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Surveillance for antimicrobial resistance in Australian isolates of Clostridium difficile, 2013–14

Overview of attention for article published in Journal of Antimicrobial Chemotherapy (JAC), July 2015
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Title
Surveillance for antimicrobial resistance in Australian isolates of Clostridium difficile, 2013–14
Published in
Journal of Antimicrobial Chemotherapy (JAC), July 2015
DOI 10.1093/jac/dkv220
Pubmed ID
Authors

Daniel R. Knight, Steven Giglio, Peter G. Huntington, Tony M. Korman, Despina Kotsanas, Casey V. Moore, David L. Paterson, Louise Prendergast, Charlotte A. Huber, Jennifer Robson, Lynette Waring, Michael C. Wehrhahn, Gerhard F. Weldhagen, Richard M. Wilson, Thomas V. Riley

Abstract

The objective of this study was to determine the activity of fidaxomicin and comparator antimicrobials against Clostridium difficile isolated from patients with C. difficile infection (CDI) in Australian hospitals and in the community. One private and one public laboratory from five states in Australia submitted a total of 474 isolates/PCR-positive stool samples during three collection periods in August-September 2013 (n = 175), February-March 2014 (n = 134) and August-September 2014 (n = 165). Isolate identification was confirmed by selective culture for C. difficile and a proportion of isolates from each state were characterized by PCR for toxin genes and PCR ribotyping. MICs of fidaxomicin and eight comparator antimicrobials were determined for all isolates using agar methodology. Site collection yielded 440 isolates of C. difficile and PCR revealed a heterogeneous strain population comprising 37 different PCR ribotypes (RTs), 95% of which were positive for tcdA and tcdB (A+B+). The most common RTs were 014 (29.8%) and 002 (15.9%). Epidemic RT 027 was not identified; however, small numbers of virulent RTs 078 and 244 were found. Resistance to vancomycin, metronidazole and fidaxomicin was not detected and resistance to moxifloxacin was very low (3.4%). Fidaxomicin showed potent in vitro activity against all 440 isolates (MIC50/MIC90 0.03/0.12 mg/L) and was superior to metronidazole (MIC50/MIC90 0.25/0.5 mg/L) and vancomycin (MIC50/MIC90 1/2 mg/L). These data confirm the potent in vitro activity of fidaxomicin against C. difficile. Moreover, this study provides an important baseline for ongoing long-term surveillance of antimicrobial resistance and prospective tracking of prominent and emerging strain types.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 53 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 2%
Unknown 52 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 25%
Researcher 7 13%
Student > Ph. D. Student 6 11%
Other 3 6%
Student > Postgraduate 3 6%
Other 9 17%
Unknown 12 23%
Readers by discipline Count As %
Medicine and Dentistry 11 21%
Biochemistry, Genetics and Molecular Biology 9 17%
Immunology and Microbiology 5 9%
Agricultural and Biological Sciences 4 8%
Veterinary Science and Veterinary Medicine 2 4%
Other 7 13%
Unknown 15 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 August 2016.
All research outputs
#20,657,128
of 25,377,790 outputs
Outputs from Journal of Antimicrobial Chemotherapy (JAC)
#7,013
of 8,174 outputs
Outputs of similar age
#201,353
of 275,154 outputs
Outputs of similar age from Journal of Antimicrobial Chemotherapy (JAC)
#84
of 108 outputs
Altmetric has tracked 25,377,790 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 8,174 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.9. This one is in the 6th percentile – i.e., 6% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 275,154 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 108 others from the same source and published within six weeks on either side of this one. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.