A panel of well characterised C. difficile isolates representing 70 distinct PCR-ribotypes was used in this study [22 (link)]. The panel comprised PCR-ribotypes known to be associated with human CDI in Europe. This collection was assembled using type strains previously shared between two established PCR-ribotyping laboratories (Clostridium difficile Network for England and Northern Ireland (CDRN), and National Reference Laboratory for Clostridium difficile at University Medical Centre, Leiden). All PCR-ribotypes were originally assigned in association with the Anaerobic Reference Laboratory at Cardiff (ARL) using agarose gel-based PCR-ribotyping technique (Table 1 ). Data on isolates in the panel have been made available on-line in a National Center for Biotechnology Information BioProject database (NCBI) (http://www.ncbi.nlm.nih.gov/bioproject/248340 ). In addition, a subset (European Centre for Disease Prevention and Control (ECDC)-Brazier collection) is available to all reference laboratories in Europe who participate in the European C. difficile infection study network (ECDIS-NET) [23 ].
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