Stool Toxin Concentration Does Not Distinguish <i>Clostridioides difficile</i> Infection from Colonization in Children Less Than 3 Years of Age
Thomas J. Sandora, David N. Williams, Kaitlyn Daugherty, Christine Geer, Christine Cuddemi, Larry K. Kociolek, Xinhua Chen, Hua Xu, Timothy J. Savage, Alice Banz, Kevin W. Garey, Anne J Gonzales-Luna, Ciarán P. Kelly, Nira R. Pollock
Abstract
In a prospective cohort study, stools from children <3 years with and without diarrhea who were Clostridioides difficile nucleic acid amplification test-positive underwent ultrasensitive and quantitative toxin measurement. Among 37 cases and 46 controls, toxin concentration distributions overlapped substantially. Toxin concentration alone does not distinguish C. difficile infection from colonization in young children.
Topics & Concepts
ClostridioidesMedicineColonizationClostridium difficileToxinClostridium difficile toxin AMicrobiologyInternal medicineAntibioticsBiologyClostridium difficile and Clostridium perfringens researchMicroscopic ColitisGastrointestinal motility and disorders