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How to Reduce Spread of E. coli 0157:H7 Infection to Close Contacts

Diarrhea illness from E. coli 0157:H7 infection is easy to spread to family members and other household contacts. Because it can be a serious illness, it is important to try to reduce the chances of spreading it to your close contacts. If you have been diagnosed with an E. coli 0157:H7 infection, follow these tips to help prevent others around you from becoming sick.

Persons with E. coli 0157:H7 infection can spread the disease from the time they have diarrhea or vomiting until they are no longer shedding the E. coli bacteria in their stool. These measures should be followed until you have two stool cultures that do not contain this particular bacterium.

Please contact your local health department if you have questions or concerns.

Hand washing

  • Wash hands with soap and water often. 
  • It is especially important to wash hands after using the toilet or changing diapers. 
  • Lather hands with soap and rub hard for at least 15 seconds before rinsing with warm water. 
  • Use a paper towel to dry hands, and then throw in the trash. If you need to use a cloth towel, do not share the towel with others until it has been laundered. 
  • You may use an alcohol hand sanitizer if you are not near a sink. Be sure to rub it over all parts of your hands and allow to air dry for about 30 seconds.

Avoiding contact with others

  •  Avoid being in the kitchen or other areas where food is being prepared. Do not handle food, beverages, dishes, or utensils that will be used by others. 
  • Avoid close contact with others when possible. Stay home from day care, school, and work. This is especially important for food handlers, day care workers, and health care workers. 
  • If close contact with a household member is necessary, consider showering or bathing before contact, especially after an episode of diarrhea or vomiting. 
  • Do not share a bathroom if possible. If others must use the same bathroom as an ill person, clean toilet and surfaces with a household disinfectant before use by others. Consider wearing disposable gloves while cleaning, and wash hands after cleaning, whether or not gloves were worn. 
  • Avoid swimming in public pools, lakes, or bathing with others.

Cleaning and disinfection

  • Immediately disinfect bathrooms or other areas where diarrhea or vomiting episodes have occurred, using a household disinfectant such as bleach (1 cup bleach plus 9 cups warm water) or LysolŪ. Follow the directions on the product label. When illness is over, thoroughly clean all areas, surfaces, and items that came in contact with the sick person. 
  • Wash used dishes, cups, glasses, and utensils with hot soapy water or in the dishwasher. 
  • Used disposable diapers from an infected child should be placed in a sealable bag and then thrown in the regular trash. 
  • Used linens, clothes, towels, and other laundry may be washed routinely before use by others. Items heavily soiled with stool should be washed separately in detergent and hot water or bleach and warm water, and dried in a hot dryer.

If you are a food handler, day care worker, health care worker, day care attendee, or student, please contact your local health department before returning to work or school after you are no longer sick.

Last Revised: October 19, 2007