Challenges for standardization of Clostridium difficile typing methods

J Clin Microbiol. 2013 Sep;51(9):2810-4. doi: 10.1128/JCM.00143-13. Epub 2013 Jun 19.

Abstract

Typing of Clostridium difficile facilitates understanding of the epidemiology of the infection. Some evaluations have shown that certain strain types (for example, ribotype 027) are more virulent than others and are associated with worse clinical outcomes. Although restriction endonuclease analysis (REA) and pulsed-field gel electrophoresis have been widely used in the past, PCR ribotyping is the current method of choice for typing of C. difficile. However, global standardization of ribotyping results is urgently needed. Whole-genome sequencing of C. difficile has the potential to provide even greater epidemiologic information than ribotyping.

Publication types

  • Review

MeSH terms

  • Clostridioides difficile / classification*
  • Clostridioides difficile / genetics*
  • Clostridium Infections / epidemiology
  • Clostridium Infections / microbiology
  • Humans
  • Molecular Epidemiology / methods
  • Molecular Epidemiology / standards
  • Prohibitins
  • Ribotyping / methods*
  • Ribotyping / standards*