Antibiotic Resistance of Helicobacter pylori Isolated from Patients after Partial Gastrectomy: A Retrospective Study
Background: To determine the prevalence of Helicobacter pylori infection and the antibiotic susceptibility of H. pylori in patients after partial gastrectomy. Methods: Patients who underwent gastroscopy from January 2009 to November 2017 and had a history of partial gastrectomy were retrospectively...
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| Veröffentlicht in: | The Turkish Journal of Gastroenterology 2021-12, Vol.32 (12), p.996-1002 |
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| creator | Li, Lan Zhou, Weihua Li, Hongzhang Yu, Chaohui Yan, Tianlian Yang, Ningmin Li, You-Ming |
| description | Background: To determine the prevalence of Helicobacter pylori infection and the antibiotic susceptibility of H. pylori in patients after partial gastrectomy.
Methods: Patients who underwent gastroscopy from January 2009 to November 2017 and had a history of partial gastrectomy were retrospectively enrolled in the remnant stomach group. Contemporary non-gastrectomized patients with an endoscopic diagnosis of chronic gastritis were enrolled in the non-operated stomach group. The detection of H. pylori infection was performed by culture and histology. The in vitro antimicrobial susceptibility was examined by the agar dilution method on strains from gastric biopsies.
Results: In this study, a total of 728 gastrectomized and 5035 non-gastrectomized patients were included. There was a significantly lower prevalence of H. pylori infection in the gastric-remnant patients (8.65%) than in the non-gastrectomized patients (17.76%) (P |
| doi_str_mv | 10.5152/tjg.2020.19354 |
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| fullrecord | <record><control><sourceid>gale_webof</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8975442</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A686898598</galeid><sourcerecordid>A686898598</sourcerecordid><originalsourceid>FETCH-LOGICAL-c524t-21d03b69fcca697662145b664bd055222acfd620d4f07f18db3e8ba2fd0fd8633</originalsourceid><addsrcrecordid>eNqNks1rFDEYxgdR7Fq9epSAF6HMmmTy6UFYltoWChY_ziGTjzVlZrImmcr-92bduih6KDkkvPk9T5I3T9O8RHBJEcVvy-1miSGGSyQ7Sh41C4yIaCmD_HGzQB2ELZFEnDTPcr6FsBOI4afNSUcEZ52Qi6asphL6EEsw4JPLIRc9GQeiB5duCCb22hSXwHY3xBTAVY6DLs4Cn-IIbnQJbioZaL9nbnQqQQ_gQueSnClx3L0Dq-paUszbWgh3Dnwus909b554PWT34n4-bb5-OP-yvmyvP15crVfXraGYlBYjC7ueSW-MZpIzVt9Ge8ZIbyGlGGNtvGUYWuIh90jYvnOi19hb6K1gXXfavD_4bud-dNbUyyY9qG0Ko047FXVQf-9M4ZvaxDslJKeE4Grw5t4gxe-zy0WNIRs3DHpycc4KMyigpATRir4-oBs9OBUmH6uj2eNqxQQTUlApKrX8D1WHdWPt9uR8qPUqEEQyLPnDBf-cYGrXc3L--FwE1T4yqkZG7SOjfkWmCl792aQj_jsjFRAH4Ifro8-m_rlxRwxCyDHnhPO6gmgdSk1FnNZxnkqVnj1c2v0ElaDe-Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2608095415</pqid></control><display><type>article</type><title>Antibiotic Resistance of Helicobacter pylori Isolated from Patients after Partial Gastrectomy: A Retrospective Study</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Li, Lan ; Zhou, Weihua ; Li, Hongzhang ; Yu, Chaohui ; Yan, Tianlian ; Yang, Ningmin ; Li, You-Ming</creator><creatorcontrib>Li, Lan ; Zhou, Weihua ; Li, Hongzhang ; Yu, Chaohui ; Yan, Tianlian ; Yang, Ningmin ; Li, You-Ming ; Sanmen People’s Hospital, Taizhou, China ; Zhiyuan Medical Inspection Institute Co., Ltd, Hangzhou, China ; Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</creatorcontrib><description>Background: To determine the prevalence of Helicobacter pylori infection and the antibiotic susceptibility of H. pylori in patients after partial gastrectomy.
Methods: Patients who underwent gastroscopy from January 2009 to November 2017 and had a history of partial gastrectomy were retrospectively enrolled in the remnant stomach group. Contemporary non-gastrectomized patients with an endoscopic diagnosis of chronic gastritis were enrolled in the non-operated stomach group. The detection of H. pylori infection was performed by culture and histology. The in vitro antimicrobial susceptibility was examined by the agar dilution method on strains from gastric biopsies.
