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Clostridium difficile infection (CDI) remains a common complication following antimicrobial therapy. The various C. difficile strains differ in their pathogenic profiles, with ribotype 027 known to cause especially severe and complicated infections. However, little is known about the relative frequency and antimicrobial susceptibility of C. difficile strains in the U.S. today.
To explore this issue, researchers (with support from a diagnostic test manufacturer) collected samples of toxigenic C. difficile isolates between May 2011 and April 2013 from 508 unique patients at 32 hospitals in the Northeast (n=180), South (n=84), Midwest (n=78), and West (n=166).
Ribotype 027 was the predominant strain type overall (28.1% of isolates). Its prevalen…