To the Editor.
—In their excellent article on C difficile colitis Fekety and Shah1 omit any reference to preventing the nosocomial spread of the organism. McFarland et al2 cultured C difficile from the hands of 59% of the hospital personnel caring for patients with C difficile infections. This group identified C difficile as the cause of 20% of all nosocomial diarrhea cases.3Most attempts to control the transmission of C difficile have been unsuccessful. However, in a prospective, controlled study of the use of vinyl gloves to inhibit nosocomial transmission of C difficile, Johnson et al4 demonstrated a decrease of C difficile diarrhea from 7.7 cases per 1000 patient discharges to 1.5 cases per 1000 during a 6-month period. The use of disposable vinyl gloves should be routine for any person contacting any body substances of patients with C difficile diarrhea.