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.
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收藏
页码:1600 / 1603
页数:4
相关论文
共 23 条
[11]   Prevalence of Helicobacter pylori resistance to antibiotics in Northeast Italy:: a multicentre study [J].
Pilotto, A ;
Rassu, M ;
Leandro, G ;
Franceschi, M ;
Di Mario, F .
DIGESTIVE AND LIVER DISEASE, 2000, 32 (09) :763-768
[12]   Antibiotic-resistant H-pylori infection and its treatment [J].
Qureshi, WA ;
Graham, DY .
CURRENT PHARMACEUTICAL DESIGN, 2000, 6 (15) :1537-1544
[13]   Effect of metronidazole resistance on bacterial eradication of Helicobacter pylori in infected children [J].
Raymond, J ;
Kalach, N ;
Bergeret, M ;
Benhamou, PH ;
Barbet, JP ;
Gendrel, D ;
Dupont, C .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1998, 42 (06) :1334-1335
[14]   CONSTRUCTION OF A HELICOBACTER-PYLORI GENOME MAP AND DEMONSTRATION OF DIVERSITY AT THE GENOME LEVEL [J].
TAYLOR, DE ;
EATON, M ;
CHANG, N ;
SALAMA, SM .
JOURNAL OF BACTERIOLOGY, 1992, 174 (21) :6800-6806
[15]   Role of antimicrobial susceptibility testing on efficacy of triple therapy in Helicobacter pylori eradication [J].
Toracchio, S ;
Cellini, L ;
Di Campli, E ;
Cappello, G ;
Malatesta, MG ;
Ferri, A ;
Ciccaglione, AF ;
Grossi, L ;
Marzio, L .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2000, 14 (12) :1639-1643
[16]   Primary and secondary antibiotic resistance of Helicobacter pylori strains isolated in central Italy during the years 1998-2002 [J].
Toracchio, S ;
Marzio, L .
DIGESTIVE AND LIVER DISEASE, 2003, 35 (08) :541-545
[17]   Identification of a novel mutation affecting domain V of the 23S rRNA gene in Helicobacter pylori [J].
Toracchio, S ;
Aceto, GM ;
Mariani-Costantini, R ;
Battista, P ;
Marzio, L .
HELICOBACTER, 2004, 9 (05) :396-399
[18]  
TUCCI A, 1993, ITAL J GASTROENTEROL, V25, P65
[19]   Accurate prediction of macrolide resistance in Helicobacter pylori by a PCR line probe assay for detection of mutations in the 23S rRNA gene:: Multicenter validation study [J].
van Doorn, LJ ;
Glupczynski, Y ;
Kusters, JG ;
Mégraud, F ;
Midolo, P ;
Maggi-Solcà, N ;
Queiroz, DMM ;
Nouhan, N ;
Stet, E ;
Quint, WGV .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2001, 45 (05) :1500-1504
[20]  
WARREN JR, 1983, LANCET, V1, P1273