Molecular epidemiology of Clostridium difficile infection in a Brazilian cancer hospital.

Abstract:

:Clostridium difficile is a Gram-positive spore forming anaerobic bacterium and the main cause of healthcare-associated diarrhea. This study aimed to perform the phenotypic characterization and molecular typing of Clostridium difficile isolates among patients at a cancer hospital in Brazil. During 18 months, 48 diarrheic fecal samples were collected, of these 48% were positive in either one or both of the performed tests: detection of toxins A/B and culture. Clostridium difficile was recovered from four samples (17%). All strains carried toxin A and B genes, and the isolates belonged to PCR-ribotype 014/020, PGFE-type NAP4 and toxinotype XVIII. On the other hand, one isolate belonged to a novel PCR-ribotype, and PFGE-type, likewise to toxinotype IXb. The isolates showed susceptibility to metronidazole, vancomycin and moxifloxacin, and were resistant to ciprofloxacin. Finally, the findings indicate high positivity between the samples tested, suggesting an expressive importance of this infection, including detection of a novel ribotype/PFGE-type of Clostridium difficile, and show for the first time the detection of community-associated Clostridium difficile infection (CA-CDI) in these patients in Northeast Brazil. These data emphasize the importance to a better understanding of the epidemiological situation of this infection in Brazilian hospitals.

journal_name

Anaerobe

journal_title

Anaerobe

authors

Costa CL,Mano de Carvalho CB,González RH,Gifoni MAC,Ribeiro RA,Quesada-Gómez C,Brito GAC

doi

10.1016/j.anaerobe.2017.10.001

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

232-236

eissn

1075-9964

issn

1095-8274

pii

S1075-9964(17)30196-8

journal_volume

48

pub_type

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