Clostridium Difficile GDH Reflex Toxin A/B Test

Original price was: ₹1,500.00.Current price is: ₹1,199.00.

Clostridium Difficile GDH Reflex Toxin A/B Test

The Clostridium difficile GDH Reflex Toxin A/B test is used to detect C. difficile infection (CDI), a bacterial infection causing severe diarrhea and colitis, often associated with antibiotic use. This test detects:

1️⃣ GDH (Glutamate Dehydrogenase) antigen – A broad screening test for C. difficile.
2️⃣ Toxin A & B – The actual toxins that cause diarrhea and colitis.


Why is This Test Done?

🔹 To diagnose C. difficile infection in patients with severe or persistent diarrhea
🔹 To identify toxin-producing C. difficile (not all strains are harmful)
🔹 To guide treatment decisions and prevent complications like toxic megacolon


How the Test Works

Test Component What It Detects Possible Result Meaning
GDH Antigen C. difficile presence Positive = Possible infection
Negative = No infection
Toxin A/B Disease-causing toxins Positive = Active toxin-producing infection
Negative = Carrier state or inactive infection

Reflex Testing:

  • If GDH is positive but toxins are negative, a PCR test (NAAT) may be done to check for toxigenic C. difficile genes.


Interpreting Results

GDH Result Toxin A/B Result Meaning
Negative Negative No C. difficile infection
Positive Negative Possible carrier state or non-toxigenic strain (PCR may be needed)
Positive Positive Active C. difficile infection (CDI) – needs treatment

Next Steps if Positive

Stop unnecessary antibiotics (if applicable)
Start CDI treatmentOral vancomycin or fidaxomicin (first-line)
Maintain hydration 💧
Strict infection control to prevent spread