- •Personnel frequently acquire Clostridium difficile spores on hands despite PPE use.
- •Education to improve PPE technique reduced hand contamination with spores.
- •Correct technique and glove disinfection with bleach reduced contamination to zero.
- •Alternatives to bleach that are better tolerated by personnel are needed.
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This work was supported by the Department of Veterans Affairs.
Conflicts of interest: C.J.D has received research grants from GOJO, STERIS, 3M, and Ecolab, and has served on scientific advisory boards for 3M. All other authors report no conflicts of interest relevant to this article.