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Response to Prior and Fitzpatrick

  • Sirisha Kundrapu (a1), Venkata Sunkesula (a1), Myreen Tomas (a1) (a2) and Curtis J. Donskey (a1) (a2)
  • In response to commentaries on:


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Corresponding author

Address correspondence to Curtis J. Donskey, MD, Geriatric Research, Education, and Clinical Center, Cleveland Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, Ohio 44106 (


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1. Kundrapu, S, Sunkesula, V, Tomas, M, Donskey, CJ. Skin and environmental contamination in patients diagnosed with Clostridium difficile infection but not meeting clinical criteria for testing. Infect Control Hosp Epidemiol 2015;36:13481350.
2. Koo, HL, Van, JN, Zhao, M, et al. Real-time polymerase chain reaction detection of asymptomatic Clostridium difficile colonization and rising C. difficile-associated disease rates. Infect Control Hosp Epidemiol 2014;35:667673.
3. Polage, CR, Gyorke, CE, Kennedy, MA, et al. Overdiagnosis of Clostridium difficile infection in the molecular test era. JAMA Intern Med 2015;175:17921801.
4. Buckel, WR, Avdic, E, Carroll, KC, Gunaseelan, V, Hadhazy, E, Cosgrove, SE. Gut check: Clostridium difficile testing and treatment in the molecular testing era. Infect Control Hosp Epidemiol 2015;36:217221.
5. Peterson, LR, Robicsek, A. Does my patient have Clostridium difficile infection? Ann Intern Med 2009;151:176179.
6. Planche, T, Wilcox, MH. Diagnostic pitfalls in Clostridium difficile infection. Infect Dis Clin North Am 2015;29:6382.
7. Prior, AR, Fitzpatrick, F. Clostridium difficile—To Test or Not to Test? Response to Kundrapu et al. Infect Control Hosp Epidemiol 2016;37:361362.
8. Biswas, JS, Patel, A, Otter, JA, van Kleef, E, Goldenberg, SD. Contamination of the hospital environment from potential Clostridium difficile excretors without active infection. Infect Control Hosp Epidemiol 2015;36:975977.
9. Kyne, L, Warny, M, Qamar, A, et al. Asymptomatic carriage of Clostridium difficile and serum levels of IgG antibody against toxin A. N Engl J Med 2000;342:390397.
10. Louie, TJ, Cannon, K, Byrne, B, et al. Fidaxomicin preserves the intestinal microbiome during and after treatment of Clostridium difficile infection (CDI) and reduces both toxin reexpression and recurrence of CDI. Clin Infect Dis 2012;55(Suppl 2):S132S142.
11. Donskey, CJ, Kundrapu, S, Deshpande, A. Colonization versus carriage of Clostridium difficile . Infect Dis Clin North Am 2015;29:1328.

Response to Prior and Fitzpatrick

  • Sirisha Kundrapu (a1), Venkata Sunkesula (a1), Myreen Tomas (a1) (a2) and Curtis J. Donskey (a1) (a2)
  • In response to commentaries on:


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