Abstract:
:During a surveillance study of patients in a long-term care facility and the affiliated acute care hospital in the United States, we identified a Clostridioides difficile strain related to the epidemic PCR ribotype (RT) 027 strain associated with hospital outbreaks of severe disease. Fifteen patients were infected with this strain, characterized as restriction endonuclease analysis group DQ and RT591. Like RT027, DQ/RT591 contained genes for toxin B and binary toxin CDT and a tcdC gene of identical sequence. Whole-genome sequencing and multilocus sequence typing showed that DQ/RT591 is a member of the same multilocus sequence typing clade 2 as RT027 but in a separate cluster. DQ/RT591 produced a similar cytopathic effect as RT027 but showed delayed toxin production in vitro. DQ/RT591 was susceptible to moxifloxacin but highly resistant to clindamycin. Continued surveillance is warranted for this clindamycin-resistant strain that is related to the fluoroquinolone-resistant epidemic RT027 strain.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Skinner AM,Petrella L,Siddiqui F,Sambol SP,Gulvik CA,Gerding DN,Donskey CJ,Johnson Sdoi
10.3201/eid2602.181965subject
Has Abstractpub_date
2020-02-01 00:00:00pages
247-254issue
2eissn
1080-6040issn
1080-6059journal_volume
26pub_type
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