Abstract

Purpose. Clostridium difficile spores are extremely resilient to high temperatures. Sublethal temperatures are associated with the 'reactivation' of dormant spores, and are utilized to maximize C. difficile spore recovery. Spore eradication is of vital importance to the food industry. The current study seeks to elucidate the transient and persisting effects of heating C. difficile spores at various temperatures.Methods. Spores of five C. difficile strains of different ribotypes (001, 015, 020, 027 and 078) were heated at 50, 60 and 70-80 °C for 60 min in phosphate-buffered saline (PBS) and enumerated at 0, 15, 30, 45 and 60 min. GInaFiT was used to model the kinetics of spore inactivation. In subsequent experiments, spores were transferred to enriched brain heart infusion (BHI) broths after 10 min of 80 °C heat treatment in PBS; samples were enumerated at 90 min and 24 h.Results. The spores of all strains demonstrated log-linear inactivation with tailing when heated for 60 min at 80 °C [(x̄=7.54±0.04 log10 vs 4.72±0.09 log10 colony-forming units (c.f.u.) ml- 1; P<0.001]. At 70 °C, all strains except 078 exhibited substantial decline in recovery over 60 min. Interestingly, 50 °C heat treatment had an inhibitory effect on 078 spore recovery at 0 vs 60 min (7.61±0.06 log10 c.f.u. ml- 1 vs 6.13±0.05 log10 c.f.u. ml- 1; P<0.001). Heating at 70/80 °C inhibited the initial germination and outgrowth of both newly produced and aged spores in enriched broths. This inhibition appeared to be transient; after 24 h vegetative counts were higher in heat-treated vs non-heat-treated spores (x̄=7.65±0.04 log10 c.f.u. ml- 1 vs 6.79±0.06 log10 c.f.u. ml- 1; P<0.001).Conclusions. The 078 spores were more resistant to the inhibitory effects of higher temperatures. Heat initially inhibits spore germination, but the subsequent outgrowth of vegetative populations accelerates after the initial inhibitory period.

Highlights

  • Clostridium difficile infection (CDI) is a major burden on healthcare services around the world

  • 078 spores were more resistant to the inhibitory effects of higher temperatures

  • Heat initially inhibits spore germination, but subsequent outgrowth of vegetative populations accelerates after the initial inhibitory period

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Summary

Introduction

Clostridium difficile infection (CDI) is a major burden on healthcare services around the world. C. difficile spores are responsible for transmission within the nosocomial environment, whether it be from environmental contamination or recrudescent disease in the case of relapsing CDI [2]. Studies have highlighted the increased germination of some spore formers (B. subtilis, C. perfringens) in response to sublethal heat treatment [3,4,5]. Sublethal heat t reatment is usually administered between 60-75 was noted when aged C. difficile spores were heat activated compared to fresh spores [6]. Other studies have failed to observe an effect of sublethal heat treatment on C. difficile spore germination in fresh spores [7, 8]. Varying temperatures and durations have been reported previously for C. difficile spore germination optimisation [9,10,11]. There remains no clear consensus on how to optimise spore recovery in regards to heat

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