Can Picking Up Items from Public Toilets Cause Infections? - Urology

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Does it cause an infection?


Hello, doctor.
If an object falls into a public toilet and I pick it up, will washing my hands with clean water cause indirect infection or sexually transmitted diseases? I'm concerned that if my hands are not thoroughly cleaned, bacteria could transfer to other areas.
Thank you, doctor.

Kk, 20~29 year old female. Ask Date: 2023/05/25

Dr. Du Shixi reply Urology


Hello: If something falls into a public toilet and is picked up, will washing hands with clean water cause indirect infection or sexually transmitted diseases? -- If the hands are properly cleaned, there should be no concern about bacteria transferring to other areas -- In this situation, infection is unlikely, unless there are issues with immune function or open wounds.
It is generally improbable for an average person to contract an infection in this manner.
Wishing you good health.

Reply Date: 2023/05/25

More Info


When it comes to the concern of picking up items from public toilets and the potential for infections, it's important to understand the transmission routes of various pathogens and the effectiveness of hygiene practices.
First, let’s address the specific scenario of retrieving an item from a public toilet. Public restrooms can harbor a variety of bacteria and viruses due to the high volume of users and the nature of the environment. However, the risk of transmitting infections, including sexually transmitted infections (STIs), from touching a contaminated object is generally low. Most STIs, including HIV, are primarily transmitted through direct sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding. The likelihood of contracting an STI from touching a contaminated surface or object is minimal, especially if there are no open wounds or mucous membrane exposure.

If you accidentally drop something into a public toilet and retrieve it, the first step is to wash your hands thoroughly. Using soap and water is the most effective method for removing pathogens. The Centers for Disease Control and Prevention (CDC) recommends washing hands for at least 20 seconds, ensuring that all areas of the hands are cleaned, including between the fingers and under the nails. If soap and water are not available, using an alcohol-based hand sanitizer with at least 60% alcohol can be a suitable alternative, although it is less effective than soap and water when hands are visibly dirty.

Regarding your concern about indirect infection, it is crucial to maintain good hygiene practices. After washing your hands, avoid touching your face, especially your mouth, nose, and eyes, until your hands are completely dry. This practice helps prevent any pathogens that may still be on your hands from entering your body. If you have any cuts or abrasions on your hands, it is advisable to cover them with a bandage before engaging in activities that may expose them to potential contaminants.

As for the concern about using the restroom after washing your hands, it is generally safe to do so as long as you maintain proper hygiene. If you need to touch surfaces in the restroom, such as door handles or faucets, consider using a paper towel to avoid direct contact. After using the restroom, wash your hands again to ensure any germs picked up from surfaces are removed.

In summary, while there is a theoretical risk of infection from picking up items in public toilets, the actual risk of contracting an STI or other infections through this method is very low, especially with proper hand hygiene. The key to preventing infections is consistent and thorough handwashing, avoiding touching your face with unwashed hands, and being mindful of any cuts or abrasions. If you have ongoing concerns about infections or specific symptoms, it is always best to consult a healthcare professional for personalized advice and guidance.

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