INTENDED USE
The Clostridium difficile GDH, Toxin A and Toxin B combo Rapid Test is a test for the detection of glutamate dehydrogenase antigen and toxins A and B. The test detects C. difficile antigen, glutamate dehydrogenase, as a screen for the presence of C. difficile, and confirms the presence of toxigenic C. difficile by detecting toxins A and B in stool specimens from people suspected of having C. difficile which is a difficult disease. The test will serve as an adjunct to the diagnosis of clostridium difficile. As with other C. difficile tests, the results should be considered in conjunction with the patient's medical history.

MATERIALS
Materials Provided
- Individually packed test devices
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- Specimen collection tubes with extraction buffer
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Materials Required but Not provided |
- Specimen collection containers
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TEST PROCEDURE
Bring tests, specimens, and/or controls to room temperature (15-30°C) before use.
- Remove the test from its sealed pouch, and place it on a clean, level surface. Label the device with patient or control identification.
- SPECIMEN PREPARATION:
- ASSAY PROCEDURE:
- Tighten the cap onto the specimen collection tube, then shake the specimen collection tube vigorously to mix the specimen and the extraction buffer. Leave the tube alone for 2 minutes.
- Remove the small lid at the top.
- Hold the bottle in a vertical position over the sample well of the test card, deliver 3 drops (about 90μl) of diluted stool sample to the sample well (S) and start the timer.
- Wait for the colored band(s) to appear. Read the result between 5-10 minutes. A strong positive sample may show result earlier. Do not interpret the result after 15 minutes. As the test begins to work, color will migrate across the result area in the center of the device
INTERPRETATION OF RESULTS
Clostridiumdificile GDH
Clostridium difficile Toxin A and Toxin B

- Toxin A Positive : The colored line in the control line region (C) appears, and a colored line appears in test line region T1. The result is positive for Clostridium difficile Toxin A and is indicative of Clostridium difficile infection.
- Toxin B Positive: The colored line in the control line region (C) appears, and a colored line appears in test line region T2. The result is positive for Clostridium difficile Toxin B and is indicative of Clostridium difficile infection.
- Toxin A&B Positive:The colored line in the control line region (C) appears, and two colored lines should appear in test line regions T1 and T2. The color intensities of the lines do not have to match. The result is positive for Toxin A & Toxin B and is indicative of Clostridium difficile infection.
- Negative (-) : Only a purple red band appears in the quality control area (C). No purple red bands were found in the detection area (T1) and (T2). A negative result indicates no Clostridium difficile infection.
- Invalid: No purple red band in quality control area (C).
PERFORMANCE CHARACTERISTICS
Clinical Sensitivity, Specificity and Accuracy
The Clostridium difficile GDH, Toxin A and Toxin B combo Rapid Test used PCR as the reference method. The results showed that the Clostridium difficile GDH, Toxin A and Toxin B combo Rapid Test had high sensitivity and specificity.
Table: Clostridium difficile GDH Antigen Rapid Test vs. RT-PCR
Method |
RT-PCR |
Total Results |
Clostridium difficile GDH Antigen Rapid Test |
Results |
Positive |
Negative |
Positive |
120 |
3 |
123 |
Negative |
6 |
312 |
318 |
Total Result |
126 |
315 |
441 |
Relative Sensitivity: 95.24% (95%CI: 89.92%~98.23%)
Relative Specificity: 99.05% (95%CI: 97.24%~99.80%)
Accuracy: 97.96% (95%CI: 96.16%~99.06%)
Table: The Clostridium toxin A Antigen Rapid Test vs. RT-PCR
Method |
RT-PCR |
Total Results |
Clostridium toxin A Antigen Rapid Test |
Results |
Positive |
Negative |
Positive |
111 |
5 |
116 |
Negative |
9 |
109 |
118 |
Total Result |
120 |
114 |
234 |
Relative Sensitivity: 92.50% (95%CI: 86.24%~96.51%)
Relative Specificity: 95.61% (95%CI: 90.06%~98.56%)
Accuracy: 94.02% (95%CI: 90.17%~96.69%)
Table: The Clostridium toxin B Antigen Rapid Test vs. RT-PCR
Method |
RT-PCR |
Total Results |
Clostridium toxin B Antigen Rapid Test |
Results |
Positive |
Negative |
Positive |
99 |
4 |
103 |
Negative |
4 |
114 |
118 |
Total Result |
103 |
118 |
221 |
Relative Sensitivity: 96.12% (95%CI: 90.35%~98.93%)
Relative Specificity: 96.61% (95%CI: 91.55%~99.07%)
Accuracy: 96.38% (95%CI: 87.43%~95.10%)
Hangzhou lmmuno Biotech Co., Ltd is the original organization in lmmuno Group. The team of Hangzhou lmmuno Biotech has developed a series of proteins and rapid test kits for the in vitro diagnostic industry in early stage. Over time, Immuno has established itself as a trusted R&D partner and reliable supplier of veterinary rapid test products. Through persistent dedication and continuous investment in the design and development of IVD reagents and test kits, we have achieved significant milestones in recent years-particularly in veterinary diagnostics.
Hangzhou lmmuno Biotech Co., Ltd. will focus on the human medical diagnostic field and mainly cover the following directions: rapid tests for vector-borne diseases(VBDs), rapid tests for sexually transmitted diseases (STDs), rapid tests for respiratory system diseases and rapid tests for digestive system diseases. Additionally, with strong R&D capabilities, we are intensifying efforts in the diagnosis of neglected tropical diseases (NTDs). Immuno will continue to drive innovation in diagnostic solutions for global health challenges.


