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Journal of Clinical Microbiology, November 2009, p. 3729-3731, Vol. 47, No. 11
0095-1137/09/$08.00+0     doi:10.1128/JCM.01280-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Comparison of a Commercial Multiplex Real-Time PCR to the Cell Cytotoxicity Neutralization Assay for Diagnosis of Clostridium difficile Infections{triangledown}

Haihui Huang,1,2 Andrej Weintraub,2 Hong Fang,2 and Carl Erik Nord2*

Institute of Antibiotics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Road, Shanghai 200040, China,1 Division of Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, SE-141 86 Stockholm, Sweden2

Received 30 June 2009/ Returned for modification 17 August 2009/ Accepted 31 August 2009

A commercial multiplex real-time PCR assay (Cepheid Xpert C. difficile assay) for the diagnosis of Clostridium difficile infection was evaluated. The sensitivity and specificity of the Cepheid assay were 97.1% and 93.0% for fresh stools, using the cell cytotoxicity neutralization assay as the reference. Using PCR ribotyping as the reference for ribotype 027 strains, the corresponding figures were 100% and 98.1%, respectively.


* Corresponding author. Mailing address: Division of Clinical Microbiology, Karolinska University Hospital Huddinge, SE-141 86 Stockholm, Sweden. Phone: 46 8 585 878 38. Fax: 46 8 585 879 33. E-mail: carl.erik.nord{at}ki.se

{triangledown} Published ahead of print on 9 September 2009.


Journal of Clinical Microbiology, November 2009, p. 3729-3731, Vol. 47, No. 11
0095-1137/09/$08.00+0     doi:10.1128/JCM.01280-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.