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Characterization of swine isolates of Clostridium difficile in Spain: a potential source of epidemic multidrug resistant strains?

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TLDR
The results show a high prevalence of the toxigenic 078 ribotype and multidrug resistance and metronidazole heteroresistance was found among animal isolates of C. difficile in swine in Spain, highlighting the role of livestock as a potential source of epidemic multidrog resistant strains in Spain.
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This article is published in Anaerobe.The article was published on 2013-08-01. It has received 52 citations till now. The article focuses on the topics: Etest & Multiple drug resistance.

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Recent advances in the understanding of antibiotic resistance in Clostridium difficile infection.

TL;DR: Investigations of the fitness cost in C. difficile indicate that both genetic elements and mutations in the molecular targets of antibiotics can be maintained regardless of the burden imposed on fitness, suggesting that resistances may persist in the C. Difficile population also in absence of antibiotic selective pressure.
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Understanding Clostridium difficile Colonization

TL;DR: A comprehensive overview of the current understanding of C. difficile colonization among patients at admission is presented, although further research is needed to identify if interventions are beneficial for preventing transmission or overcoming progression to CDI.
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Dissemination of Clostridium difficile in food and the environment: Significant sources of C. difficile community-acquired infection?

TL;DR: Effective control can be exercised by reducing the environmental burden of C. difficile along with boosting the host defences against the virulent enteric pathogen, according to the host microbiome and functioning immune system.
References
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R: A language and environment for statistical computing.

R Core Team
- 01 Jan 2014 - 
TL;DR: Copyright (©) 1999–2012 R Foundation for Statistical Computing; permission is granted to make and distribute verbatim copies of this manual provided the copyright notice and permission notice are preserved on all copies.
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Clostridium difficile infection: new developments in epidemiology and pathogenesis

TL;DR: Since 2001, the prevalence and severity of C. difficile infection has increased significantly, which has led to increased research interest and the discovery of new virulence factors, and has expanded and focused the development of new treatment and prevention regimens.
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Clostridium difficile — More Difficult Than Ever

TL;DR: Recent changes in the epidemiology of C. difficile have become both more prevalent and more virulent and the use of new antibiotics, probiotics, immunotherapy, and even bacteriotherapy is discussed.
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Clostridium difficile infection in Europe: a hospital-based survey

TL;DR: The data emphasise the importance of multicountry surveillance to detect and control C difficile infection in Europe and build capacity for diagnosis and surveillance.
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Emergence of Clostridium difficile‐associated disease in North America and Europe

TL;DR: The clinical spectrum of Clostridium difficile-associated disease (CDAD) ranges from diarrhoea to severe life-threatening pseudomembranous colitis, and is recognised increasingly in a variety of animal species and in individuals previously not considered to be predisposed.
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