Division Laboratory Criteria
United Kingdom
At least one of the following three:
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Isolation of BoNT-producing clostridia (for example, Clostridium botulinum, C. baratii, C. butyricum) for infant botulism (stool) or wound botulism (wound);
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Detection of botulinum neurotoxins in a clinical specimen;
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Detection of genes encoding for botulinum neurotoxins in a clinical specimen.