Increasing prevalence of toxin A-negative, toxin B-positive isolates of Clostridium difficile in Korea:: Impact on laboratory diagnosis

被引:61
作者
Kim, Heejung [1 ,2 ]
Riley, Thomas V. [3 ]
Kim, Myungsook [1 ,2 ]
Kim, Chang Ki [1 ,2 ]
Yong, Dongeun [1 ,2 ]
Lee, Kyungwon [1 ,2 ]
Chong, Yunsop [1 ,2 ]
Park, Jong-Woo [4 ]
机构
[1] Yonsei Univ, Coll Med, Dept Lab Med, Seoul 120752, South Korea
[2] Yonsei Univ, Coll Med, Res Inst Bacterial Resistance, Seoul 120752, South Korea
[3] Univ Western Australia, Perth, WA 6009, Australia
[4] Chungnam Natl Univ, Coll Med, Dept Lab Med, Taejon, South Korea
关键词
D O I
10.1128/JCM.01188-07
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Of 462 Korean Clostridium difficile isolates, 77.5% were toxin B positive but 21.4% were toxin A negative (A(-)B(+)). The binary toxin gene was detected in nine isolates. A higher fluoroquinolone resistance of A(-)B(+) strains may contribute to the increase of these strains. Toxin A detection alone may underdiagnose C. difficile-associated disease.
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页码:1116 / 1117
页数:2
相关论文
共 17 条
[1]  
ALLEN SD, 2003, MANUAL CLIN MICROBIO, P835
[2]   Prevalence and genetic characterization of toxin A variant strains of Clostridium difficile among adults and children with diarrhea in France [J].
Barbut, F ;
Lalande, V ;
Burghoffer, B ;
Thien, HV ;
Grimprel, E ;
Petit, JC .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (06) :2079-2083
[3]  
BORRIELLO SP, 1990, REV INFECT DIS, V12, pS185
[4]   MOLECULAR, IMMUNOLOGICAL, AND BIOLOGICAL CHARACTERIZATION OF A TOXIN-A-NEGATIVE, TOXIN-B-POSITIVE STRAIN OF CLOSTRIDIUM-DIFFICILE [J].
BORRIELLO, SP ;
WREN, BW ;
HYDE, S ;
SEDDON, SV ;
SIBBONS, P ;
KRISHNA, MM ;
TABAQCHALI, S ;
MANEK, S ;
PRICE, AB .
INFECTION AND IMMUNITY, 1992, 60 (10) :4192-4199
[5]   Definition of the single integration site of the pathogenicity locus in Clostridium difficile [J].
Braun, V ;
Hundsberger, T ;
Leukel, P ;
Sauerborn, M ;
vonEichelStreiber, C .
GENE, 1996, 181 (1-2) :29-38
[6]   High-level resistance to moxifloxacin and gatifloxacin associated with a novel mutation in gyrB in toxin-A-negative, toxin-B-positive Clostridium difficile [J].
Drudy, Denise ;
Quinn, Teresa ;
O'Mahony, Rebecca ;
Kyne, Lorraine ;
O'Gaora, Peadar ;
Fanning, Seamus .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2006, 58 (06) :1264-1267
[7]   Clindamycin, cephalosporins, fluoroquinolones, and Clostridium difficile-associated diarrhea:: This is an antimicrobial resistance problem [J].
Gerding, DN .
CLINICAL INFECTIOUS DISEASES, 2004, 38 (05) :646-648
[8]   Distribution of Clostridium difficile variant toxinotypes and strains with binary toxin genes among clinical isolates in an American hospital [J].
Geric, B ;
Rupnik, M ;
Gerding, DN ;
Grabnar, M ;
Johnson, S .
JOURNAL OF MEDICAL MICROBIOLOGY, 2004, 53 (09) :887-894
[9]   Prevalence and characterization of a binary toxin (actin-specific ADP-ribosyltransferase) from Clostridium difficile [J].
Gonçalves, C ;
Decré, D ;
Barbut, F ;
Burghoffer, B ;
Petit, JC .
JOURNAL OF CLINICAL MICROBIOLOGY, 2004, 42 (05) :1933-1939
[10]   Identification of toxin A-negative, toxin B-positive Clostridium difficile by PCR [J].
Kato, H ;
Kato, N ;
Watanabe, K ;
Iwai, N ;
Nakamura, H ;
Yamamoto, T ;
Suzuki, K ;
Kim, SM ;
Chong, Y ;
Wasito, EB .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (08) :2178-2182