TABLE 1.
Nomenclature source and ribotype | Toxin gene carriagea |
Toxin B productionb | No. (%) of infants colonized | % of isolates | ||
---|---|---|---|---|---|---|
tcdA | tcdB | cdtA/B | ||||
PHLSc | ||||||
001 | + | + | − | + | 19 (45) | 48 |
014 | + | + | − | + | 11 (26) | 19 |
020 | + | + | − | + | 2 (5) | 2 |
002 | + | + | − | + | 1 (2) | 2 |
012 | + | + | − | + | 1 (2) | 2 |
015 | + | + | − | + | 1 (2) | 0.5 |
046 | + | + | − | + | 1 (2) | 0.5 |
117 | + | + | − | + | 1 (2) | 1 |
131 | + | + | − | + | 1 (2) | 0.5 |
SMId | ||||||
SE2 | + | + | − | + | 1 (2) | 0.5 |
SE5 | − | − | − | − | 1 (2) | 0.5 |
SE6 | − | − | − | − | 1 (2) | 0.5 |
SE14a | + | + | − | + | 1 (2) | 0.5 |
SE21 | + | + | − | + | 1 (2) | 0.5 |
SE36 | + | + | − | + | 1 (2) | 1 |
This study | ||||||
GI | − | − | − | − | 5 (12) | 5 |
GII | − | − | − | − | 3 (7) | 3 |
GIII | − | − | − | − | 3 (7) | 5 |
GIV | − | − | − | − | 2 (5) | 5 |
GV | − | − | − | − | 1 (2) | 2 |
GVI | − | − | − | − | 1 (2) | 0.5 |
Isolates of C. difficile colonizing 42 Swedish infants were ribotyped and characterized regarding toxin gene carriage (presence [+] or absence [−] of tcdA, tcdB, and cdtA/B) in vitro. Toxin genes were identified by PCR (tcdA) or real-time PCR (tcdB and cdtA/B).
Toxin B production was determined in direct cell cytotoxicity neutralization assays.
PHLS Anaerobic Reference Unit (Cardiff, United Kingdom).
The Swedish Institute for Communicable Disease Control (http://www.smittskyddsinstitutet.se).