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Laboratory-based surveillance of Clostridium difficile strains circulating in the Australian healthcare setting in 2012

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TLDR
While no RTs were associated with CA-CDI, RTs 056 and 126 were recently found in Australian production animals, indicating a possible community health threat in Australia.
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This article is published in Pathology.The article was published on 2017-04-01. It has received 23 citations till now. The article focuses on the topics: Clostridium difficile.

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Genome analysis of Clostridium difficile PCR ribotype 014 lineage in australian pigs and humans reveals a diverse genetic repertoire and signatures of long-range interspecies transmission

TL;DR: Novel insights are provided on the genetic variability and strain relatedness of C. difficile RT014, a lineage of emerging One Health importance and the first pan-genome analysis for this lineage, characterizing its resistome, prophage content, and in silico virulence potential.
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Clostridium difficile and One Health.

TL;DR: Evidence is presented that demonstrates transmission of C. difficile in hospitals from asymptomatic carriers to symptomatic CDI patients, and an interconnected transmission pathway for C.difficile involving food animals, humans and the environment is presented.
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Genomic Delineation of Zoonotic Origins of Clostridium difficile.

TL;DR: Evolution, and zoonotic aspects of CDI are discussed, including the anthropomorphic factors that contribute to the spread of C. difficile from the farm to the community, and findings indicate either a zoonosis or anthroponosis.
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Clostridium difficile ribotype 017 - characterization, evolution and epidemiology of the dominant strain in Asia.

TL;DR: An important feature of C. difficile RT 017 strains is their resistance to several antimicrobials and this has been documented as a possible factor driving multiple outbreaks in different parts of the world.
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Clostridium difficile colitis and zoonotic origins-a narrative review

TL;DR: The epidemiological differences between hospital- and community- acquired CDI are discussed, including some emerging evidence for community-acquired CDI being a possible zoonosis.
References
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Journal ArticleDOI

An epidemic, toxin gene-variant strain of Clostridium difficile.

TL;DR: A previously uncommon strain of C. difficile with variations in toxin genes has become more resistant to fluoroquinolones and has emerged as a cause of geographically dispersed outbreaks of C.'s Difficile-associated disease.
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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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The Changing Epidemiology of Clostridium difficile Infections

TL;DR: The evidence for the changing epidemiology, clinical virulence and outcome of treatment of CDI is reviewed, and the similarities and differences between data from various countries and continents are reviewed.
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Diverse Sources of C. difficile Infection Identified on Whole-Genome Sequencing

TL;DR: Genetically diverse sources, in addition to symptomatic patients, play a major part in C. difficile transmission, which suggests a considerable reservoir of C. Difficile infection identified in health care settings or in the community in Oxfordshire.
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