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Journal of Clinical Microbiology, September 2009, p. 3004-3007, Vol. 47, No. 9
0095-1137/09/$08.00+0     doi:10.1128/JCM.00964-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Clostridium difficile Strains from Community-Associated Infections {triangledown}

Brandi M. Limbago,1* Cherie M. Long,2 Angela D. Thompson,1 George E. Killgore,1 George E. Hannett,3 Nancy L. Havill,4 Stephanie Mickelson,5 Sarah Lathrop,6 Timothy F. Jones,7 Mahin M. Park,8 Kathleen H. Harriman,9 L. Hannah Gould,10 L. Clifford McDonald,1 and Frederick J. Angulo10

Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention,1 Atlanta Research and Education Foundation, Atlanta, Georgia,2 Wadsworth Center, New York State Health Department, Albany, New York,3 Hospital of Saint Raphael, New Haven, Connecticut,4 Maryland Department of Health and Mental Hygiene, Baltimore, Maryland,5 University of New Mexico Health Sciences Center, Albuquerque, New Mexico,6 Tennessee Department of Health, Nashville, Tennessee,7 Georgia Public Health Laboratory, Atlanta, Georgia,8 Minnesota Department of Health, St. Paul, Minnesota,9 Divison of Foodborne, Bacterial, and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia,10

Received 14 May 2009/ Returned for modification 24 June 2009/ Accepted 25 June 2009

Clostridium difficile isolates from presumed community-associated infections (n = 92) were characterized by toxinotyping, pulsed-field gel electrophoresis, tcdC and cdtB PCR, and antimicrobial susceptibility. Nine toxinotypes (TOX) and 31 PFGE patterns were identified. TOX 0 (48, 52%), TOX III (18, 20%), and TOX V (9, 10%) were the most common; three isolates were nontoxigenic.

* Corresponding author. Mailing address: Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS C-16, Atlanta, GA 30333. Phone: (404) 639-2162. Fax: (404) 639-3822. E-mail: blimbago{at}cdc.gov

{triangledown} Published ahead of print on 1 July 2009.

Journal of Clinical Microbiology, September 2009, p. 3004-3007, Vol. 47, No. 9
0095-1137/09/$08.00+0     doi:10.1128/JCM.00964-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.





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