%0 Journal Article %T On the hands of patients with Clostridium difficile: A study of spore prevalence and the effect of hand hygiene on C difficile removal. %A Barker AK %A Zellmer C %A Tischendorf J %A Duster M %A Valentine S %A Wright MO %A Safdar N %J Am J Infect Control %V 45 %N 10 %D Oct 2017 1 %M 28964347 %F 4.303 %R 10.1016/j.ajic.2017.03.005 %X The prevalence of Clostridium difficile spores was assessed in 48 observations of infected inpatients. Participants were randomized to hand hygiene with either alcohol-based handrub or soap and water. C difficile was recovered in 14.6% of pre-hand hygiene observations. It was still present on 5 of these 7 participants after hand hygiene (3/3 using alcohol-based handrub; 2/4 using soap and water).