Fibrosis Center
Columbia University

Infection Control is becoming increasingly important for people with Cystic Fibrosis. Although we do not know the source of germs for people with CF, there is increasing evidence that people with CF can acquire germs from each other and from the environment. The guidelines for infection control are changing as we have a greater understanding of germs in CF, how they are spread and the relationship between germs and lung disease in CF.

Infection control in CF is unique because people with CF receive their health care in many different places including the clinic setting, hospital and at home. It is time consuming and costly.

Germs can be spread in different ways; 1) direct contact with infected secretions 2) indirect contact with infected secretions and 3) droplets of infected secretions. It should be assumed that all people with CF have germs in their respiratory tract.

All people with CF should contain their secretions to minimize contact with each others germs. In addition, people with CF should avoid activities that increase the risk of transmission of germs. Good infection control control measures include germ containment ( coughing into a tissue and discarding the tissue), hand hygiene and minimizing contact with other people with CF. People with CF should not share rooms in hospital and should remain 3 feet from each other. It is very important that respiratory equipment be cleaned properly. Directions for cleaning equipment should be addressed with you CF Center.

As we learn more about infections the relationship between germs and lung disease in CF, these guidelines will change. It is important to stay educated and educate those around you. Further information on infection control can be obtained from you local CF Center and the Cystic Fibrosis Foundation.