2019
DOI: 10.1016/j.anaerobe.2019.01.002
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Genomic analysis of three Clostridioides difficile isolates from urban water sources

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Cited by 14 publications
(17 citation statements)
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“…Thus, the presence of pathogens could be greatly underestimated when using 16S rRNA data only. For instance, in a previous study we could detect and isolate C. difficile from the same samples used in the current study and even detect the C. difficile toxin genes via quantitative real-time PCR, but the 16S rRNA dataset did not provide any evidence for the presence of C. difficile 103 . Therefore, there are clearly limits to high throughput sequencing studies that involve a PCR step in terms of favouring abundant taxa.…”
Section: Discussionmentioning
confidence: 65%
“…Thus, the presence of pathogens could be greatly underestimated when using 16S rRNA data only. For instance, in a previous study we could detect and isolate C. difficile from the same samples used in the current study and even detect the C. difficile toxin genes via quantitative real-time PCR, but the 16S rRNA dataset did not provide any evidence for the presence of C. difficile 103 . Therefore, there are clearly limits to high throughput sequencing studies that involve a PCR step in terms of favouring abundant taxa.…”
Section: Discussionmentioning
confidence: 65%
“…EnteroBase is already being used by the community to identify genetically related groups of isolates (Diemert and Yan 2019;Haley et al 2019;Johnson et al 2019;Miller et al 2019;Numberger et al 2019), and HierCC has been used to mark international outbreaks of S. enterica serovar Poona (Jones et al 2019b) and E. coli O26 (Jones et al 2019a). Case Study 1 illustrates how to explore HierCC genomic relationships at multiple levels, ranging from HC2000 (superlineages) for intercontinental dispersion down to HC5-10 for detecting local transmission chains.…”
Section: Discussionmentioning
confidence: 99%
“…Pathogenic C. difficile strains can induce diarrhea and life-threatening pseudomembranous colitis, often requiring antibiotic treatment. These strains are mainly identified by their ability to produce the enterotoxin A (TcdA) and/or the cytotoxin B (TcdB) [59]. C. difficile-associated diarrhea (CDAD) is a very common nosocomial infection related with high morbidity and mortality, which imposes a huge financial burden to healthcare facilities [60].…”
Section: Clostridioides Difficilementioning
confidence: 99%