1638Clostridium difficile Strains Colonizing Long-Term Care Facility (LTCF) Residents are Similar to Strains Causing Infection in both LTCF and Hospital Patients Suggesting a Shared Continuum of Transmission

(LTCF) Residents are Similar to Strains Causing Infection in both LTCF and Hospital Patients Suggesting a Shared Continuum of Transmission Susan M. Pacheco, MD; Curtis J. Donskey, MD; Matthew Samore, MD; Jeanmarie Mayer, MD; Nimalie Stone, MD; Carolyn Gould, MD; L. Clifford Mcdonald, MD; Laurica A. Petrella, BS; Susan Sambol, BS, MT; Annette Jencson, BS, MT, CIC; Venkata Sunkesula, MD, MS; Dale Gerding, MD; Edward Hines Jr. Veterans Affairs Hospital, Hines, IL; Loyola University Chicago, Maywood, IL; Case Western Reserve University, Cleveland, OH; Louis Stokes Cleveland VAMedical Center, Cleveland, OH; Medicine, University of Utah School of Medicine, Division of Epidemiology, Salt Lake City, UT; Ideas Center, VA Salt Lake City Health Care System, Salt Lake City, UT; University of Utah School of Medicine, Salt Lake City, UT; Centers for Disease Control and Prevention, Atlanta, GA; CDC, Atlanta, GA