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Cited by 423

The DOI matches its Crossref record; 208 of the 208 references it cites were found in a registry or an index.

Diagnosis of Clostridium difficile Infection: an Ongoing Conundrum for Clinicians and for Clinical Laboratories

Open access
Carey-Ann, Burnham D., Carroll, Karen C.·2013·Clinical Microbiology Reviews

Abstract

SUMMARY: Clostridium difficile is a formidable nosocomial and community-acquired pathogen, causing clinical presentations ranging from asymptomatic colonization to self-limiting diarrhea to toxic megacolon and fulminant colitis. Since the early 2000s, the incidence of C. difficile disease has increased dramatically, and this is thought to be due to the emergence of new strain types. For many years, the mainstay of C. difficile disease diagnosis was enzyme immunoassays for detection of the C. difficile toxin(s), although it is now generally accepted that these assays lack sensitivity. A number of molecular assays are commercially available for the detection of C. difficile . This review covers the history and biology of C. difficile and provides an in-depth discussion of the laboratory methods used for the diagnosis of C. difficile infection (CDI). In addition, strain typing methods for C. difficile and the evolving epidemiology of colonization and infection with this organism are discussed. Finally, considerations for diagnosing C. difficile disease in special patient populations, such as children, oncology patients, transplant patients, and patients with inflammatory bowel disease, are described. As detection of C. difficile in clinical specimens does not always equate with disease, the diagnosis of C. difficile infection continues to be a challenge for both laboratories and clinicians.

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Metadata

Authors
Carey-Ann, B. D., & Carroll, K. C.
Venue
Clinical Microbiology Reviews
Published
2013-07
Volume
26
Issue
3
Pages
604-630
ISSN
  • 0893-8512 (ISSN-L)
  • 1098-6618
OpenAlex
W2148071366
Cited by
423
References
208
FWCI
22.44
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Diagnosis of Clostridium difficile Infection: an Ongoing Conundrum for Clinicians and for Clinical Laboratories. https://app.cochat.ai/papers/10.1128/cmr.00016-13
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Carey-Ann, B. D., & Carroll, K. C. (2013). Diagnosis of Clostridium difficile Infection: an Ongoing Conundrum for Clinicians and for Clinical Laboratories. Clinical Microbiology Reviews. https://doi.org/10.1128/cmr.00016-13

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.