School of Medicine, Trinity College Dublin, Dublin, Ireland.
Department of Gastroenterology, Trinity Academic Gastroenterology Group Research Centre, Trinity Centre, Tallaght University Hospital, Dublin, Ireland.
Methods Mol Biol. 2021;2283:29-36. doi: 10.1007/978-1-0716-1302-3_4.
Antimicrobial susceptibility testing (AST) for H. pylori is essential to accurately assess the prevalence of antibiotic resistance in each population. Antibiotic resistance rates form the basis of local guidelines for H. pylori treatment and AST may also be used as a personalized medicine approach to tailor therapy. This chapter provides an update on global antibiotic resistance rates and describes molecular mechanisms that confer H. pylori antibiotic resistance. An overview on the advantages and limitations of molecular AST using both invasive and noninvasive approaches is also provided.
幽门螺杆菌的药敏试验(AST)对于准确评估每个人群中的抗生素耐药率至关重要。抗生素耐药率构成了幽门螺杆菌治疗的本地指南的基础,AST 也可作为一种个体化医学方法来定制治疗方案。本章提供了全球抗生素耐药率的最新信息,并描述了赋予幽门螺杆菌抗生素耐药性的分子机制。还概述了使用侵袭性和非侵袭性方法进行分子 AST 的优势和局限性。