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幽门螺杆菌对抗生素治疗的敏感性和耐药性

[Sensitivity and resistance of Helicobacter pylori to antibiotic treatment].

作者信息

Avidan B, Weiss B, Chowers Y, Younash A, Bar-Meir S, Keler N

机构信息

Dept. of Gastroenterology and Microbiology, Sheba Medical Center, Tel Hashomer.

出版信息

Harefuah. 1999 Oct;137(7-8):272-4, 352, 351.

Abstract

Resistance to antibiotics is considered the main reason for failure to eradicate Helicobacter pylori (HP). Resistance rates are different in developed and developing countries and are not known for Israel. We studied HP resistance rates in 40 patients who underwent esophagoduodenoscopy for various indications and were found to have gastric HP colonies. Sensitivity was determined by E-test, using clarythromycin, amoxycillin, clindamycin, erythromycin and metronidazole. The resistance rate for metronidazole was up to 67% but that for clindamycin was only 10%. HP was very sensitive to both macrolide antibiotics, erythromycin and clarythromycin.

摘要

抗生素耐药性被认为是根除幽门螺杆菌(HP)失败的主要原因。发达国家和发展中国家的耐药率有所不同,而以色列的耐药率尚不清楚。我们研究了40例因各种适应证接受食管十二指肠镜检查且被发现有胃HP菌落的患者的HP耐药率。采用E-test法测定对克拉霉素、阿莫西林、克林霉素、红霉素和甲硝唑的敏感性。甲硝唑的耐药率高达67%,但克林霉素的耐药率仅为10%。HP对两种大环内酯类抗生素红霉素和克拉霉素都非常敏感。

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