Heterogeneous susceptibility to metronidazole and clarithromycin of Helicobacter pylori isolates from a single biopsy in adults is confirmed in children

被引:8
作者
Raymond, J
Nguyen, B
Bergeret, M
Dupont, C
Kalach, N
机构
[1] Univ Paris 05, Hop Cochin St Vincent de Paul, Serv Bacteriol, F-75679 Paris, France
[2] Hop St Vincent de Paul, Dept Pediat, F-75674 Paris, France
[3] Univ Catholique, Hop St Vincent de Paul, Clin Pediat St Antoine, F-59000 Lille, France
关键词
Helicobacter pylori; antimicrobial susceptibility; heterogeneity; metronidazole; clarithromycin; children;
D O I
10.1016/j.ijantimicag.2005.07.007
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The aim of this study was to assess the resistance to metronidazole and clarithromycin of individual colonies of Helicobacter pylori from a single biopsy taken from 14 adults and 14 children. The Etest was used to determine the minimum inhibitory concentrations (MICs) of these two antimicrobial drugs for ten individual H. pylori colonies isolated from each initial gastric biopsy culture. We confirmed the heterogeneity in metronidazole and clarithromycin resistance in children as seen in adults before anti-H. pylori treatment. The number of resistant individual colonies ranged from two to nine depending on the subject. All individual colonies from the same biopsy that were resistant to clarithromycin were genetically identical according to randomly amplified polymorphic DNA testing and exhibited the same point mutation according to polymerase chain reaction-restriction fragment length polymorphism. (c) 2005 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
引用
收藏
页码:272 / 278
页数:7
相关论文
共 25 条
[11]   Mixed-infection of antibiotic susceptible and resistant Helicobacter pylori isolates in a single patient and underestimation of antimicrobial susceptibility testing [J].
Kim, JJ ;
Kim, JG ;
Kwon, DH .
HELICOBACTER, 2003, 8 (03) :202-206
[12]   Analysis of rdxA and involvement of additional genes encoding NAD(P)H flavin oxidoreductase (FrxA) and ferredoxin-like protein (FdxB) in metronidazole resistance of Helicobacter pylori [J].
Kwon, DH ;
El-Zaatari, FAK ;
Kato, M ;
Osato, MS ;
Reddy, R ;
Yamaoka, Y ;
Graham, DY .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2000, 44 (08) :2133-2142
[13]  
Maeda S, 2000, J CLIN MICROBIOL, V38, P210
[14]   Direct detection of Helicobacter pylori resistance to macrolides by a polymerase chain reaction DNA enzyme immunoassay in gastric biopsy specimens [J].
Marais, A ;
Monteiro, L ;
Occhialini, A ;
Pina, M ;
Lamouliatte, H ;
Mégraud, F .
GUT, 1999, 44 (04) :463-467
[15]   Simultaneous colonisation of Helicobacter pylori with and without mutations in the 23S rRNA gene in patients with no history of clarithromycin exposure [J].
Matsuoka, M ;
Yoshida, Y ;
Hayakawa, K ;
Fukuchi, S ;
Sugano, K .
GUT, 1999, 45 (04) :503-507
[16]   Resistance of Helicobacter pylori to antibiotics [J].
Megraud, F .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 1997, 11 :43-53
[17]   Antimicrobial resistance testing of Helicobacter pylori: A comparison of Etest and disk diffusion methods [J].
Midolo, PD ;
Bell, JM ;
Lambert, JR ;
Turnidge, JD ;
Grayson, ML .
PATHOLOGY, 1997, 29 (04) :411-414
[18]   A 2-YEAR STUDY OF HELICOBACTER-PYLORI IN CHILDREN [J].
RAYMOND, J ;
BERGERET, M ;
BENHAMOU, PH ;
MENSAH, K ;
DUPONT, C .
JOURNAL OF CLINICAL MICROBIOLOGY, 1994, 32 (02) :461-463
[19]   Effect of metronidazole resistance on bacterial eradication of Helicobacter pylori in infected children [J].
Raymond, J ;
Kalach, N ;
Bergeret, M ;
Benhamou, PH ;
Barbet, JP ;
Gendrel, D ;
Dupont, C .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1998, 42 (06) :1334-1335
[20]   Clarithromycin-susceptible and -resistant Helicobacter pylori isolates with identical randomly amplified polymorphic DNA-PCR genotypes cultured from single gastric biopsy specimens prior to antibiotic therapy [J].
van der Ende, A ;
van Doorn, LJ ;
Rooijakkers, S ;
Feller, M ;
Tytgat, GNJ ;
Dankert, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (07) :2648-2651