This is of special interest to me also as I have a hot tub and use it often in winter, but i have always have niggling doubts about it's safety and the potential for spas to become breeding grounds for bugs. I'm concerned that opinion on this seems to differ so much amongst the medical profession - haven't tests been done in this area to prove one way or the other? You'd think so, but the confusion around suggests maybe not?? I'm also curious to know if the heat of the water can be the decider here, for instance if bugs can only grow/survive in water at or below a certain temperature.
One thing that does seem fairly clear to me is that the steam coming off a hot tub could not possibly be contaminated with bugs unless the water that is creating that steam is also contaminated. The germs have to come from somewhere, that seems fairly self explanatory.
But i'd really like a firm conclusion to all of this - I love my spa - it's a guaranteed way to immediately warm myself up, as having next to no body fat, i feel the cold quite badly.
As for the antibotics theory - i tend to agree that taking antibiotics when no bugs are being cultured is pretty silly - a) these are very toxic drugs, some with rather severe side effects and b) the potential these bugs have to develop resistance to these drugs, sometimes quite quickly - I just can't see the sense in putting the body through treatment and perpetuating the possibility of resistance developing, when no bugs are growing anyway. What are they planning to kill with these drugs if there is nothing there in the first place........??? I don't get it and every time i read in this forum that this is happening to children who show no signs of illness, it concerns me greatly.
Don't get me wrong, if bugs are culturing then hit them and hit them hard - i fully agree - but to be so aggressive when faced with a complete lack of evidence that anything is actually there in the first place and the lung function is 100% or more, just seems to me to be an unwarranted risk to the overall health and outcome of the cf'er.
Anyway i'm way off track here - if anybody reading this knows of any studies that have been done in this area and the outcomes of these, I would really love to know about them. I'm contemplating getting rid of our spa at the moment for this very reason.
Cheers
Kat (37 with CF, NZ)