Tạp chí Y Dược học - No.5 năm 2014
Phan Trung Nam, Tran Van Huy, Tran Thi Nhu Hoa, Le Van An, Antonella Santona, Bianca Paglietti, Piero Cappuccinell, Salvatore Rubin
2014 - No.5, trang 10
Background: The rate of antibiotic resistance in Helicobacter pylori (H.pylori) is increasing in Vietnam in recent years and has become a main challenge in the management of H. pylori infection. Data about the resistance remains different depending on the time, demography and especially the methods of determining the antibiotics susceptibility. Aims: To determine the antibiogram of H.pylori strains isolated from a population in Central Vietnam to clarithromycin, levofloxacin by E-test and disk diffusion, compare two diffusion methods. Methods: 56 H.pylori strains were isolated from gastric biopsies of H.pylori infected patients from 7/2012 to 8/2013, of which 13 strains originated from patients in whom eradication of the infection failed after treatment. E-test was used to determine the minimum inhibitory concentrations (MICs) of clarithromycin (CH) and levofloxacin (LE). Disk diffusion was evaluated as an alternative method to determine susceptibility and compared with the E-test results. Results: In total, the resistant strains (regardless of previous eradication history) to CH, LE were 42.9% and 44.6%, respectively. The ratio of strains with secondary resistance was significantly greater than that of the strains with primary resistance, CH: 84.6% vs. 30.2%, LE: 61.5% vs. 39.5% (p < 0.05). The resistance rate to LE in female was significantly higher than in male (p < 0.05). All CH-sensitive strains by E-test had the inhibition diameters of CH was ≥ 24mm and all CH-resistant strains had the inhibition diameters was ≤ 18mm (breakpoint for MIC: 1µg/ml). To LE, the inhibition diameters was ≥ 30mm can determine all LE-sensitive strains and the inhibition diameters was ≤ 26mm can determine all LEresistant strains by E-test (breakpoint for MIC: 1µg/ml). Conclusions: High resistance rate to CH and LE, suggests that standard CH-based triple therapies may not be useful as the first-line treatment and LE-based triple therapy should not use as an alternative therapy in Central Vietnam. The disk diffusion can be used as an alternative phenotypic method to determine the susceptibility of H.pylori, which may be more feasible and less expensive.
Phan Trung Nam, Tran Van Huy, Tran Thi Nhu Hoa, Le Van An, Antonella Santona, Bianca Paglietti, Piero Cappuccinell, Salvatore Rubin. (2014). Clarithromycin and Levofloxacin susceptibility testing for Helicobacter pylori in Central Vietnam: Comparison of E-test and disk diffusion methods. Tạp chí Y Dược học, , 10. DOI: 10.34071/jmp.2014.1e.2
Tạp chí Y Dược học thuộc Trường Đại học Y Dược- Đại học Huế được phép hoạt động báo chí theo giấy phép số 1720/GP-BTTTT ngày 15 tháng 11 năm 2010 và được Bộ Khoa học – Công nghệ cấp mã số ISSN 1859-3836 theo Quyết định số 009/TTKHCN-ISSN ngày 22 tháng 03 năm 2011
tcydhue@huemed-univ.edu.vn
0234-3824663
© 2010-2023
Tạp chí Y Dược học .
Cơ quan chủ quản: Trường Đại học Y-Dược Huế
Giấy phép xuất bản bản in số 1720/GP-BTTTT ngày 15/11/2010 của Bộ Thông tin và Truyền thông
