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Updated: May 1, 2026

Culturing and Maintaining Clostridium difficile in an Anaerobic Environment
Published on: September 14, 2013
Recovery of Clostridioides difficile from the environment in low resource settings
Peng An Khun1, Barbara J Chang1, Thomas V Riley2
1School of Biomedical Sciences, The University of Western Australia, Western Australia, Australia.
A new, cost-effective alcohol wipe method effectively detects Clostridioides difficile spores in environments, proving comparable to standard sponges. This approach is suitable for low-resource settings, simplifying spore detection and environmental monitoring.
Area of Science:
- Environmental microbiology
- Infectious disease detection
- Low-resource diagnostics
Background:
- Clostridioides difficile spores persist in the environment for extended periods, posing a continuous infection risk.
- Current methods for detecting C. difficile spores, such as Polywipe™ sponges, can be costly and complex.
- There is a need for simpler, more affordable methods for environmental C. difficile spore detection, especially in resource-limited settings.
Purpose of the Study:
- To evaluate a novel, economical alcohol wipe method for detecting Clostridioides difficile spores.
- To compare the efficacy of alcohol wipes against traditional Polywipe™ sponges for C. difficile spore recovery.
- To assess the suitability of aerobic culture media (Robertson's cooked meat broth and supplemented brain heart infusion broth) for C. difficile detection in low-resource conditions.
Main Methods:
- Alcohol wipes and Polywipe™ sponges were used to sample surfaces in a dedicated C. difficile microbiology laboratory.
- Environmental samples were cultured using Robertson's cooked meat broth (CMB) and supplemented brain heart infusion broth (BHIB-S) under aerobic conditions.
- Recovery rates of C. difficile spores by each wipe type and culture medium were compared, alongside analysis of known positive human stool samples.
Main Results:
- The overall prevalence of C. difficile contamination in the laboratory environment was 3.4%.
- Alcohol wipes demonstrated comparable recovery rates (3.2%) to Polywipe™ sponges (3.6%) for C. difficile spores.
- Robertson's cooked meat broth (CMB) showed higher recovery rates (80-100%) compared to BHIB-S (40%) for C. difficile spores from inoculated alcohol wipes, and is transportable at ambient temperatures.
Conclusions:
- Alcohol wipes represent a viable, cost-effective alternative for environmental C. difficile spore detection, particularly in low-resource settings.
- Robertson's cooked meat broth (CMB) is a suitable and practical enrichment medium for use with alcohol wipes in resource-limited environments.
- The study supports the implementation of simpler diagnostic tools for monitoring C. difficile contamination and preventing its spread.
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