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Hello, everyone. My name is Dr. Sarah Fouch. Within this session, we will be considering Clostridium difficile. We will think about the conditions that are associated with this organism and the symptoms that a patient may experience. We will also think about the virulence factors that this organism expresses to make it a successful pathogen.
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Now, when we think about Clostridium difficile, we haven't known about this organism for a long time. It's been recognized for its clinical importance since the 1970s, and it's the toxin that Clostridium difficile produces that is associated with the symptoms that the patient will experience. But, again, by far a key virulence factor here is the fact that it can form spores. We will think about these virulence factors a little bit more as we go through this recording. Now, when we think about Clostridium difficile, the toxin is a problem, and it's particularly a problem within the hospital environment but the spores are an even bigger issue here. If we think about Clostridium difficile, I want you to think about antibiotics because this is very much associated with antibiotic-associated diarrhea. We will talk about why that is over the next couple of slides. A lot of us will carry Clostridium difficile as part of our normal bowel flora. That's fine, it doesn't cause us any issues whatsoever. However, if you think about how populated our gastrointestinal tract is, it has many different species of organisms and they keep each other in check so one doesn't dominate a certain area. Now, when we have antibiotics, obviously, that will upset that balance. We can also come into contact with Clostridium difficile as well. Again, we can find it in soil, water, and sewage. We can also come into contact with it in the hospital environment as well.

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