Related Experiment Video
Updated: Jun 22, 2026

Identification of Rare Bacterial Pathogens by 16S rRNA Gene Sequencing and MALDI-TOF MS
Published on: July 11, 2016
Comparison of molecular typing methods applied to Clostridium difficile
Ed J Kuijper1, Renate J van den Berg, Jon S Brazier
1Reference Laboratory for Clostridium difficile, Medical Microbiology Department, LUMC, Leiden, The National Institute for Public Health and Environment, Bangkok, Bilthoven, The Netherlands.
Molecular typing methods are crucial for understanding Clostridium difficile infection (CDI) epidemiology. Multilocus variable number of tandem repeats analysis offers the highest discrimination for tracking this nosocomial pathogen.
Area of Science:
- Microbiology
- Epidemiology
- Molecular Biology
Background:
- Clostridium difficile infection (CDI) epidemiology has been studied using various typing methods since the 1980s.
- Effective epidemiological studies require typing methods with high discriminatory power, typeability, and reproducibility.
- Molecular typing methods offer advantages over phenotypic methods due to genomic marker stability and higher typeability.
Purpose of the Study:
- To review and compare molecular typing methods for Clostridium difficile.
- To identify the most effective methods for both rapid outbreak detection and long-term epidemiological surveillance of CDI.
Main Methods:
- Review of molecular typing techniques applied to Clostridium difficile.
- Comparison of methods based on discriminatory power, typeability, and reproducibility.
- Highlighting PCR ribotyping and Multilocus Variable Number of Tandem Repeats (MLVA) analysis.
Main Results:
- PCR ribotyping is a common method for early detection of CDI outbreaks.
- Methods like multilocus sequence typing, MLVA, and amplified fragment length polymorphism are valuable for long-term epidemiological studies.
- PCR ribotyping is currently the benchmark for global CDI typing studies.
Conclusions:
- Multilocus Variable Number of Tandem Repeats (MLVA) analysis is the most discriminative typing method currently available for C. difficile.
- Advanced molecular typing methods like MLVA will significantly enhance the understanding of CDI epidemiology.
- Accurate typing is essential for controlling the spread of this significant nosocomial pathogen.
Related Concept Videos
Modern Molecular Taxonomy
Methods of Classification and Identification
Applications of Molecular Taxonomy
Rapid Identification of Pathogens
Automated Microbial Diagnostics
Methods to Assess Microbial Populations
