Detection of Free Toxin B in the Stool of Asymptomatic Clostridioides difficile Carriers by the Cell Cytotoxicity Neutralization Assay
Author(s) -
Lorne Schweitzer,
Phillippe Gervais,
Bianka Paquet-Bolduc,
Vivian G. Loo,
Yves Longtin
Publication year - 2021
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofab209
Subject(s) - asymptomatic , medicine , asymptomatic carrier , clostridioides , neutralization , cytotoxicity , toxin , microbiology and biotechnology , virology , in vitro , biology , biochemistry , virus
Cell cytotoxicity neutralization assay (CCNA) is considered to be a gold standard to diagnose Clostridioides difficile infections. We performed CCNA on 77 consecutive admission screening rectal swabs from asymptomatic toxigenic C. difficile carriers. Thirty-nine percent of specimens from asymptomatic carriers were positive. Thus, CCNA specificity may be lower than previously thought.
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