2017
DOI: 10.1186/s40168-017-0294-2
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Cleanliness in context: reconciling hygiene with a modern microbial perspective

Abstract: The concept of hygiene is rooted in the relationship between cleanliness and the maintenance of good health. Since the widespread acceptance of the germ theory of disease, hygiene has become increasingly conflated with sterilization. In reviewing studies across the hygiene literature (most often hand hygiene), we found that nearly all studies of hand hygiene utilize bulk reduction in bacterial load as a proxy for reduced transmission of pathogenic organisms. This treatment of hygiene may be insufficient in lig… Show more

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Cited by 54 publications
(37 citation statements)
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References 121 publications
(187 reference statements)
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“…Administrators and building operators should post signage about the effectiveness of handwashing for at least 20 s with soap and hot water, ensure soap dispensers are full, provide access to alcohol-based hand sanitizer, and implement routine surface cleaning protocols to high-touch surfaces where contamination risks are high, such as around sinks and toilets (39). Most importantly, to prevent the transmission of microbes and thus, undesirable pathogens, it is important to exercise proper handwashing hygiene (39,61).…”
mentioning
confidence: 99%
“…Administrators and building operators should post signage about the effectiveness of handwashing for at least 20 s with soap and hot water, ensure soap dispensers are full, provide access to alcohol-based hand sanitizer, and implement routine surface cleaning protocols to high-touch surfaces where contamination risks are high, such as around sinks and toilets (39). Most importantly, to prevent the transmission of microbes and thus, undesirable pathogens, it is important to exercise proper handwashing hygiene (39,61).…”
mentioning
confidence: 99%
“…This sets up a situation in which the only way to explain the microbial community present on the skin at a given moment is not through asymptotic or stable equilibria (72) , but through transient dynamics of multiple, interacting coalescence events -the current microbial assemblage as the result of the combination of multiple contact events across time, with each microbe acquired having its own particular decay curve, all of which must be considered together to explain any given assemblage. These results have implications for the study of hand hygiene (73) , given that biomass in the source community moderated the ability of skin communities to return to baseline after washing events.…”
Section: Community Coalescence and Non-equilibrium Dynamicsmentioning
confidence: 89%
“…The understanding of the essential role of the homeostasis and dysbiosis of skin microbiota in skin disorders is rapidly expanding, with a major contributory factor being the potentiated awareness of the cutaneous ecosystem (Grice and Segre, 2011). Although there is no consistent definition of a healthy cutaneous ecosystem, some of the main parameters, such as microbial composition, diversity, and stability, have been established as key markers of homeostasis (Vandegrift et al, 2017). Disturbances of the skin microbiota have been directly correlated with multiple diseases.…”
Section: Applications For Ecology-based Therapymentioning
confidence: 99%