Detection of binary-toxin genes (cdtA and cdtB) among Clostridium difficile strains isolated from patients with C-difficile-associated diarrhoea (CDAD) in Poland

被引:27
作者
Pituch, H
Rupnik, M
Obuch-Woszczatynski, P
Grubesic, A
Meisel-Mikolajczyk, F
Luczak, M
机构
[1] Med Univ Warsaw, Dept Med Microbiol, PL-02004 Warsaw, Poland
[2] Univ Ljubljana, Dept Biol, Ljubljana, Slovenia
关键词
D O I
10.1099/jmm.0.45799-0
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Clostridium difficile A(+)B(+) and A(-)B(+) strains isolated from stool samples of patients with C. difficile-associated diarrhoea (CDAD) were selected from the University Hospital Warsaw collection. The binary-toxin genes cdtA and cdtB were detected by PCR in five of the 41 A(+)B(+) strains tested, but in none of the 17 A(-)B(+) strains tested, giving 8-6% prevalence (5/58) of binary-toxin-positive strains. All of the strains that were positive for binary-toxin genes were grouped into toxinotype IV, suggesting that in this institution toxinotype IV might dominate among the population of C. difficile with binary-toxin genes.
引用
收藏
页码:143 / 147
页数:5
相关论文
共 30 条
[1]   Characterization of a toxin A-negative, toxin B-positive strain of Clostridium difficile responsible for a nosocomial outbreak of Clostridium difficile-associated diarrhea [J].
Alfa, MJ ;
Kabani, A ;
Lyerly, D ;
Moncrief, S ;
Neville, LM ;
Al-Barrak, A ;
Harding, GKH ;
Dyck, B ;
Olekson, K ;
Embil, JM .
JOURNAL OF CLINICAL MICROBIOLOGY, 2000, 38 (07) :2706-2714
[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]   Pathogenesis of Clostridium difficile infection [J].
Borriello, SP .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1998, 41 :13-19
[4]   Frequency of binary toxin genes among Clostridium difcile strains that do not produce large clostridial toxins [J].
Geric, B ;
Johnson, S ;
Gerding, DN ;
Grabnar, M ;
Rupnik, M .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (11) :5227-5232
[5]   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
[6]   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
[7]   SPECIFIC DETECTION OF TOXIGENIC STRAINS OF CLOSTRIDIUM-DIFFICILE IN STOOL SPECIMENS [J].
GUMERLOCK, PH ;
TANG, YJ ;
WEISS, JB ;
SILVA, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 1993, 31 (03) :507-511
[8]   International typing study of toxin A-negative, toxin B-positive Clostridium difficile variants [J].
Johnson, S ;
Sambol, SP ;
Brazier, JS ;
Delmée, M ;
Avesani, V ;
Merrigan, MM ;
Gerding, DN .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (04) :1543-1547
[9]   Fatal pseudomembranous colitis associated with a variant Clostridium difficile strain not detected by toxin a immunoassay [J].
Johnson, S ;
Kent, SA ;
O'Leary, KJ ;
Merrigan, MM ;
Sambol, SP ;
Peterson, LR ;
Gerding, DN .
ANNALS OF INTERNAL MEDICINE, 2001, 135 (06) :434-438
[10]   Clostridium difficile -: Associated diarrhea [J].
Johnson, S ;
Gerding, DN .
CLINICAL INFECTIOUS DISEASES, 1998, 26 (05) :1027-1034