I'm betting most cepacias will say they picked it up in the hospital. (That's where I picked it up). Awhile back (I'm not sure if it was this board or another cf board) people were sharing what precautions they or their clinic do/do not take. The one thing that was clear to me is that non cepacia cf'ers trust that clinics and hospitals are sanitized and someone is looking out for them (and truthfully, most hospitals/drs probably do their best to stop the spread of germs, but it only takes once for them to forget to wash, clean, whatever, and that's the time they would have wished they would have been masked and insisted whoever washed their hands or gloved up.) When you get cepacia, you regret letting your desire to appear kind and cooperative and not paranoid, and wish you would have been extreme in taking precautions, and that someone would have made sure you were aware of the risks of getting it (until I got it, I briefly perused information on cepacia, then disregarded it). I'm betting those that don't have cepacia will think I'm overboard, and those that have it will totally undestand. I do, however, remember reading one mom who always personally disinfected her daughter's rooms at the clinic or hospital, and she still got it. Hopefully, as they keep knowing more about the germ, the numbers of infected will decrease. Meanwhile, my advice - insist on reverse isolation. And yes, I know all about cepacia, how it is in the environment, not just hospitals. But in the medical fields best judgment, cf'ers get it from other cfers or from things contaminated in hosptials. Best to all.