{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:49:09Z","timestamp":1792068549130,"version":"4.4.0"},"reference-count":19,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Diagnostic Microbiology and Infectious Disease"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.diagmicrobio.2026.117625","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T16:09:15Z","timestamp":1787587755000},"page":"117625","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the Xpert Clostridioides difficile BT Assay using FecalSwab stool samples"],"prefix":"10.1016","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0929-9048","authenticated-orcid":false,"given":"Simon","family":"Michaelis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Stocker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang J.","family":"Schnedl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Baranyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dietmar","family":"Enko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"13","key":"10.1016\/j.diagmicrobio.2026.117625_bib0001","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1056\/NEJMoa1306801","article-title":"Multistate point-prevalence survey of health care-associated infections","volume":"370","author":"Magill","year":"2014","journal-title":"N Engl J Med"},{"issue":"2","key":"10.1016\/j.diagmicrobio.2026.117625_bib0002","doi-asserted-by":"crossref","DOI":"10.1128\/cmr.00135-23","article-title":"Clostridioides difficile infection: history, epidemiology, risk factors, prevention, clinical manifestations, treatment, and future options","volume":"37","author":"Di Bella","year":"2024","journal-title":"Clin Microbiol Rev"},{"issue":"5","key":"10.1016\/j.diagmicrobio.2026.117625_bib0003","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1086\/382084","article-title":"Clindamycin, cephalosporins, fluoroquinolones, and Clostridium difficile-associated diarrhea: this is an antimicrobial resistance problem","volume":"38","author":"Gerding","year":"2004","journal-title":"Clin Infect Dis"},{"issue":"1","key":"10.1016\/j.diagmicrobio.2026.117625_bib0004","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.jhin.2017.08.017","article-title":"Updated meta-analysis of controlled observational studies: proton-pump inhibitors and risk of Clostridium difficile infection","volume":"98","author":"Cao","year":"2018","journal-title":"J Hosp Infect"},{"key":"10.1016\/j.diagmicrobio.2026.117625_bib0005","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/1471-2334-14-29","article-title":"Prevention of Clostridium difficile spore formation by sub-inhibitory concentrations of tigecycline and piperacillin\/tazobactam","volume":"14","author":"Garneau","year":"2014","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117625_bib0006","doi-asserted-by":"crossref","DOI":"10.1016\/j.anaerobe.2025.102974","article-title":"Laboratory diagnosis of Clostridioides difficile infection: past, present and future","volume":"93","author":"Barbut","year":"2025","journal-title":"Anaerobe"},{"issue":"Suppl 4","key":"10.1016\/j.diagmicrobio.2026.117625_bib0007","doi-asserted-by":"crossref","first-page":"S63","DOI":"10.1016\/j.cmi.2016.03.010","article-title":"European society of clinical microbiology and infectious diseases: update of the diagnostic guidance document for clostridium difficile infection","volume":"22","author":"Crobach","year":"2016","journal-title":"Clin Microbiol Infect"},{"issue":"7","key":"10.1016\/j.diagmicrobio.2026.117625_bib0008","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1093\/cid\/ciy149","article-title":"Clinical practice guidelines for clostridium difficile infection in adults and children: 2017 update by the infectious diseases society of America (IDSA) and society for healthcare epidemiology of America (SHEA)","volume":"66","author":"McDonald","year":"2018","journal-title":"Clin Infect Dis"},{"issue":"4","key":"10.1016\/j.diagmicrobio.2026.117625_bib0009","first-page":"369","article-title":"Challenges and future solutions for detection of clostridioides difficile in adults","volume":"36","author":"Biswas","year":"2023","journal-title":"Ann Gastroenterol"},{"issue":"1","key":"10.1016\/j.diagmicrobio.2026.117625_bib0010","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.diagmicrobio.2018.11.020","article-title":"Evaluating the preservation and isolation