Impact of clarithromycin resistance on eradication of Helicobacter pylori in infected adults

被引:49
作者
Lee, JH
Shin, JH
Roe, IH
Sohn, SG
Lee, JH
Kang, GH
Lee, HK
Jeong, BC
Lee, SH
机构
[1] Myongji Univ, Dept Biol Sci, Kyunggido 449728, South Korea
[2] Dankook Univ, Coll Med, Res Ctr Gastroenterol, Cheonan, Choongnamdo, South Korea
[3] Dankook Univ, Coll Med, Dept Gastroenterol, Cheonan, Choongnamdo, South Korea
关键词
D O I
10.1128/AAC.49.4.1600-1603.2005
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The outcome of Helicobacter pylori infection was analyzed in 114 dyspeptic patients treated with triple-drug therapy including clarithromycin. Clarithromycin resistance (in 20.2% of our isolates) was mainly caused by an A2142G mutation in the 23S rRNA gene of H. pylori. H. pylori eradication was obtained in all patients with clarithromycin-susceptible isolates but not in any patients with clarithromycin-resistant isolates (P = 0.0001). Therefore, it would be useful to conduct H. pylori antimicrobial susceptibility testing of the first gastric biopsy culture before choosing the first three drugs for therapy of infected patients.
引用
收藏
页码:1600 / 1603
页数:4
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