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Information Journal Paper

Title

Comparison of Common Molecular Typing Methods for Differentiation of Clostridium difficile Strains in the Study of Hospital Acquired Diarrhea

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  0-0

Abstract

 Background: Cross-Contamination between patients and the medical imaging device is a worldwide concern. In the current study, the ability of different molecular typing methods for differentiation of Clostridium difficile isolates from patientsand medical devices was compared to show their discriminatory power for molecular epidemiological purposes. Methods: A total of 23 C. difficile strains from fresh stool samples of patients subjected to colonoscopy, medical device, and environmental samples of a gastroenterology unit were used for molecular typing. Similarity of the strains was determined by the polymerase chain reaction (PCR) Ribotyping, capillary gel electrophoresis based-Ribotyping, and RAPD-PCR and ERIC-PCR methods. Phylogenetic analysis of the molecular patterns was done by the GelCompar II software and discriminatory power of the methods was measured using Simpson’ s index diversity. Results: RAPD-PCR and PCR-Ribotyping methods showed the highest discrimination power for differentiation of the studied strains, while Genotyping showed the lowest power. Similarity of C. difficile strains between the patients and medical equipment was detected for the strains presenting PCR-ribotypes B and CE-ribotype 150. Conclusions: Involvement of medical device for transmission of toxigenic strains of C. difficile was determined in this study. Although diversity of C. difficile strains was established in the studied hospital, a discrepancy was detected among these techniques for typing purposes. The results suggested the usage of a combination of two or more typing methods for detection of sources of Cross-Contamination in each hospital.

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    APA: Copy

    AZIMIRAD, MASOUMEH, ALEBOUYEH, MASOUD, RASHIDAN, MARJAN, ASLANI, MOHAMMAD MEHDI, & ZALI, MOHAMMAD REZA. (2018). Comparison of Common Molecular Typing Methods for Differentiation of Clostridium difficile Strains in the Study of Hospital Acquired Diarrhea. ARCHIVES OF CLINICAL INFECTIOUS DISEASES, 13(5), 0-0. SID. https://sid.ir/paper/739073/en

    Vancouver: Copy

    AZIMIRAD MASOUMEH, ALEBOUYEH MASOUD, RASHIDAN MARJAN, ASLANI MOHAMMAD MEHDI, ZALI MOHAMMAD REZA. Comparison of Common Molecular Typing Methods for Differentiation of Clostridium difficile Strains in the Study of Hospital Acquired Diarrhea. ARCHIVES OF CLINICAL INFECTIOUS DISEASES[Internet]. 2018;13(5):0-0. Available from: https://sid.ir/paper/739073/en

    IEEE: Copy

    MASOUMEH AZIMIRAD, MASOUD ALEBOUYEH, MARJAN RASHIDAN, MOHAMMAD MEHDI ASLANI, and MOHAMMAD REZA ZALI, “Comparison of Common Molecular Typing Methods for Differentiation of Clostridium difficile Strains in the Study of Hospital Acquired Diarrhea,” ARCHIVES OF CLINICAL INFECTIOUS DISEASES, vol. 13, no. 5, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/739073/en

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