title: A Quaternary Ammonium Disinfectant Containing Germinants ReducesClostridium difficileSpores on Surfaces by Inducing Susceptibility to Environmental Stressors.
abstract: ExposingClostridium difficilespores to germinants in a quaternary ammonium matrix was an effective method to reduce environmental contamination by sensitizing the spores, leaving them susceptible to ambient conditions and enhancing killing by acid, high-intensity visible light, and radiation.
authors.affiliation: Research Service, Cleveland Veterans Affairs Medical Center , Ohio.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Nerandzic
authors.affiliation: Case Western Reserve University School of Medicine, Cleveland, Ohio;; Geriatric Research, Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Ohio.
authors.forename: Curtis J
authors.initials: CJ
authors.lastname: Donskey
keywords: Clostridium difficile spores; quaternary ammonium compound.; spore contamination; spore germination; surface disinfection