Multicentre Evaluation of a Commercial Test for the Rapid Diagnosis of Clostridium difficile-Mediated Antibiotic-Associated Diarrhoea

被引:0
作者
A. H. Bentley
N. B. Patel
M. Sidorczuk
P. Loy
J. Fulcher
P. Dexter
J. Richards
S. P. Borriello
K. W. Zak
E. M. Thorn
机构
[1] Department of Bacteriology,
[2] Edgware General Hospital,undefined
[3] Burnt Oak Broadway,undefined
[4] Edgware,undefined
[5] Middlesex HA8 0AD,undefined
[6] UK,undefined
[7] Department of Bacteriology,undefined
[8] North Manchester General Hospital,undefined
[9] Delaunys Road,undefined
[10] Manchester M86 RL,undefined
[11] UK,undefined
[12] School of Biological Sciences,undefined
[13] University of East Anglia,undefined
[14] Norwich NR4 7TJ,undefined
[15] UK,undefined
[16] Public Health Laboratory,undefined
[17] Bowthorpe Road,undefined
[18] Norwich,undefined
[19] NR2 3TX,undefined
[20] UK,undefined
[21] Central Public Health Laboratory,undefined
[22] Colindale,undefined
[23] London NW9 5HT,undefined
[24] UK,undefined
[25] Unipath Ltd.,undefined
[26] Priory Business Park,undefined
[27] Bedford MK44 3UP,undefined
[28] UK e-mail: kris.zak@unilever.com,undefined
来源
European Journal of Clinical Microbiology and Infectious Diseases | 1998年 / 17卷
关键词
Cytotoxicity Assay; Stool Sample; Minimal Sample; Clostridium Difficile; Cell Cytotoxicity;
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摘要
 An immunoassay for the detection of Clostridium difficile toxin A in stool samples (Clearview C. DIFF A; Unipath, UK) was evaluated against the cell cytotoxicity assay using 407 stool samples from patients suspected to have, or considered at risk of, antibiotic-associated diarrhoea. Of the samples tested, 98 were positive and 280 were negative by both tests (sensitivity 83.1%, specificity 96.9%). Following resolution of the 29 discrepant results, the sensitivity and specificity of the immunoassay were 91% and 98%, respectively, and the sensitivity for the cell cytotoxicity assay was calculated as 91.5%, with a specificity of 99%. The Clearview C. DIFF A test proved to be a rapid simple assay for the detection of Clostridium difficile toxin A in stool samples. The test was equally suited to single or batch testing, required minimal sample handling, and provided results within 30 min of applying the sample to the test unit.
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页码:788 / 790
页数:2
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