Clinical Significance of Toxigenic Clostridioides difficile Growth in Stool Cultures during the Era of Nonculture Methods for the Diagnosis of C. difficile Infection

Author:

Lee Ching-Chi12,Lee Jen-Chieh1,Chiu Chun-Wei3,Tsai Pei-Jane456,Ko Wen-Chien17,Hung Yuan-Pin13ORCID

Affiliation:

1. Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan

2. Clinical Medicine Research Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan

3. Department of Internal Medicine, Tainan Hospital, Ministry of Health and Welfare, Tainan, Taiwan

4. Department of Medical Laboratory Science and Biotechnology, National Cheng Kung University, College of Medicine, Tainan, Taiwan

5. Department of Pathology, National Cheng Kung University Hospital, Tainan, Taiwan

6. Centers of Infectious Disease and Signaling Research, National Cheng Kung University, Tainan, Taiwan

7. Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan

Abstract

The importance of detecting toxins or toxin genes when diagnosing Clostridioides difficile infections (CDIs) or predicting the severity and outcomes of CDI has been emphasized in recent years. Although the yielding of C. difficile from stool cultures might implicate higher bacterial loads in fecal samples, in an era of nonculture methods for the standard diagnosis of CDIs, clinical significance of positive stool cultures of toxigenic C. difficile was analyzed in this study.

Funder

Ministry of Science and Technology, Taiwan

National Cheng Kung University Hospital

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Cell Biology,Microbiology (medical),Genetics,General Immunology and Microbiology,Ecology,Physiology

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