Evaluation of Quantitative culture of Clostridium difficile From Fecal Specimens for the Diagnosis of C. difficile-associated Disease / 대한임상미생물학회지
Korean Journal of Clinical Microbiology
; : 124-128, 2002.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-125720
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
C. difficile-associated diarrhea (CDAD), the most frequently identified cause of nosocomial diarrhea, results from the overgrowth of cytotoxin (toxin B)-producing strains. The aim of this study was to evaluate the quantitative culture of Clostridium difficile to improve the laboratory diagnosis of CDAD.METHODS:
The quantitative culture and cytotoxin gene results were evaluated based on the findings of colonoscopy and/or histology of the biopsy specimens.RESULTS:
Among the 402 specimens with cytotoxin-positive isolates, 301 (74.9%) contained > or =106 CFU/mL of C. difficile. Nine (60%) of the 15 pseudomembranous colitis patients yielded > or =106 CFU/mL of toxigenic isolate. The proportion of cytotoxin gene-positive isolates was higher in the specimens with > or =106 CFU/mL of C. difficile than in those with 102-<103 CFU/mL (86.5% vs. 66.7%).CONCLUSIONS:
Quantitative culture may aid in the interpretation of toxigenic C. difficile culture results, and reduce false positivity, thus avoiding unnecessary treatment.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
/
SDG3 - Target 3.3 End transmission of communicable diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
Diarrhea
/
Neglected Diseases
/
Diarrhoeal Infections
Database:
WPRIM (Western Pacific)
Main subject:
Biopsy
/
Enterocolitis, Pseudomembranous
/
Clostridioides difficile
/
Colonoscopy
/
Clostridium
/
Clinical Laboratory Techniques
/
Diagnosis
/
Diarrhea
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Clinical Microbiology
Year:
2002
Document type:
Article