In vitro susceptibility of Helicobacter pylori to, and in vivo suppression by, antimicrobials used in selective decontamination of the digestive tract

The incidence of bleeding related to stress ulcers is reduced in critically ill patients in whom gut decontamination has been performed; this may be a result of suppression of Helicobacter pylori infection. We determined the susceptibility of H. pylori to the applied antibiotics. In nine of 10 criti...

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Veröffentlicht in:Journal of antimicrobial chemotherapy 2000-11, Vol.46 (5), p.803-805
Hauptverfasser: van der Voort, Peter H. J., van der Hulst, René W. M., Zandstra, Durk F., van der Ende, Arie, Geraedts, Alfons A. M., Tytgat, Guido N. J.
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container_end_page 805
container_issue 5
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container_title Journal of antimicrobial chemotherapy
container_volume 46
creator van der Voort, Peter H. J.
van der Hulst, René W. M.
Zandstra, Durk F.
van der Ende, Arie
Geraedts, Alfons A. M.
Tytgat, Guido N. J.
description The incidence of bleeding related to stress ulcers is reduced in critically ill patients in whom gut decontamination has been performed; this may be a result of suppression of Helicobacter pylori infection. We determined the susceptibility of H. pylori to the applied antibiotics. In nine of 10 critically ill patients (using intravenous cefotaxime and topical polymyxin, tobramycin and amphotericin B (PTA) given by nasogastric tube) and all six volunteers (using PTA alone), H. pylori was suppressed as long as the topical antibiotics were ingested. The in vitro studies revealed that all strains were susceptible to cefotaxime and tobramycin. The strains were not susceptible to polymyxin or amphotericin B.
doi_str_mv 10.1093/jac/46.5.803
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subjects Administration, Topical
Amphotericin B - pharmacology
Amphotericin B - therapeutic use
Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Biological and medical sciences
Cefotaxime - pharmacology
Cefotaxime - therapeutic use
Cephalosporins - pharmacology
Cephalosporins - therapeutic use
Decontamination - methods
Digestive System - drug effects
Drug Therapy, Combination - pharmacology
Drug Therapy, Combination - therapeutic use
Helicobacter Infections - drug therapy
Helicobacter Infections - immunology
Helicobacter pylori
Helicobacter pylori - drug effects
Helicobacter pylori - immunology
Humans
Medical sciences
Microbial Sensitivity Tests - methods
Pharmacology. Drug treatments
Polymyxins - pharmacology
Polymyxins - therapeutic use
Tobramycin - pharmacology
Tobramycin - therapeutic use
title In vitro susceptibility of Helicobacter pylori to, and in vivo suppression by, antimicrobials used in selective decontamination of the digestive tract
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