Evaluation of antigen‐positive toxin‐negative enzyme immunoassay results for the diagnosis of toxigenic Clostridium difficile infection Article Swipe
Yukinobu Akamatsu
,
Shota Morishita
,
Hiroki Chikumi
,
Ryo Okamoto
,
Kensaku Okada
,
Tsuyoshi Kitaura
,
Naomi Miyake
,
Kosuke Yamaguchi
,
Masaki Nakamoto
,
Hisashi Shimohiro
,
Miyako Takata
,
Akira Yamasaki
,
Naoto Burioka
,
Eiji Shimizu
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.2152/jmi.65.131
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.2152/jmi.65.131
Clostridium difficile (C. difficile)-associated diarrhea (CDAD) is a challenging nosocomial infectious disease. C. DIFF Quik Chek Complete assay is widely used to detect glutamate dehydrogenase (GDH) antigen and toxin A/B of C. difficile simultaneously. However, the interpretation of GDH positive/toxin negative results is problematic. We performed a retrospective study of patients with GDH positive/toxin negative results to determine the probability of detecting toxigenic C. difficile and its risk factors. Between April 2012 and March 2017, we investigated cultures of fecal specimens followed by toxin detection tests. The clinical histories of patients with and without toxigenic C. difficile were compared using univariate- and multivariate-analyses. In total, 2675 patients were examined using C. Diff Quik Chek Complete assay. Among 356 GDH positive/toxin negative patients, cultures were performed in 220 cases and toxigenic C. difficile was recovered from 139 (63.2%) specimens. Patients with toxigenic C. difficile had significantly lower body mass index than those without. Over half the GDH positive/toxin negative patients were infected with toxigenic C. difficile. Lower BMI was a CDAD risk factor in this patient population. These data can be utilized to initiate isolation and clinical interventions before confirmatory test results are available. J. Med. Invest. 65:131-135, February, 2018.
Related Topics
Concepts
Clostridium difficile
Clostridium difficile toxin A
Toxin
Medicine
Glutamate dehydrogenase
Immunoassay
Internal medicine
Diarrhea
Clostridium difficile toxin B
Microbiology
Gastroenterology
Immunology
Antibody
Biology
Antibiotics
Glutamate receptor
Receptor
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2152/jmi.65.131
- https://www.jstage.jst.go.jp/article/jmi/65/1.2/65_131/_pdf
- OA Status
- diamond
- Cited By
- 4
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2794621952
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2794621952Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.2152/jmi.65.131Digital Object Identifier
- Title
-
Evaluation of antigen‐positive toxin‐negative enzyme immunoassay results for the diagnosis of toxigenic Clostridium difficile infectionWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2018Year of publication
- Publication date
-
2018-01-01Full publication date if available
- Authors
-
Yukinobu Akamatsu, Shota Morishita, Hiroki Chikumi, Ryo Okamoto, Kensaku Okada, Tsuyoshi Kitaura, Naomi Miyake, Kosuke Yamaguchi, Masaki Nakamoto, Hisashi Shimohiro, Miyako Takata, Akira Yamasaki, Naoto Burioka, Eiji ShimizuList of authors in order
- Landing page
-
https://doi.org/10.2152/jmi.65.131Publisher landing page
- PDF URL
-
https://www.jstage.jst.go.jp/article/jmi/65/1.2/65_131/_pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://www.jstage.jst.go.jp/article/jmi/65/1.2/65_131/_pdfDirect OA link when available
- Concepts
-
Clostridium difficile, Clostridium difficile toxin A, Toxin, Medicine, Glutamate dehydrogenase, Immunoassay, Internal medicine, Diarrhea, Clostridium difficile toxin B, Microbiology, Gastroenterology, Immunology, Antibody, Biology, Antibiotics, Glutamate receptor, ReceptorTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 1, 2023: 2, 2022: 1Per-year citation counts (last 5 years)
- References (count)
-
23Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.positive/toxin | 39, 53, 119, 156 |
| abstract_inverted_index.simultaneously. | 33 |
| abstract_inverted_index.difficile)-associated | 3 |
| abstract_inverted_index.multivariate-analyses. | 102 |
| cited_by_percentile_year.max | 96 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 14 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7200000286102295 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.02682077 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |