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Journal of Clinical Microbiology, January 2001, p. 394-397, Vol. 39, No. 1
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.1.394-397.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
High Levels of Resistance to Metronidazole and
Clarithromycin in Helicobacter pylori Strains in
Children
Nicolas
Kalach,1
Michel
Bergeret,2
Pierre Henri
Benhamou,1
Christophe
Dupont,1 and
Josette
Raymond2,*
Department of Pediatrics, Division of
Pediatric Gastroenterology & Nutrition,1 and
Department of Microbiology,2
Hôpital Saint Vincent de Paul, Université Paris
V-René Descartes, 75674 Paris Cedex 14, France
Received 22 December 1999/Returned for modification 5 April
2000/Accepted 23 October 2000
The aim of the study was to evaluate the prevalence of resistance
to amoxicillin, metronidazole, and clarithromycin before treatment of
Helicobacter pylori infection in children and to assess the
evolution of resistance with time. The study was carried out between
1994 and 1999 with 150 H. pylori-positive children through
gastric culture (antimicrobial susceptibility) and histology. All
cultured H. pylori strains were sensitive to amoxicillin, 64 (43%) were resistant to metronidazole, 32 (21%) were resistant to
clarithromycin, and 14 (9%) were resistant to both metronidazole and
clarithromycin. The overall prevalence of resistance to metronidazole and clarithromycin did not change significantly with time. The study
highlights the generalized high-level and stable metronidazole and
clarithromycin resistance of H. pylori strains from children.
*
Corresponding author. Mailing address: Service de
Bactériologie, Hôpital Saint Vincent de Paul, 82, Avenue
Denfert Rochereau, 75674 Paris Cedex 14, France. Phone: 33 1 40 48 82 42. Fax: 33 1 40 48 83 18. E-mail:
j.raymond{at}svp.ap-hop-paris.fr.
Journal of Clinical Microbiology, January 2001, p. 394-397, Vol. 39, No. 1
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.1.394-397.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
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