Resistencia a metronidazol y claritromicina en aislamientos de Helicobacter pylori de pacientes dispépticos en Colombia



Título del documento: Resistencia a metronidazol y claritromicina en aislamientos de Helicobacter pylori de pacientes dispépticos en Colombia
Revista: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000421565
ISSN: 0034-9887
Autores: 1
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Instituciones: 1Universidad Tecnológica de Pereira, Facultad de Ciencias de la Salud, Pereira, Risaralda. Colombia
2Universidad Tecnológica de Pereira, Departamento de Medicina Comunitaria, Pereira, Risaralda. Colombia
3Universidad Tecnológica de Pereira, Laboratorio de Genética Médica, Pereira, Risaralda. Colombia
Año:
Periodo: Oct
Volumen: 137
Número: 10
Paginación: 1309-1314
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background:Helicobacter pylori antimicrobial resistance ratesdiffer among countries and even between different areas of a country. In Colombia, the mostcommonly used antimicrobials for the treatment of H pylori infection are amoxicillin,clarithromycin and metronidazole.Aim: To determine antimicrobial susceptibility of H pyloristrains isolated in Colombia.Materials and methods: Eighty eight strains of H pylori wereisolated and identified by microbiological methods and confirmed with polymerase chainreaction (PCR). The detection of antimicrobial resistance to amoxicillin, clarithromycin,metronidazole and tetraclycline, was conducted by the Etest method. Mutations in the 23SrDNA, involved in resistance to clarithromycin, were detected using PCR and restrictionfragment lenght polymorphism. Results: Eighty eight and 2.2% of the strains were resistant tometronidazole and clarithromycin, respectively. No isolate was simultaneously resistant toamoxicillin or tetracycline. The two clarithromycin resistant strains were homozygous for theA2143G mutation. No mutations were found in the remaining 86 susceptible strains.Conclusions: The high rate of metronidazole resistance in our population precludes the use ofthis drug for the empirical treatment of H pylori infection
Disciplinas: Medicina,
Biología
Palabras clave: Farmacología,
Microbiología,
Bacterias,
Agentes antibacterianos,
Helicobacter pylori,
Metronidazol
Keyword: Pharmacology,
Microbiology,
Bacteria,
Antibacterial agents,
Helicobacter pylori,
Metronidazole
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