Protecting Yourself from H. Pylori: Key Questions Answered - Gastroenterology and Hepatology

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Two lifestyle issues?


Hello, doctor.
Since someone in my household is infected with Helicobacter pylori and is unwilling to seek treatment, I have two questions for self-protection.

1.
When steaming food with a metal tray (covering the pot below) for 15 to 20 minutes, can the Helicobacter pylori on the food, water, or other utensils inside the metal tray be effectively eliminated? Is there a possibility that being covered may prevent proper cleaning?
2.
Since we all share one bathroom, if the infected person touches the showerhead outlet with Helicobacter pylori on their hands, will rinsing the outlet with tap water for 60 seconds be sufficient for cleaning? Or is it necessary to use body wash or soap to assist in cleaning? Alternatively, is there no risk of infection, so special cleaning is not required?

Ke Ke, 10~19 year old female. Ask Date: 2024/01/08

Dr. Chen Shidian reply Gastroenterology and Hepatology


Acceptable, but it is still recommended to confirm the infection and initiate decontamination treatment.

Reply Date: 2024/01/08

More Info


When it comes to protecting yourself from Helicobacter pylori (H. pylori), it’s important to understand how this bacterium spreads and the measures you can take to minimize your risk of infection. H. pylori is primarily transmitted through oral-oral or fecal-oral routes, which means that maintaining good hygiene practices is crucial. Let’s address your specific questions regarding the steam cooking process and shared bathroom facilities.

1. Steam Cooking and H. pylori:
When you steam food, the high temperatures involved can effectively kill many types of bacteria, including H. pylori. If you are using a metal pot covered with a lid for steaming, the steam generated inside the pot can reach temperatures above 100 degrees Celsius (212 degrees Fahrenheit), which is sufficient to kill H. pylori. However, the effectiveness of this method depends on several factors, including the duration of steaming and the initial bacterial load on the food or utensils. Steaming for 15 to 20 minutes is generally adequate to reduce the risk of H. pylori contamination on the food or utensils inside the pot. It is important to ensure that the food is cooked thoroughly and that the steam can circulate effectively around the items being steamed. If the food or utensils are covered and not exposed to direct steam, there might be a risk of not achieving the necessary temperature throughout, so it’s best to ensure that everything is well-exposed to the steam.

2. Cleaning Shared Bathroom Fixtures:
Regarding the concern about shared bathroom facilities, particularly if an infected person has touched the showerhead, it is wise to take precautions. H. pylori can survive on surfaces, but it is primarily transmitted through direct contact with contaminated food or water. If the infected person has touched the showerhead, rinsing it with water for 60 seconds may help remove some bacteria, but it may not be sufficient to eliminate all potential contamination. Using soap or a disinfectant is advisable, as these agents can help break down any bacterial biofilm that may be present and provide a more thorough cleaning. Regular cleaning of shared bathroom fixtures with appropriate disinfectants can significantly reduce the risk of transmission.

In addition to these specific measures, consider the following general practices to further protect yourself from H. pylori:
- Good Hygiene: Always wash your hands thoroughly with soap and water after using the bathroom and before eating. This is one of the most effective ways to prevent the spread of H. pylori and other pathogens.


- Food Safety: Ensure that food is cooked properly and that you avoid consuming food or water from questionable sources. If you are dining out, choose reputable establishments that follow food safety guidelines.

- Avoid Sharing Personal Items: Be cautious about sharing utensils, plates, or cups with someone who is infected with H. pylori. This can help minimize the risk of transmission.

- Regular Cleaning: Maintain cleanliness in shared spaces, especially in the kitchen and bathroom, to reduce the risk of cross-contamination.

If you have further concerns about H. pylori or if you experience symptoms such as abdominal pain, bloating, or nausea, it is advisable to consult a healthcare professional for appropriate testing and potential treatment options. Early detection and treatment can help prevent complications associated with H. pylori infection, such as gastritis or peptic ulcers.

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