Thank you for this important information for all of us. It mentions getting it from “a top” who touched an infected doorknob or anything. I figure if that is how it at times is spread (to another person, the bottom presumably), then anyone could get it by themselves from self-play, fingers touching the anus or inside, or objects going inside, so forth. (What about hands another or oneself touching the tip of the penis, or hands or fingers licked or sucked or in the mouth ?). So disinfecting and washing hands and objects well, (washing hands, then disinfecting hands and objects, and washing hands after that) sounds good practice for this, and probably lots of sex, and romantic contact. I hope that people and health care professionals in the US and all places understand and watch for clostridium difficile, so forth.