Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic Testing

BACKGROUND: There has been a growing interest in developing an appropriate laboratory diagnostic algorithm for Clostridium difficile, mainly as a result of increases in both the number and severity of cases of C difficile infection in the past decade. A C difficile diagnostic algorithm is necessary...

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Main Authors: Michelle J Alfa, Shadi Sepehri
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2013/934945
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author Michelle J Alfa
Shadi Sepehri
author_facet Michelle J Alfa
Shadi Sepehri
author_sort Michelle J Alfa
collection DOAJ
description BACKGROUND: There has been a growing interest in developing an appropriate laboratory diagnostic algorithm for Clostridium difficile, mainly as a result of increases in both the number and severity of cases of C difficile infection in the past decade. A C difficile diagnostic algorithm is necessary because diagnostic kits, mostly for the detection of toxins A and B or glutamate dehydrogenase (GDH) antigen, are not sufficient as stand-alone assays for optimal diagnosis of C difficile infection. In addition, conventional reference methods for C difficile detection (eg, toxigenic culture and cytotoxin neutralization [CTN] assays) are not routinely practiced in diagnostic laboratory settings.
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series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-49923059a741403681817d333a5b948e2025-02-03T01:00:34ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322013-01-01242899210.1155/2013/934945Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic TestingMichelle J Alfa0Shadi Sepehri1Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, CanadaBACKGROUND: There has been a growing interest in developing an appropriate laboratory diagnostic algorithm for Clostridium difficile, mainly as a result of increases in both the number and severity of cases of C difficile infection in the past decade. A C difficile diagnostic algorithm is necessary because diagnostic kits, mostly for the detection of toxins A and B or glutamate dehydrogenase (GDH) antigen, are not sufficient as stand-alone assays for optimal diagnosis of C difficile infection. In addition, conventional reference methods for C difficile detection (eg, toxigenic culture and cytotoxin neutralization [CTN] assays) are not routinely practiced in diagnostic laboratory settings.http://dx.doi.org/10.1155/2013/934945
spellingShingle Michelle J Alfa
Shadi Sepehri
Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic Testing
Canadian Journal of Infectious Diseases and Medical Microbiology
title Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic Testing
title_full Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic Testing
title_fullStr Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic Testing
title_full_unstemmed Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic Testing
title_short Combination of Culture, Antigen and Toxin Detection, and Cytotoxin Neutralization Assay for Optimal Clostridium difficile Diagnostic Testing
title_sort combination of culture antigen and toxin detection and cytotoxin neutralization assay for optimal clostridium difficile diagnostic testing
url http://dx.doi.org/10.1155/2013/934945
work_keys_str_mv AT michellejalfa combinationofcultureantigenandtoxindetectionandcytotoxinneutralizationassayforoptimalclostridiumdifficilediagnostictesting
AT shadisepehri combinationofcultureantigenandtoxindetectionandcytotoxinneutralizationassayforoptimalclostridiumdifficilediagnostictesting