Antibiotic resistance of Helicobacter pylori: a cross-sectional study in consecutive patients, and relation to ethnicity
To assess primary antibiotic resistance in a given population and relate the results to ethnicity. Consecutive cultures were tested for antibiotic susceptibility with the Etest. Three populations were studied separately: ethnic Dutch people, patients of Turkish descent, and patients originating from...
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| Published in: | Clinical microbiology and infection Vol. 9; no. 7; pp. 600 - 604 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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Oxford, UK
Elsevier Ltd
01-07-2003
Blackwell Science Ltd Blackwell |
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| Abstract | To assess primary antibiotic resistance in a given population and relate the results to ethnicity.
Consecutive cultures were tested for antibiotic susceptibility with the Etest. Three populations were studied separately: ethnic Dutch people, patients of Turkish descent, and patients originating from Africa and the Middle East.
Over a period of 5.5 years, 976 (32%) biopsy specimens from 3010 patients were positive for Helicobacter pylori. Metronidazole and clarithromycin resistance were present in 25.8% and 4.8% of the strains, respectively. The number of metronidazole-resistant strains showed a gradual decrease, while clarithromycin resistance showed a slight increase during the study period. Antimicrobial resistance in patients of Turkish descent and in those originating from Africa or the Middle East was significantly higher than in ethnic Dutch people, 35% and 9.1% versus 21% and 2.9%, respectively (P = 0.003 and P = 0.002).
It is important to take ethnicity into account when studying antibiotic resistance. The numbers of metronidazole- and clarithromycin-resistant strains can vary considerably between people of different ethnic origin living in the same region. |
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| AbstractList | Objectives To assess primary antibiotic resistance in a given population and relate the results to ethnicity. Materials and methods Consecutive cultures were tested for antibiotic susceptibility with the Etest. Three populations were studied separately: ethnic Dutch people, patients of Turkish descent, and patients originating from Africa and the Middle East. Results Over a period of 5.5years, 976 (32%) biopsy specimens from 3010 patients were positive for Helicobacter pylori. Metronidazole and clarithromycin resistance were present in 25.8% and 4.8% of the strains, respectively. The number of metronidazole-resistant strains showed a gradual decrease, while clarithromycin resistance showed a slight increase during the study period. Antimicrobial resistance in patients of Turkish descent and in those originating from Africa or the Middle East was significantly higher than in ethnic Dutch people, 35% and 9.1% versus 21% and 2.9%, respectively (P=0.003 and P=0.002). Conclusion It is important to take ethnicity into account when studying antibiotic resistance. The numbers of metronidazole- and clarithromycin-resistant strains can vary considerably between people of different ethnic origin living in the same region. OBJECTIVESTo assess primary antibiotic resistance in a given population and relate the results to ethnicity.MATERIALS AND METHODSConsecutive cultures were tested for antibiotic susceptibility with the Etest. Three populations were studied separately: ethnic Dutch people, patients of Turkish descent, and patients originating from Africa and the Middle East.RESULTSOver a period of 5.5 years, 976 (32%) biopsy specimens from 3010 patients were positive for Helicobacter pylori. Metronidazole and clarithromycin resistance were present in 25.8% and 4.8% of the strains, respectively. The number of metronidazole-resistant strains showed a gradual decrease, while clarithromycin resistance showed a slight increase during the study period. Antimicrobial resistance in patients of Turkish descent and in those originating from Africa or the Middle East was significantly higher than in ethnic Dutch people, 35% and 9.1% versus 21% and 2.9%, respectively (P = 0.003 and P = 0.002).CONCLUSIONIt is important to take ethnicity into account when studying antibiotic resistance. The numbers of metronidazole- and clarithromycin-resistant strains can vary considerably between people of different ethnic origin living in the same region. Objectives To assess primary antibiotic resistance in a given population and relate the results to ethnicity. Materials and methods Consecutive cultures were tested for antibiotic susceptibility with the Etest. Three populations