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The underappreciated role of rifampin in shaping the epidemiology of RT027-like Clostridioides difficile lineages

Isabella A Tickler, Richard V Goering, Fred C Tenover

Journal of Antimicrobial Chemotherapy · 2026 · Band 81 · Ausgabe 10

Vollständiger Abstract

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Abstract The global emergence and dissemination of epidemic Clostridioides difficile ribotype 027 (RT027) and related lineages illustrate the role of antimicrobial pressure in shaping the epidemiology of this pathogen. We propose a hierarchical model in which fluoroquinolones (FQs) served as the dominant selective force underlying the worldwide expansion of RT027-related strains, with rifampin and rifamycins acting as secondary modifiers that promoted persistence and regional dominance.

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Publikationsdaten

Autor:innen
Isabella A Tickler, Richard V Goering, Fred C Tenover
Quelle
Journal of Antimicrobial Chemotherapy
Publikation
2026-09-04
Band / Ausgabe
81 / 10
Seiten
Nicht angegeben
ISSN / ISBN
0305-7453, 1460-2091
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Zitierfähiger Nachweis

Isabella A Tickler, Richard V Goering, Fred C Tenover (2026). The underappreciated role of rifampin in shaping the epidemiology of RT027-like Clostridioides difficile lineages. Journal of Antimicrobial Chemotherapy, 81 (10). https://doi.org/10.1093/jac/dkag310
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