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sanitizers do not kill norovirus and spore-forming organisms, which are common causes of diarrhea in child care settings.4 This is enough reason to limit or even avoid the use of hand sanitizers with infants and toddlers because they are the age group at greatest risk of spreading diarrheal disease due to frequent diaper changing. Handwashing is the preferred method. However, while hand sanitizers are notrecommended for children younger than 2 years, they are notprohibited. Some states and credentialing organizations may recommend wearing gloves for changing. Although gloves may not be required, they may provide a barrier against surface contamination of a caregiver/teacher’s hands. This may reduce the presence of enteric pathogens under the fingernails and on hand surfaces. Even if gloves are used, caregivers/teachers must perform hand hygiene after each child’s changing to prevent the spread of disease-causing agents. To achieve maximum benefit from use of gloves, the caregiver/teacher must remove the gloves properly after cleaning the child’s genitalia and buttocks and removing the soiled disposable training pants or underwear. Otherwise, retained

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