Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin

Backround: Clostridium difficile is the most common cause of nosocomial diarrhea. It is usually a consequence of antibi­otic treatment, but sporadic cases can occur. The purpose of this study was to investigate five tissue culture monolayers sen­sitivity in detection of C. difficile-toxin. Methods...

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Main Authors: MH Salari, N Badami, N Sadeghifard, F Amin Harati
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2008-03-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/2078
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author MH Salari
N Badami
N Sadeghifard
F Amin Harati
author_facet MH Salari
N Badami
N Sadeghifard
F Amin Harati
author_sort MH Salari
collection DOAJ
description Backround: Clostridium difficile is the most common cause of nosocomial diarrhea. It is usually a consequence of antibi­otic treatment, but sporadic cases can occur. The purpose of this study was to investigate five tissue culture monolayers sen­sitivity in detection of C. difficile-toxin. Methods: A total of 402 stool samples from patients with nosocomial diarrhea hospitalized in three hospitals of Tehran Uni­versity of Medical Sciences (TUMS) were collected. The samples were cultured on a selective cycloserine cefoxitin fructose agar (CCFA) and incubated in anaerobic conditions, at 37 °C for 4 days. Isolates were characterized to species level by con­ventional biochemical tests. Bacterial cytotoxicity was assayed on five tissue culture monolayers. Results: Our findings show that of the total patients, 24 toxigenic C. difficile (6%) were isolated. All 24 C. difficile toxins showed cytotoxic effect at ³ 1:10 dilution on Hela, Hep2, Vero, McCoy and Mdck cells after 16, 20, 24, 24 and 30 hours, re­spectively. C. difficile toxin showed cytotoxic effect at ³ 1:100 dilutions only on Hela cell monolayer after 48 hours. Conclusion: Hela cell monolayer may be a satisfactory substitute for the detection of C. difficile toxin in clinical specimens.
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spelling doaj.art-2e98140aa4c54eb1931e035d1aae0bd02022-12-21T20:15:24ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932008-03-01371Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin MH Salari0 N Badami1 N Sadeghifard2 F Amin Harati3 Backround: Clostridium difficile is the most common cause of nosocomial diarrhea. It is usually a consequence of antibi­otic treatment, but sporadic cases can occur. The purpose of this study was to investigate five tissue culture monolayers sen­sitivity in detection of C. difficile-toxin. Methods: A total of 402 stool samples from patients with nosocomial diarrhea hospitalized in three hospitals of Tehran Uni­versity of Medical Sciences (TUMS) were collected. The samples were cultured on a selective cycloserine cefoxitin fructose agar (CCFA) and incubated in anaerobic conditions, at 37 °C for 4 days. Isolates were characterized to species level by con­ventional biochemical tests. Bacterial cytotoxicity was assayed on five tissue culture monolayers. Results: Our findings show that of the total patients, 24 toxigenic C. difficile (6%) were isolated. All 24 C. difficile toxins showed cytotoxic effect at ³ 1:10 dilution on Hela, Hep2, Vero, McCoy and Mdck cells after 16, 20, 24, 24 and 30 hours, re­spectively. C. difficile toxin showed cytotoxic effect at ³ 1:100 dilutions only on Hela cell monolayer after 48 hours. Conclusion: Hela cell monolayer may be a satisfactory substitute for the detection of C. difficile toxin in clinical specimens.https://ijph.tums.ac.ir/index.php/ijph/article/view/2078CPeVarious tissue culture
spellingShingle MH Salari
N Badami
N Sadeghifard
F Amin Harati
Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin
Iranian Journal of Public Health
CPe
Various tissue culture
title Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin
title_full Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin
title_fullStr Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin
title_full_unstemmed Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin
title_short Investigation of Various Tissue Culture Monolayers Sensitivity in Detection of Clostridium difficile Toxin
title_sort investigation of various tissue culture monolayers sensitivity in detection of clostridium difficile toxin
topic CPe
Various tissue culture
url https://ijph.tums.ac.ir/index.php/ijph/article/view/2078
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AT nbadami investigationofvarioustissueculturemonolayerssensitivityindetectionofclostridiumdifficiletoxin
AT nsadeghifard investigationofvarioustissueculturemonolayerssensitivityindetectionofclostridiumdifficiletoxin
AT faminharati investigationofvarioustissueculturemonolayerssensitivityindetectionofclostridiumdifficiletoxin