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The prevailing theory of clostridium difficile transmission is that most cases occur after recent exposure to symptomatic patients in health care settings. Infected patients are known to shed large numbers of C. difficile spores and current infection control recommendations focus on preventing spore transmission from the environment through contact precautions and decontamination of surfaces and equipment. However, the rate of C. difficile infection (CDI) continues to increase, bringing into question the effectiveness of these methods.

Clostridium difficile Transmission: It's Complicated