ABSTRACTThe insertion sites of the conjugative transposon Tn916in the anaerobic pathogenClostridium difficilewere determined using Illumina Solexa high-throughput DNA sequencing of Tn916insertion libraries in two different clinical isolates: 630ΔE, an erythromycin-sensitive derivative of 630 (ribotype 012), and the ribotype 027 isolate R20291, which was responsible for a severe outbreak ofC. difficiledisease. A consensus 15-bp Tn916insertion sequence was identified which was similar in both strains, although an extended consensus sequence was observed in R20291. A search of theC. difficile630 genome showed that the Tn916insertion motif was present 100,987 times, with approximately 63,000 of these motifs located in genes and 35,000 in intergenic regions. To test the usefulness of Tn916as a mutagen, a functional screen allowed the isolation of a mutant. This mutant contained Tn916inserted into a gene involved in flagellar biosynthesis.