I prefer to use a tissue or try not to touch anything I don't have to, wash my hands, then use antibacterial handwash and plenty of it once I'm out.
I've noticed a marked downturn in colds and other illnesses since I started using antibacterial handwash to supplement whatever cheap soap they have in most bathrooms round here. If they even have soap.
Without getting into TMI, usually just "once a month", only when I"m at work and I've had my hands on everything, and only when things need changing. Did I get my point across? Where I work, it's pretty filthy and there are lots of people and everyone touching things. I'm sure my hands get fairly dirty so, yes, during that time, I do wash up a bit first.
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