Over a 3-year period, 45% of C. difficile cases in Oxfordshire were genetically distinct from all previous cases.

[Cllcanada]

It has been thought that Clostridium difficile infection is transmitted predominantly within health care settings. However, endemic spread has hampered identification of precise sources of infection and the assessment of the efficacy of interventions.

From the New England Journal of Medicine...

nejm.org/doi/full/10.1056/N...

Article on this subject

medpagetoday.com/Infectious...