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Table 3 The prevalence of C. difficile toxinotypes and toxin genes

From: Global prevalence of Clostridioides difficile in 17,148 food samples from 2009 to 2019: a systematic review and meta-analysis

Toxinotype

Number of studies

Prevalence (%)

Lower limit

Upper limit

Z-value

p value

I2

C. difficile toxinotypes

 0

4

15.6

4.5

42.2

− 2.4

0.016

71.9

 III

5

22.7

8.3

48.8

− 2.0

0.041

58.4

 V

9

64.5

41.9

82.1

1.3

0.205

79.2

 Overall

18

39.1

25.2

54.9

− 1.4

0.175

79.9

Test of heterogeneity between subgroups: Q value: 9.725, p value: 0.008

Toxin genes

Number of studies

Prevalence (%)

Lower limit

Upper limit

Z-value

p value

I2

C. difficile toxin genes detected by molecular methods

 A

37

76.8

68.1

83.8

5.3

0.000

64.6

 B

37

75.9

66.7

83.2

5.0

0.000

68.7

 cdtA

3

28.8

10.1

59.2

− 1.4

0.165

0.0

 CTD

27

49.6

36.9

62.3

− 0.1

0.953

79.0

 tcdC

6

41.7

20.6

66.3

− 0.6

0.516

72.6

 tcdC117

4

17.6

5.3

44.7

− 2.3

0.023

63.5

 tcdC18

9

19.5

9.6

35.5

− 3.4

0.001

0.0

 tcdC39

9

67.4

48.9

81.7

1.9

0.064

68.7

 Overall

132

61.7

56.2

67.0

4.1

0.000

74.7

Test of heterogeneity between subgroups: Q-value: 58.9, p value: 0.000