Stool samples or rectal swabs were obtained from each patient within 48 h of hospital admission. Toxigenic C. difficile carriers were identified with a real-time PCR assay, which simultaneously detects toxin A (TcdA enterotoxin, encoded by tcdA) and toxin B (TcdB cytotoxin, encoded by tcdB) (AdvanSure CD Real-Time PCR Kit; LG Life Science, Seoul, Korea). Enzyme-linked immunosorbent assay (ELISA) (C. DIFFICILE TOX A/B II, TECHLAB, USA) was used to evaluate the stool samples for toxin A and B production.
Free full text: Click here