Characterization of Clostridium difficile Strains in British Columbia, Canada: A Shift from NAP1 Majority (2008) to Novel Strain Types (2013) in One Region

Table 4

PCR-ribotypes of C. difficile () from LabA in 2013 by NAP designation.

NAP designation (number)	Ribotype (number)
NAP1 ()	027 (6), 153 (1), and none (1)
NAP4 ()	011 (), 014 (), 020 (), 076 (), 354 (), and 629 ()
NAP6 ()	002 ()
NAP7 ()	078 ()
NAP10 ()	057 (), none ()
NAP11 ()	103 (), 106 ()
None ()	005 (), 014 (), 024 (), 043 (), 054 (), 056 (), 072 (), 075 (), 80 (), 81 (), 137 (), 153 (), 248 (), 328 (), 404 (), and none ()

Isolates with 16S–23S intergenic spacer region profiles not matching a known ribotype.
NAP: North American pulsotype.