Unique Clindamycin-Resistant Clostridioides difficile Strain Related to Fluoroquinolone-Resistant Epidemic BI/RT027 Strain
Andrew M. Skinner
, Laurica Petrella, Farida Siddiqui, Susan P. Sambol, Christopher A. Gulvik, Dale N. Gerding, Curtis J. Donskey, and Stuart Johnson
Author affiliations: Edward Hines, Jr. VA Hospital, Hines, Illinois, USA (A.M. Skinner, L. Petrella, F. Siddiqui, D.N. Gerding, S. Johnson); Loyola University Medical Center, Maywood, Illinois, USA (A.M. Skinner, S. Johnson); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (C.A. Gulvik); Louis Stokes VA Hospital, Cleveland, Ohio, USA (C.J. Donskey); Case Western Reserve University, Cleveland (C.J. Donskey)
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Figure 3
Figure 3. Quantitative in vitro total toxin production in study of C. difficile at 2 US Veteran Affairs long-term care facilities and their affiliated acute care facilities. Results at 24, 48, and 72 hours of incubation are shown for REA strains AF (ribotype 244), BI (ribotype 027), DQ (ribotype 591), J (ribotype 001), and T (a nontoxigenic Clostridioides difficile strain). REA, restriction endonuclease analysis.
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