“…New C. difficile ribotypes may rapidly emerge and spread through the global health care system, as demonstrated for the RT 027 lineage [ 25 ], and also move between animal and human hosts, with no geographical barriers, as demonstrated for the RT 078 lineage [ 26 , 27 , 28 ]. In particular, C. difficile has frequently been detected in both healthy and symptomatic food animals [ 11 , 29 , 30 , 31 ]. In addition, the detection of C. difficile in retail meat and the resistance of C. difficile spores to temperature has raised concerns about the possibility that the consumption of raw contaminated foods could lead to colonization and infection by C. difficile in humans [ 32 , 33 , 34 , 35 , 36 , 37 , 38 ].…”