RT Journal Article T1 First isolation of Clostridioides difficile from smoked and dried freshwater fish in Cambodia A1 Rodriguez, Cristina A1 Mith, Hasika A1 Taminiau, Bernard A1 Bouchafa, Lamia A1 Van Broeck, Johan A1 Soumillion, Kate A1 Ngyuvula, Eleonore A1 Garcia-Fuentes, Eduardo A1 Korsak, Nicolas A1 Delmee, Michel A1 Daube, Georges K1 Clostridioides difficile K1 Smoked dried freshwater fish K1 Cross-contamination K1 Ready-to-eat food K1 Antibiotic resistance K1 Food contamination K1 Retail meat K1 Antibiotic-resistance K1 Susceptibility K1 Contamination K1 Vegetables K1 Food K1 Environment K1 Prevalence K1 Seafood K1 Humans AB In Cambodia, freshwater aquaculture is the most important source of food production. Fresh fish meat is considered a highly perishable food that requires the use of different manipulations and preservation techniques to inhibit the proliferation of undesirable bacteria. These bacteria are naturally present in the raw product or could be acquired during manipulation by cross-contamination. Many studies worldwide have investigated the epidemiology of Clostridioides difficile (C. difficile) in food, but to date, there are no publications about the bacterium in ready-to-eat fish or descriptions in Cambodia. The objective of this study was to assess the presence of C. difficile in one of the main food supplies of this country, smoked freshwater fish, originating from different provinces. A total of 25 samples were collected directly from local markets, yielding 4 C. difficile isolates and an overall recovery rate of 16%. Most of the isolates were toxigenic and classified as rare PCR profiles, and they were resistant to clindamycin. These findings indicate contamination during handling and/or contamination of the raw fish, followed by insufficient heat treatment to kill the spores. The presence of C. difficile in smoked and dried fish implies a potential risk of human exposure, contamination and infection. PB Elsevier sci ltd SN 0956-7135 YR 2021 FD 2021-02-10 LK http://hdl.handle.net/10668/18778 UL http://hdl.handle.net/10668/18778 LA en DS RISalud RD Apr 10, 2025