of stool pathogens using the COPAN FecalSwab\u2122 Transport System and walk-away specimen processor","volume":"94","author":"Goneau","year":"2019","journal-title":"Diagn Microbiol Infect Dis"},{"issue":"5","key":"10.1016\/j.diagmicrobio.2026.117625_bib0011","doi-asserted-by":"crossref","first-page":"1588","DOI":"10.1128\/JCM.00273-17","article-title":"Evaluation of the new FecalSwab system for maintaining stability of stool samples submitted for molecular tests","volume":"55","author":"Silbert","year":"2017","journal-title":"J Clin Microbiol"},{"issue":"4","key":"10.1016\/j.diagmicrobio.2026.117625_bib0012","doi-asserted-by":"crossref","DOI":"10.1016\/j.diagmicrobio.2020.115055","article-title":"Evaluation of copan FecalSwab\u2122 preserved stool specimens with the BD MAX\u2122 enteric bacterial panel and the BD MAX\u2122 extended enteric bacterial panel","volume":"97","author":"Rojas","year":"2020","journal-title":"Diagn Microbiol Infect Dis"},{"issue":"9","key":"10.1016\/j.diagmicrobio.2026.117625_bib0013","doi-asserted-by":"crossref","first-page":"e00178","DOI":"10.1128\/JCM.00178-20","article-title":"Evaluation of the FecalSwab for stool specimen storage and molecular detection of enteropathogens on the BD Max system","volume":"58","author":"Richard-Greenblatt","year":"2020","journal-title":"J Clin Microbiol"},{"issue":"5","key":"10.1016\/j.diagmicrobio.2026.117625_bib0014","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1007\/s10096-015-2320-2","article-title":"Comparison of BD Max Cdiff and GenomEra C. difficile molecular assays for detection of toxigenic Clostridium difficile from stools in conventional sample containers and in FecalSwabs","volume":"34","author":"Hirvonen","year":"2015","journal-title":"Eur J Clin Microbiol Infect Dis"},{"issue":"10","key":"10.1016\/j.diagmicrobio.2026.117625_bib0015","doi-asserted-by":"crossref","first-page":"3123","DOI":"10.1128\/JCM.00369-17","article-title":"Evaluation of Copan FecalSwab as specimen type for use in Xpert C. difficile assay","volume":"55","author":"Mashock","year":"2017","journal-title":"J Clin Microbiol"},{"issue":"3","key":"10.1016\/j.diagmicrobio.2026.117625_bib0016","doi-asserted-by":"crossref","first-page":"276","DOI":"10.11613\/BM.2012.031","article-title":"Interrater reliability: the kappa statistic","volume":"22","author":"McHugh","year":"2012","journal-title":"Biochem Med"},{"issue":"7","key":"10.1016\/j.diagmicrobio.2026.117625_bib0017","doi-asserted-by":"crossref","first-page":"e00426","DOI":"10.1128\/JCM.00426-18","article-title":"Evaluation of the use of rectal swabs for laboratory diagnosis of Clostridium difficile infection","volume":"56","author":"Jazmati","year":"2018","journal-title":"J Clin Microbiol"},{"issue":"6","key":"10.1016\/j.diagmicrobio.2026.117625_bib0018","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1111\/apm.12942","article-title":"Direct detection and characterization of Clostridium difficile from a novel collection device to improve laboratory workflow","volume":"127","author":"Barbanti","year":"2019","journal-title":"Apmis"},{"issue":"7","key":"10.1016\/j.diagmicrobio.2026.117625_bib0019","doi-asserted-by":"crossref","first-page":"2334","DOI":"10.1128\/JCM.00539-14","article-title":"Comparison of FecalSwab and ESwab devices for storage and transportation of diarrheagenic bacteria","volume":"52","author":"Hirvonen","year":"2014","journal-title":"J Clin Microbiol"}],"container-title":["Diagnostic Microbiology and Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0732889326003755?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0732889326003755?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T12:07:06Z","timestamp":1792066026000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0732889326003755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["S0732889326003755"],"URL":"https:\/\/doi.org\/10.1016\/j.diagmicrobio.2026.117625","relation":{},"ISSN":["0732-8893"],"issn-type":[{"value":"0732-8893","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluation of the Xpert Clostridioides difficile BT Assay using FecalSwab stool samples","name":"articletitle","label":"Article Title"},{"value":"Diagnostic Microbiology and Infectious Disease","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.diagmicrobio.2026.117625","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"117625"}}