Detection of Clostridium difficile among diarrheic children using cultural and polymerase chain reaction technique.
J Infect Dev Ctries
; 17(10): 1452-1457, 2023 10 31.
Article
em En
| MEDLINE
| ID: mdl-37956379
ABSTRACT
INTRODUCTION:
Clostridium difficile is the most common cause of antibiotic-associated diarrhea and colitis. Several methods are available for the detection of C. difficile in stool samples. This study aimed to use glutamate dehydrogenase (GDH), toxin detection, culture and polymerase chain reaction (PCR) techniques for the diagnosis of this pathogen.METHODOLOGY:
A total of 300 stool samples were collected from children with hospital acquired diarrhea (HA-D), community acquired diarrhea (CA-D), and hospitalized non-diarrheic children as control with ages ranging from 6 months to 6 years (mean 3.7 ± 1.7). Each stool sample was divided into two parts; one part was tested for the enzyme GDH, toxin A and B and then cultured on selective media; and the other part for direct DNA extraction.RESULTS:
From a total of 300 stool samples, 9 (3.0%) were positive for C. difficile by the PCR technique, 7 (7%) samples of which were from HA-D cases and 2 (2.0%) from CA-D cases; the control group samples were negative. The enzyme GDH was detected in 12 (12%) samples and toxins A and B in 8 (8%) samples from HA-D cases compared to 5 (5%) and 2 (2%), respectively from CA-D cases. Both GDH and the toxins were negative in control samples. Only 19 (19.0%) samples from HA-D cases gave suspected growth and all of these were negative by PCR.CONCLUSIONS:
Based on the results of this study, we conclude that the PCR technique is the only reliable method for the diagnosis of this pathogen.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
3_ND
Base de dados:
MEDLINE
Assunto principal:
Toxinas Bacterianas
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Enterocolite Pseudomembranosa
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Clostridioides difficile
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Infecções por Clostridium
Limite:
Child
/
Humans
Idioma:
En
Revista:
J Infect Dev Ctries
Ano de publicação:
2023
Tipo de documento:
Article