Presumptive identification of Clostridium difficile strain 027/NAP1/BI on Cepheid Xpert: interpret with caution.

摘要

The prevalence of hospital- and community-acquired Clos-tridium difficile infection (CDI) has recently increased, particularly in the Northern Hemisphere, with spread of the hyper-virulent 027/NAP/BI strain; so far, this strain is uncommon in Australia. Rapid, accurate laboratory diagnosis of CDI guides patient management and infection control; rapid identification of 027/NAP1/BI, which can cause fulminant disease, helps predict the clinical course (3, 16).