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C. difficile, stool
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Test Name:
C. difficile, stool
Organism(s)/Disease(s):
C. difficile
C. difficile diarrhea
C. difficile enterocolitis
Clostridioides difficile colitis
Clostridioides difficile infection (CDI)
Clostridioides difficile toxin (CDT)
Clostridioides difficile-associated disease (CDAD)
Clostridioidies difficile (formerly Clostridium difficile)
Pseudomembranous colitis (antibiotic associated diarrhea)
Body Source(s):
Stool / feces
Clinical Prerequisite(s):
Provision of relevant, clinical information is important to ensure a clinically relevant result
Always provide:
• specimen source
• current antibiotic therapy and start date
• clinical history:  symptoms and signs; duration

NOTE:  DO NOT collect stool with recent mesalamine rectal suspension enema, GynolII® vaginal contraceptive, TUMS®, or Maalox® liquid.  These substances interfere with the assay

Collection Device/Tube Type:
60 mL sterile, plastic container
Comments:
Collection Instructions:  Enteric Bacterial Panel and C.difficile Stool Collection
•  Submit unformed stool (stool that conforms to the shape of the container). 
   Hard stool will not be processed
•  Stool must not be contaminated with urine, water or other contaminants

Handling and Storage:
Refrigerate
Handling/Storage Comments:
Transport to the testing laboratory as soon as possible after collection
Ensure the lid does not leak and is not cross-threaded

Rejection Criteria:
  • Mislabelled or unlabelled specimen/requisition
  • Leaking specimen(s)
  • Receipt of rectal swab or Copan FecalSwab™
  • Specimen collected in enteric transport media
  • Specimen collected in any type of preservative (10% formalin, MV, SAF, or PVA)
  • Submission of formed, solid, or hard stool specimen
  • Receipt multiple specimens within a 24-hour period
  • Receipt of a previous test within the last 7 days, unless approved by the Microbiologist-on-Call
  • Patient is <24 months old and collected without Microbiologist approval

Turnaround Times
See Microbiology Information»
Comments:
All sites:  For more test information refer to:  
Testing for C. difficile (Lab Bulletin - 21-Jul-2025)
Calgary/South:  for information regarding the testing algorithm used, refer to: 
Molecular Testing Summary - APL DSC Calgary



Last Reviewed:
26 August 2025

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