The following recommendations are based on the infection prevention and control guidelines for cystic fibrosis.
1. Keep a Safe 6-Foot Distance
Germs can spread as far as 6 feet (2 meters) through droplets released in the air when you cough or sneeze.
Stay at least 6 feet away from others with cystic fibrosis and anyone with a cold, flu or infection in all settings, both outdoors and especially indoors, such as at school or work.
For people with CF who do not live together, avoid activities that may put you in close contact with others with CF or anyone who is sick. Some examples of activities to avoid are:
- Shaking hands, hugging, or kissing
- Sharing car rides
- Sharing hotel rooms
- Taking the same fitness classes
2. Wash Your Hands
You can catch and spread germs when you touch something with germs already on it, like a doorknob or handrail, and then touch your eyes, nose, or mouth.
Wash your hands with soap and water or clean them with an alcohol-based hand gel. Encourage your family and friends to keep their hands clean as well.
Everyone should wash or clean their hands:
- Handling food
- Eating or drinking
- Beginning CF treatments
- Coughing or sneezing
- Using the bathroom
- Touching shared objects, like pens, doorknobs, or electronic keypads
- Touching or cleaning up after pets
- Finishing CF treatments
3. Cover Your Cough
You can spread germs to others when you cough or sneeze. Germs can remain in the air on tiny droplets — ready to be breathed in. They can also remain on surfaces long after you've coughed or sneezed on or near them.
Use a tissue when you cough or sneeze. Throw the tissue away immediately, then wash your hands with soap and water or clean them with an alcohol-based hand gel.
If you don't have a tissue, cough or sneeze into your inner elbow. Then, immediately was your hands with soap and water or clean them with an alcohol-based hand gel.
4. Clean and Disinfect Your Nebulizer
It is important to always clean and disinfect your nebulizer, because you can breathe in germs through your nebulizer and risk developing a lung infection. People with CF should have their own nebulizer and perform respiratory treatments in separate rooms to avoid spreading germs.
When Using a Reusable Nebulizer
After each use, clean and disinfect the nebulizer by following the CF Foundation's recommended nebulizer care. Watch the webcast, "Nebulizer Care in the Home."
- Air dry
There are two disinfecting options: heat and cold methods. Be sure to use a method that is permissible by the manufacturer.
- Boil for 5 minutes
- Microwave for 5 minutes
- Dishwasher 158 degrees for 30 minutes
- Electric steam sterilizer
- Soak in 70% isopropyl alcohol for 5 minutes
- Soak in 3% hydrogen peroxide for 30 minutes
When Using an Altera, eRapid™ or Other eFlow® Technology Nebulizer
After each use, clean and disinfect the nebulizer by following the CF Foundation's recommended steps for nebulizer care. Watch the video, "Cleaning and Disinfecting Your Altera or eFlow Nebulizer." (This video is also available in Spanish.)
In addition to following the disinfecting instructions provided with your specific nebulizer, keep the following in mind when disinfecting an eFlow® technology nebulizer:
- Do not use antibacterial soap or white liquid dish soap, like Ivory®
- Do not place the aerosol head face down on the paper towel to avoid picking up fibers
- Do not use a microwave steam sterilizer
5. Don't Share Personal Items
Germs can remain on surfaces of common objects, like straws and utensils, for hours. When you touch something with germs already on it, you can pick up and spread those germs.
Avoid sharing items that can come in contact with saliva or other body fluids. This is particularly important for respiratory equipment like nebulizers and airway clearance devices. People with CF should have their own nebulizer and airway clearance devices.
6. Avoid Frequent Contact with Dust and Dirt
Some germs can hide in soil and be carried on dust and dirt particles. You can get these germs if you breathe them in or transfer the germs by touching your eyes, nose, or mouth without first washing your hands.
Guard against these germs by limiting time spent doing activities that would put you in frequent contact with dust and dirt, like:
- Gardening or mowing the lawn
- Being around a construction site or home renovation
7. Let Your School or Workplace Know
Letting your school or workplace know you have CF is a personal decision. You do not have to disclose this information, but enlisting the help of your school or workplace can make it easier for you to keep a safe 6-foot distance and to minimize contact with others with CF.
If you attend school or work in the same setting with another person with CF, educate the school administrators or your employer about CF and work with them on ways to reduce the risk of getting and spreading germs. Reducing this risk among people with CF, as well as other students and staff, will help everyone stay healthy.
8. Get Vaccinated
Vaccinations help your body protect itself from germs, like the flu virus, which are especially dangerous for people with CF.
Help your body guard itself against germs by staying up to date on your vaccinations. Encourage your family and friends to also get vaccinated to reduce the risk of spreading germs.
For a list of what vaccinations to get and when to get them, talk to your care team at your next clinic visit.
You can also visit the Centers for Disease Control and Prevention's website.