Different molecular characteristics and antimicrobial resistance profiles of Clostridium difficile in the Asia-Pacific region Journal Article
| Authors: | Luo, Y.; Cheong, E.; Bian, Q.; Collins, D. A.; Ye, J.; Shin, J. H.; Yam, W. C.; Takata, T.; Song, X.; Wang, X.; Kamboj, M.; Gottlieb, T.; Jiang, J.; Riley, T. V.; Tang, Y. W.; Jin, D. |
| Article Title: | Different molecular characteristics and antimicrobial resistance profiles of Clostridium difficile in the Asia-Pacific region |
| Abstract: | Molecular epidemiology of Clostridium difficile infection (CDI) has been extensively studied in North America and Europe; however, limited data on CDI are available in the Asia-Pacific region. A multicentre retrospective study was conducted in this region. C. difficile isolates were subjected to multilocus sequence typing (ST) and antimicrobial susceptibility testing. Totally, 394 isolates were collected from Hangzhou, Hong Kong, China; Busan, South Korea; Fukuoka, Japan; Singapore; Perth, Sydney, Australia; New York, the United States. C. difficile isolates included 337 toxin A-positive/B-positive/binary toxin-negative (A+B+CDT-), 48 A-B+CDT-, and nine A+B+CDT+. Distribution of dominant STs varied geographically with ST17 in Fukuoka (18.6%), Busan (56.0%), ST2 in Sydney (20.4%), Perth (25.8%). The antimicrobial resistance patterns were significantly different among the eight sites (χ2 = 325.64, p < 0.001). Five major clonal complexes correlated with unique antimicrobial resistances. Healthcare-associated (HA) CDI was mainly from older patients with more frequent antimicrobial use and higher A-B+ positive rates. Higher resistance to gatifloxacin, tetracycline, and erythromycin were observed in HA-CDI patients (χ2 = 4.76-7.89, p = 0.005-0.029). In conclusion, multiple C. difficile genotypes with varied antimicrobial resistance patterns have been circulating in the Asia-Pacific region. A-B+ isolates from older patients with prior antimicrobial use were correlated with HA-CDI. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group, on behalf of Shanghai Shangyixun Cultural Communication Co., Ltd. |
| Keywords: | adolescent; adult; child; aged; major clinical study; nonhuman; retrospective study; antibiotic resistance; multicenter study; clostridium difficile infection; tetracycline; rifampicin; antibiotic sensitivity; clostridium difficile; erythromycin; molecular characteristics; gatifloxacin; quinolone derivative; human; male; female; priority journal; article; antimicrobial resistance; multilocus sequence typing; asia-pacific region; healthcare-associated cdi; clostridioides difficile; erythromycin resistance; fluoroquinolone resistance; healthcare associated infection; rifampicin resistance; tetracycline resistance |
| Journal Title: | Emerging Microbes & Infections |
| Volume: | 8 |
| Issue: | 1 |
| ISSN: | 2222-1751 |
| Publisher: | Nature Publishing Group |
| Date Published: | 2019-01-01 |
| Start Page: | 1553 |
| End Page: | 1562 |
| Language: | English |
| DOI: | 10.1080/22221751.2019.1682472 |
| PUBMED: | 31662120 |
| PROVIDER: | scopus |
| PMCID: | PMC6830245 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 2 December 2019 -- Source: Scopus |
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