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For when you can't maintain that distance (Underground Silo, or getting ambushed from around a corner or through a closed door) if your weapon allows it you should sprint backwards (Shift+S) and fire as you flee. This will help keep the monsters away from you as you fight back. Rifles don't work well, as the round tends to fire up and to the right, nearly to the edge of the screen, and pistols are very similar. Shotguns and Flamethrowers are best for fighting monsters that get too close.
The head spider is a big problem once any monster gets close, and yes, you're right, it will usually result in someone getting instantly infected if it drops from a dying monster within close proximity. Hopefully the devs will find a way to balance that out (or, perhaps, add more ways to kill the head pre-death of the host, or perhaps just go full tilt and make a 'pregnant' variant that spawns a swarm of the unholy creatures on death to kill everyone and not just one player that happened to be too close).