NDLI: Frequency of antibiotic resistance in Helicobacter pylori strains isolated from the northern population of Iran

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Frequency of antibiotic resistance in Helicobacter pylori strains isolated from the northern population of Iran

Content Provider	Springer Nature Link
Author	Abadi, Amin Talebi Bezmin Taghvaei, Tarang Mobarez, Ashraf Mohabbati Carpenter, Beth M. Merrell, D. Scott
Copyright Year	2011
Abstract	The purpose of this study was to evaluate the primary resistance rates of recent clinical Helicobacter pylori isolates to the most commonly used antibiotics in Iran. Two hundreds and ten patients presenting with gastric maladies between January and July of 2009 were enrolled in this study. Endoscopy was performed, and biopsy specimens were collected from each patient for subsequent bacterial culture of H. pylori. Single colony isolates from each patient were then used for antimicrobial susceptibility testing. The disk diffusion method was used to determine susceptibility patterns. One hundred and ninety-seven of the patients were H. pylori positive (93.8%). The rates of resistance to tetracycline, amoxicillin, ciprofloxacin, metronidazole, clarithromycin, and furizoladone were 37.1%, 23.9%, 34.5%, 65.5%, 45.2%, and 61.4%, respectively. A significant association between amoxicillin resistance and disease state (P<0.05) was identified. Furthermore, some double, triple, quadruple, and quintuple combinations of antibiotic resistance were found to be associated with disease state. This study evaluated the prevalence of H. pylori resistance to the most commonly prescribed antibiotics used in Iran and showed that resistance rates were generally higher than previously reported. This data adds to the growing body of evidence that suggests there is increasing antibiotic resistance among H. pylori isolates, which likely is responsible for the decreasing efficacy of anti-H. pylori therapy at the local and global level. Hence, there is a need for continued monitoring of resistance patterns, especially at the local level, and for incorporation of that information into treatment regimens for H. pylori infections.
Starting Page	987
Ending Page	993
Page Count	7
File Format	PDF
ISSN	12258873
Journal	Journal of Microbiology
Volume Number	49
Issue Number	6
e-ISSN	19763794
Language	English
Publisher	The Microbiological Society of Korea
Publisher Date	2011-12-28
Publisher Place	Heidelberg
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Helicobacter antibiotic resistance Iran multidrug resistance amoxicillin metronidazole Microbiology
Content Type	Text
Resource Type	Article
Subject	Medicine Microbiology Applied Microbiology and Biotechnology

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