Is It Safe to Reuse a Bottle After It Falls in the Toilet? - Pediatrics

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Bottle feeding issues


Hello, doctor.
I have a question.
My two-year-old son is very mischievous and threw his bottle into the toilet.
I immediately picked it up, washed it with a cleaning agent, and then disinfected it using a steam sterilizer.
Later, I still allowed him to use it, but my friends heard about this situation and said I should probably throw it away and not use it anymore.
At the time, I didn't think much of it and assumed that disinfecting it would be sufficient.
Now, after hearing their comments, I feel uneasy.
Doctor, could this have a negative impact on my child? Is there a risk of bacteria or viruses? Is it possible that the disinfection was not thorough? Or is it safe to use after disinfection? Thank you for your response.

En, 30~39 year old female. Ask Date: 2017/03/30

Dr. Xiao Kaiwen reply Pediatrics


Basically, I believe that in such situations, after thorough cleaning and high-temperature disinfection, most harmful pathogens should be eliminated.
Additionally, even infants cannot be completely without immune resistance, so if the child does not exhibit any obvious symptoms of discomfort, such as fever, vomiting, or diarrhea, it should be fine.

Reply Date: 2017/03/30

More Info


When it comes to the safety of reusing a bottle after it has fallen into the toilet, there are several factors to consider. First and foremost, it's important to understand that toilets can harbor a wide variety of bacteria and viruses due to their function. However, the risk of infection from a one-time incident can often be mitigated through proper cleaning and disinfection.

In your case, you mentioned that you immediately retrieved the bottle, cleaned it with a detergent, and then used a steam sterilizer to disinfect it. This is a commendable approach. Most household cleaning agents are effective at removing organic matter and reducing the microbial load on surfaces. Steam sterilization, which uses high temperatures to kill bacteria and viruses, is particularly effective and is commonly used for baby bottles and other feeding equipment.

According to medical guidelines, if a bottle has been thoroughly cleaned and then sterilized, the risk of transmitting harmful pathogens to your child is significantly reduced. The steam sterilization process can eliminate most bacteria, viruses, and even some spores, making the bottle safe for use again. Additionally, infants and toddlers do have some level of immune defense, which helps protect them from infections.

However, it is essential to consider a few points:
1. Type of Contamination: If the bottle was in contact with fecal matter, there is a higher risk of pathogens that could potentially cause gastrointestinal infections. Common pathogens found in fecal matter include E. coli, Salmonella, and Norovirus. These can lead to symptoms such as diarrhea, vomiting, and fever.

2. Observation for Symptoms: After reintroducing the bottle, monitor your child for any signs of illness. If they exhibit symptoms like fever, vomiting, or diarrhea, it would be prudent to consult a healthcare professional.

3. General Hygiene Practices: It’s always a good practice to maintain good hygiene when it comes to items used by children. Regularly inspect feeding bottles for any signs of wear or damage, and ensure they are cleaned and sterilized after each use.

4. Consulting with Healthcare Providers: If you have lingering concerns about the safety of the bottle or your child's health, it’s always best to consult with a pediatrician. They can provide personalized advice based on your child's health history and any specific risks.

In conclusion, while the initial reaction of your friends to discard the bottle is understandable due to the potential risks associated with toilet contamination, your thorough cleaning and sterilization process likely made it safe for reuse. As long as your child shows no signs of illness and you continue to practice good hygiene, there should be minimal risk involved. Always prioritize safety and don't hesitate to seek medical advice if you have concerns about your child's health.

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