Clostridium difficile GDH + Toxin A + B Combo Rapid Test Cassette
In vitro rapid diagnostic test for the detection of Clostridium
difficile GDH, Toxin A and Toxin B antigen in human feces samples
The Clostridium difficile GDH+Toxin A+B Combo Rapid Test Cassette (Feces) is a rapid
chromatographic immunoassay for the qualitative detection of
Clostridium difficile GDH, Toxin A and Toxin B in the human feces
Clostridium difficile is an anaerobic bacteria acting as an opportunistic pathogen: it
grows in the intestine when the normal flora has been altered by
treatment with antibiotics.1,2,3 Toxinogenic strains of Clostridium difficile cause infections from
mild-diarrhea to pseudomembranous colitis, potentially leading to
Disease is caused by two toxins produced by toxinogenic strains of
C.difficile: Toxin A (tissue-damaging enterotoxin) and Toxin B
(cytotoxin). Some strains produce both toxins A and B, some others
produce Toxin B only. The potential role of a third (binary) toxin
in pathogenicity is still debated.4
The use of Glutamate Dehydrogenase (GDH) as an antigen marker of C.difficile proliferation has been shown to be very effective because all
strains produce high amount of this enzyme.5,6 Clostridium Cassette allows the specific detection of C. difficile's GDH in stool specimen. Samples with a positive Clostridium
Cassette result should be investigated further to test for
toxigenicity of the bacteria.
How to use?
Allow the test, specimen, stool collection buffer and/or control to
equilibrate to room temperature (15-30°C) prior to testing.
1.To collect fecal specimens:Collect sufficient quantity of feces
(1-2mL or 1-2g) in a clean, dry specimen collection container to
obtain enough virus particles. Best results will be obtained if the
assay is performed within 6 hours after collection. Specimen
collected may be stored for 3 days at 2-8°C if not tested within 6
hours. For long term storage, specimens should be kept below -20°C.
2.To process fecal specimens
For Solid Specimens:
Unscrew the cap of the specimen collection tube, then randomly stab
the specimen collection applicator into the fecal specimen at least
3 different sites to collect approximately 50 mg of feces
(equivalent to 1/4 of a pea). Do not scoop the fecal specimen.
For Liquid Specimens:
Hold the dropper vertically, aspirate fecal specimens, and then
transfer 2 drops of the liquid specimen (approximately 80 µL) into
the specimen collection tube containing the extraction buffer
Tighten the cap onto the specimen collection tube, then shake the
specimen collection tube vigorously to mix the specimen and the
extraction buffer. Leave the collection tube for reaction for 2
3.Bring the pouch to room temperature before opening it. Remove the
test cassette from the foil pouch and use it as soon as possible.
Best results will be obtained if the test is performed immediately
after opening the foil pouch.
4.Hold the specimen collection tube upright and unscrew the tip of
the specimen collection tube. Invert the specimen collection tube
and transfer 3 full drops of the extracted specimen(approximately
120 µL) to the specimen well (S) of the test cassette, then start
the timer. Avoidtrapping air bubbles in the specimen well (S). See
5.Read the results at 10 minutes after dispensing the specimen. Do
not read results after20 minutes.
INTERPRETATION OF RESULTS
The results are to be interpreted as follows:
POSITIVE:* Two distinct colored lines appear. One colored line
should be in the control line region
(C) and another apparent colored line should be in the test line
*NOTE: The intensity of the color in the test line region (T) will
vary depending on the concentration of Clostridium difficile
antigen present in the specimen. Therefore, any shade of color in
the test line region (T) should be considered positive.
NEGATIVE: One colored line appears in the control line region (C).
No line appears in the test line
INVALID: Control line (C) fails to appear. Insufficient specimen
volume or incorrect procedural techniques are the most likely
reasons for control line failure. Review the procedure and repeat
the test with a new test cassette. If the problem persists,
discontinue using the test kit immediately and contact your local
An internal procedural control is included in the test. A colored
line appearing in the control line region
(C) is an internal positive procedural control. It confirms
sufficient specimen volume, adequate membrane wicking and correct
Control standards are not supplied with this kit; however, it is
recommended that positive and negative controls be tested as a good
laboratory practice to confirm the test procedure and to verify
proper test performance.