Should we disinfect the loo BEFORE flushing?

There is a risk that an infectious aerosol is produced when toilets are flushed. One way of addressing this would be to add a disinfectant to the toilet before flushing. But would this be safe and effective?

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CRISPR-Cas “surgical strikes” against antibiotic-resistant bacteria

surgical strike

We are in desperate need of antibiotic-sparing approaches to antibacterial therapy. Antibiotic resistance is increasing, and we are becoming increasingly aware of the impact of antibotics on the microbiota. I blogged a while ago about CRISPR-Cas systems being used to tackle antibiotic-resistant bacteria on surfaces. But the same approach could be applied to treating human infections.

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Could phages pre-programed for a “surgical strike” against antibiotic resistant bacteria be the ultimate microbiome-sparing surface disinfectant or skin sanitiser?

phage

It is becoming increasingly clear that a happy, healthy microbiome is fundamentally important to human health. Perturbation of the microbiome – especially in the gut – is responsible for C. difficile infection and probably many other diseases directly and indirectly linked to the gut. This has led to a move towards microbiome-sparing approaches to therapy. Faecal microbiota transplantation is one such approach, which happens to be spectacularly effective for treating recurrent CDI and may also be useful for decolonising carriers of resistant Gram-negative bacteria. A related approach is using a ‘competitive exclusion’ to reduce the level of contamination of hospital surface with hospital pathogens by seeding the surfaces with live Bacillus sp. spores. But wouldn’t it be great if there was a way to specifically target antibiotic-resistant bacteria and leave yourself with an antibiotic-susceptible population?

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