Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringens

ObjectiveTo provide basic data for modification of laboratory testing for outbreaks caused by Clostridium perfringens (C. perfringens), a diarrhea outbreak that may have been caused by polyclonal infection of C. perfringens was analyzed.MethodsAnal swab samples of 4 patients with diarrhea were colle...

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Main Authors: ZHAO Fengling, GAO Xiang, ZHEN Bojun, ZHANG Ping, LUO Yuxin, WANG Runping, HUANG Zhen, LI Ying, ZOU Lin
Format: Article
Language:zho
Published: The Editorial Office of Chinese Journal of Food Hygiene 2023-07-01
Series:Zhongguo shipin weisheng zazhi
Subjects:
Online Access:http://www.zgspws.com/zgspwszz/article/abstract/202307021
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author ZHAO Fengling
GAO Xiang
ZHEN Bojun
ZHANG Ping
LUO Yuxin
WANG Runping
HUANG Zhen
LI Ying
ZOU Lin
author_facet ZHAO Fengling
GAO Xiang
ZHEN Bojun
ZHANG Ping
LUO Yuxin
WANG Runping
HUANG Zhen
LI Ying
ZOU Lin
author_sort ZHAO Fengling
collection DOAJ
description ObjectiveTo provide basic data for modification of laboratory testing for outbreaks caused by Clostridium perfringens (C. perfringens), a diarrhea outbreak that may have been caused by polyclonal infection of C. perfringens was analyzed.MethodsAnal swab samples of 4 patients with diarrhea were collected. cpa and cpe genes and C. perfringens in original swab samples and enriched samples were detected via real time PCR. Toxin gene test and pulsed field gel electrophoresis (PFGE) were performed for some C. perfringens isolates.Resultscpa and cpe genes were positive in samples of 4 patients. One cpe+ isolate was obtained from 18 isolates of C. perfringens from patient 1, and the composition ratio was 5.56% (1/18). One cpe+ isolate was obtained from 6 isolates of C. perfringens in patient 2, and the composition ratio was 16.7% (1/6). No cpe+ isolate was obtained from patient 3, and C. perfringens was not isolated from patient 4. Two types (A type and C type) and 5 PFGE patterns were identified in 11 isolates of C. perfringens. Two cpe+ isolates from patient 1 and patient 2 had identical PFGE patterns.ConclusionThis outbreak might have been caused by C. perfringens. Considering the delays caused by the implementation of diagnostic standards, comprehensive use of laboratory detection methods can improve the response time of outbreak analysis.
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spelling doaj.art-3bea093c648d4e7aa14020f4c44789222023-11-20T05:28:59ZzhoThe Editorial Office of Chinese Journal of Food HygieneZhongguo shipin weisheng zazhi1004-84562023-07-013571109111310.13590/j.cjfh.2023.07.0211004-8456(2023)07-1109-05Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringensZHAO Fengling0GAO Xiang1ZHEN Bojun2ZHANG Ping3LUO Yuxin4WANG Runping5HUANG Zhen6LI Ying7ZOU Lin8Tongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaTongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaTongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaTongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaTongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaTongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaTongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaShunyi District Center for Disease Control and Prevention, Beijing 101300, ChinaTongzhou District Center for Disease Control and Prevention, Beijing 101100, ChinaObjectiveTo provide basic data for modification of laboratory testing for outbreaks caused by Clostridium perfringens (C. perfringens), a diarrhea outbreak that may have been caused by polyclonal infection of C. perfringens was analyzed.MethodsAnal swab samples of 4 patients with diarrhea were collected. cpa and cpe genes and C. perfringens in original swab samples and enriched samples were detected via real time PCR. Toxin gene test and pulsed field gel electrophoresis (PFGE) were performed for some C. perfringens isolates.Resultscpa and cpe genes were positive in samples of 4 patients. One cpe+ isolate was obtained from 18 isolates of C. perfringens from patient 1, and the composition ratio was 5.56% (1/18). One cpe+ isolate was obtained from 6 isolates of C. perfringens in patient 2, and the composition ratio was 16.7% (1/6). No cpe+ isolate was obtained from patient 3, and C. perfringens was not isolated from patient 4. Two types (A type and C type) and 5 PFGE patterns were identified in 11 isolates of C. perfringens. Two cpe+ isolates from patient 1 and patient 2 had identical PFGE patterns.ConclusionThis outbreak might have been caused by C. perfringens. Considering the delays caused by the implementation of diagnostic standards, comprehensive use of laboratory detection methods can improve the response time of outbreak analysis.http://www.zgspws.com/zgspwszz/article/abstract/202307021clostridium perfringensdiarrheaoutbreakpolyclonalpulsed field gel electrophoresistoxin gene
spellingShingle ZHAO Fengling
GAO Xiang
ZHEN Bojun
ZHANG Ping
LUO Yuxin
WANG Runping
HUANG Zhen
LI Ying
ZOU Lin
Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringens
Zhongguo shipin weisheng zazhi
clostridium perfringens
diarrhea
outbreak
polyclonal
pulsed field gel electrophoresis
toxin gene
title Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringens
title_full Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringens
title_fullStr Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringens
title_full_unstemmed Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringens
title_short Laboratory detection and analysis of a suspected diarrhea outbreak caused by Clostridium perfringens
title_sort laboratory detection and analysis of a suspected diarrhea outbreak caused by clostridium perfringens
topic clostridium perfringens
diarrhea
outbreak
polyclonal
pulsed field gel electrophoresis
toxin gene
url http://www.zgspws.com/zgspwszz/article/abstract/202307021
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