were studied separately: ethnic Dutch people, patients of Turkish descent, and patients originating from Africa and the Middle East. Results Over a period of 5.5 years, 976 (32%) biopsy specimens from 3010 patients were positive for Helicobacter pylori. Metronidazole and clarithromycin resistance were present in 25.8% and 4.8% of the strains, respectively. The number of metronidazole‐resistant strains showed a gradual decrease, while clarithromycin resistance showed a slight increase during the study period. Antimicrobial resistance in patients of Turkish descent and in those originating from Africa or the Middle East was significantly higher than in ethnic Dutch people, 35% and 9.1% versus 21% and 2.9%, respectively (P = 0.003 and P = 0.002). Conclusion It is important to take ethnicity into account when studying antibiotic resistance. The numbers of metronidazole‐ and clarithromycin‐resistant strains can vary considerably between people of different ethnic origin living in the same region. To assess primary antibiotic resistance in a given population and relate the results to ethnicity. Consecutive cultures were tested for antibiotic susceptibility with the Etest. Three populations were studied separately: ethnic Dutch people, patients of Turkish descent, and patients originating from Africa and the Middle East. Over a period of 5.5 years, 976 (32%) biopsy specimens from 3010 patients were positive for Helicobacter pylori. Metronidazole and clarithromycin resistance were present in 25.8% and 4.8% of the strains, respectively. The number of metronidazole-resistant strains showed a gradual decrease, while clarithromycin resistance showed a slight increase during the study period. Antimicrobial resistance in patients of Turkish descent and in those originating from Africa or the Middle East was significantly higher than in ethnic Dutch people, 35% and 9.1% versus 21% and 2.9%, respectively (P = 0.003 and P = 0.002). It is important to take ethnicity into account when studying antibiotic resistance. The numbers of metronidazole- and clarithromycin-resistant strains can vary considerably between people of different ethnic origin living in the same region. |
| Author | Fijen, C.A.P.M.J. Loffeld, R.J.L.F. |
| Author_xml | – sequence: 1 givenname: R.J.L.F. surname: Loffeld fullname: Loffeld, R.J.L.F. email: r.loffeld@chello.nl – sequence: 2 givenname: C.A.P.M.J. surname: Fijen fullname: Fijen, C.A.P.M.J. |
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| Cites_doi | 10.1016/S0016-5085(99)70119-8 10.1111/j.1572-0241.1998.455_t.x 10.3201/eid0303.970320 10.1159/000007159 10.1128/AAC.41.12.2634 10.1016/S1590-8658(00)80352-7 10.1007/BF01960875 10.1128/jcm.35.7.1842-1846.1997 10.1136/gut.35.11.1562 10.1007/BF01962615 10.1111/j.1572-0241.1998.00684.x 10.5694/j.1326-5377.2000.tb139319.x 10.1046/j.1365-2036.1999.00555.x 10.1001/archinte.161.9.1217 |
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| Keywords | H. pylori metronidazole clarithromycin antibiotic resistance Human Nitro compound Imidazole derivatives Clarithromycin Spirillales Drug susceptibility test Spirillaceae Macrolide Ethnic group Resistance Antibiotic Antifungal agent Helicobacter pylori Cross sectional study Parasiticid Bacteria Metronidazole Antibacterial agent Clinical isolate Comparative study |
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Consecutive cultures were tested for antibiotic... Objectives To assess primary antibiotic resistance in a given population and relate the results to ethnicity. Materials and methods Consecutive cultures were... Objectives To assess primary antibiotic resistance in a given population and relate the results to ethnicity. Materials and methods Consecutive cultures were... OBJECTIVESTo assess primary antibiotic resistance in a given population and relate the results to ethnicity.MATERIALS AND METHODSConsecutive cultures were... |
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| SubjectTerms | Anti-Bacterial Agents - pharmacology Antibacterial agents antibiotic resistance Antibiotics. Antiinfectious agents. Antiparasitic agents Antifungal agents Biological and medical sciences clarithromycin Clarithromycin - pharmacology Drug Resistance, Bacterial - physiology Endoscopy, Gastrointestinal H. pylori Helicobacter Infections - diagnosis Helicobacter pylori Helicobacter pylori - drug effects Humans Medical sciences metronidazole Metronidazole - pharmacology Netherlands - epidemiology Netherlands - ethnology Pharmacology. Drug treatments Retrospective Studies |
| Title | Antibiotic resistance of Helicobacter pylori: a cross-sectional study in consecutive patients, and relation to ethnicity |
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