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Diagnostic Algorithm Using a Sensitive Broth Culture Method for Detection ofClostridium difficileToxin from Stool Samples
Author(s) -
Paul Bayardelle
Publication year - 2009
Publication title -
canadian journal of infectious diseases and medical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.634
H-Index - 38
eISSN - 1918-1493
pISSN - 1712-9532
DOI - 10.1155/2009/573898
Subject(s) - clostridium difficile , glutamate dehydrogenase , neutralization , microbiology and biotechnology , feces , clostridiaceae , biology , medicine , toxin , virology , antibiotics , glutamate receptor , biochemistry , virus , receptor
The two-step glutamate dehydrogenase antigencytotoxicity neutralization assay algorithm has been found to be reliable for the diagnosis of toxigenic Clostridium difficile. However, the high sensitivity of the screening method is compromised by the relative low sensitivity of the second step, the direct cytotoxin neutralization assay (DCNA) using a fecal filtrate. The objective of the present study was to compare the DCNA with an indirect cytotoxin neutralization assay (ICNA).

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