Despite historically being considered a healthcare-associated pathogen, rates of Clostridioides difficile infection in the community have risen greatly in recent decades. As a pathogen of One Health importance, sources of C. difficile in the community have been sought to understand and control community-associated C. difficile infection transmission.
ObjectivesThis study aimed to investigate the prevalence and molecular characteristics of C. difficile isolated from retail garden products in two Australian states.
MethodsSoil conditioners, soil mixes and turf samples were collected from commercial garden product suppliers in Western Australia and Queensland from May 2023 to January 2024. Following enrichment culture, PCR ribotyping and toxin gene profiling were performed on C. difficile isolates.
ResultsC. difficile was recovered from 257 of 479 (53.7 %) retail garden products in this study. Prevalence was highest in turf (67.1 %, 53/79), followed by soil mixes (57.1 %, 148/259) and soil conditioners (39.7 %, 56/141). Of the 113 distinct ribotypes identified, the most common were 014/020 and QX 686. Toxigenic ribotypes associated with both human infection and production animals in Australia, including 014/020, 056 and 087, were recovered.
ConclusionA high prevalence of C. difficile was found in garden products sold to consumers, including toxigenic strains associated with C. difficile infection in humans and animals. More discriminatory characterisation of isolates is required to determine if retail garden products contribute to the burden of community-associated C. difficile infection in Australia.
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