%0 Journal Article %T Epidemic Clostridioides difficile Ribotype 027 Lineages: Comparisons of Texas Versus Worldwide Strains %A Ali Memariani %A Anne J Gonzales-Luna %A Bradley T Endres %A Charlene Offiong %A Chris Lancaster %A Edward Septimus %A Eug¨Śnie Bass¨¨res %A Hua Sun %A Julian G Hurdle %A Kevin W Garey %A Khurshida Begum %A Kierra M Dotson %A Kristi Kuper %A M Jahangir Alam %A Raouf Arafat %A Seth T Walk %A Shawn Tupy %A Tor C Savidge %A Zhongming Zhao %J Archive of "Open Forum Infectious Diseases". %D 2019 %R 10.1093/ofid/ofz013 %X The epidemic Clostridioides difficile ribotype 027 strain resulted from the dissemination of 2 separate fluoroquinolone-resistant lineages: FQR1 and FQR2. Both lineages were reported to originate in North America; however, confirmatory large-scale investigations of C difficile ribotype 027 epidemiology using whole genome sequencing has not been undertaken in the United States %K anaerobe infections %K antimicrobial stewardship %K molecular epidemiology %K whole genome sequencing %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368847/