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The second most prevalent ribotype was 078 (23%).
Ribotype 027 was predominant in the patient population and was the second most prevalent ribotype identified contaminating the ward environment.
Ribotype 001 was by far the most prevalent ribotype found, causing severe CDI in 70% of all collaborating hospitals.
Ribotype 018 caused outbreaks of CDI in Italy in 2007/2008 and is the fourth most prevalent ribotype in Europe at present [ 20, 21].
The toxinotype V animal isolates included in our study have been previously identified as PCR ribotype 078, the most prevalent ribotype among calves and pigs, accounting for 94% (bovine) and 83% (swine) of isolates tested from multiple geographic regions (8 ).
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Overall, the most prevalent ribotypes in Asia appear to be 017, 018, 014, 002, and 001.
The strains subjected to comparative genomic hybridisation were chosen as they represented the most prevalent PCR-ribotypes from the UK and EU [ 2, 22].
We found that ribotype 001 was the most prevalent and widespread ribotype, found in 70% of submitting hospitals.
PCR ribotype 002 was the most predominant ribotype, constituting 35 strains from 29 (9.4%) patients with toxin-producing C. difficile.
The most predominant ribotype was 014 (A+B+CDT−) accounting for 50% of all strains.
Analysis of the most dominant ribotypes suggests that many uncovered bacterial taxa exist in coral habitats and await future exploration.
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