Optimization of an Assay To Determine Colonization Resistance to Clostridioides difficile in Fecal Samples from Healthy Subjects and Those Treated with Antibiotics

Author:

Harris Hannah C.1,Best Emma L.2,Normington Charmaine1,Saint-Lu Nathalie3,Sablier-Gallis Frédérique3,de Gunzburg Jean3ORCID,Andremont Antoine3,Wilcox Mark H.12,Chilton Caroline H.1ORCID

Affiliation:

1. Heath Care Associated Infection Research Group, Leeds Institute of Medical Research, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom

2. Department of Microbiology, Leeds Teaching Hospitals NHS Trust, The General Infirmary, Leeds, United Kingdom

3. Da Volterra, Paris, France

Abstract

A healthy, intact gut microbiota is often resistant to colonization by gastrointestinal pathogens. During periods of dysbiosis, however, organisms such as Clostridioides difficile can thrive. We describe an optimized in vitro colonization resistance assay for C. difficile in stool (CRACS) and demonstrate the utility of this assay by assessing changes in colonization resistance following antibiotic exposure. Fecal samples were obtained from healthy volunteers ( n  = 6) and from healthy subjects receiving 5 days of moxifloxacin ( n  = 11) or no antibiotics ( n  = 10).

Funder

Da Volterra

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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