Results: In this study, a total of 728 gastrectomized and 5035 non-gastrectomized patients were included. There was a significantly lower prevalence of H. pylori infection in the gastric-remnant patients (8.65%) than in the non-gastrectomized patients (17.76%) (P<.001) with the diagnostic method of culture. In the gastric-remnant patients, the H. pylori strains had resistance rates to metronidazole, clarithromycin, levofloxacin, amoxicillin, and furazolidone of 100%, 20.63%, 22.22%, 0%, and 0%, respectively. In the non-gastrectomized patients, H. pylori resistance to metronidazole, clarithromycin, levofloxacin, amoxicillin, and furazolidone was 90.49%, 24.61%, 21.70%, 0.22%, and 0.11%, respectively. Gastric-remnant patients had a significantly higher metronidazole resistance rate than non-gastrectomized patients (P=.005). Moreover, no significant changes in the resistance to 5 antibiotics were observed among the gastric-remnant patients from different age, gender, and surgical indication groups.
Conclusion: Patients after partial gastrectomy showed a lower prevalence of H. pylori infection. Gastric-remnant patients were more likely to harbor metronidazole-resistant H. pylori strains.</description><identifier>ISSN: 1300-4948</identifier><identifier>EISSN: 2148-5607</identifier><identifier>DOI: 10.5152/tjg.2020.19354</identifier><identifier>PMID: 34876389</identifier><language>eng</language><publisher>SISLI: Aves</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amoxicillin ; Anti-Bacterial Agents - pharmacology ; Disease susceptibility ; Drug resistance in microorganisms ; Drug Resistance, Microbial ; Female ; Gastrectomy ; Gastrectomy - adverse effects ; Gastroenterology & Hepatology ; GASTROINTESTINAL TRACT ; Gastroscopy ; Health aspects ; Helicobacter infections ; Helicobacter Infections - diagnosis ; Helicobacter Infections - drug therapy ; Helicobacter Infections - epidemiology ; Helicobacter pylori ; Helicobacter pylori - drug effects ; Helicobacter pylori - isolation & purification ; Humans ; Infection ; Levofloxacin ; Life Sciences & Biomedicine ; Male ; Metronidazole ; Microbial Sensitivity Tests ; Middle Aged ; Original ; Patient outcomes ; Postoperative Complications ; Prevalence ; Retrospective Studies ; Science & Technology ; Statistics ; Young Adult</subject><ispartof>The Turkish Journal of Gastroenterology, 2021-12, Vol.32 (12), p.996-1002</ispartof><rights>COPYRIGHT 2021 AVES</rights><rights>Copyright 2021 by The Turkish Society of Gastroenterology 2021 Turkish Society of Gastroenterology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>3</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000727747700001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c524t-21d03b69fcca697662145b664bd055222acfd620d4f07f18db3e8ba2fd0fd8633</citedby><cites>FETCH-LOGICAL-c524t-21d03b69fcca697662145b664bd055222acfd620d4f07f18db3e8ba2fd0fd8633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975442/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975442/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34876389$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Lan</creatorcontrib><creatorcontrib>Zhou, Weihua</creatorcontrib><creatorcontrib>Li, Hongzhang</creatorcontrib><creatorcontrib>Yu, Chaohui</creatorcontrib><creatorcontrib>Yan, Tianlian</creatorcontrib><creatorcontrib>Yang, Ningmin</creatorcontrib><creatorcontrib>Li, You-Ming</creatorcontrib><creatorcontrib>Sanmen People’s Hospital, Taizhou, China</creatorcontrib><creatorcontrib>Zhiyuan Medical Inspection Institute Co., Ltd, Hangzhou, China</creatorcontrib><creatorcontrib>Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</creatorcontrib><title>Antibiotic Resistance of Helicobacter pylori Isolated from Patients after Partial Gastrectomy: A Retrospective Study</title><title>The Turkish Journal of Gastroenterology</title><addtitle>TURK J GASTROENTEROL</addtitle><addtitle>Turk J Gastroenterol</addtitle><description>Background: To determine the prevalence of Helicobacter pylori infection and the antibiotic susceptibility of H. pylori in patients after partial gastrectomy.
Methods: Patients who underwent gastroscopy from January 2009 to November 2017 and had a history of partial gastrectomy were retrospectively enrolled in the remnant stomach group. Contemporary non-gastrectomized patients with an endoscopic diagnosis of chronic gastritis were enrolled in the non-operated stomach group. The detection of H. pylori infection was performed by culture and histology. The in vitro antimicrobial susceptibility was examined by the agar dilution method on strains from gastric biopsies.
Results: In this study, a total of 728 gastrectomized and 5035 non-gastrectomized patients were included. There was a significantly lower prevalence of H. pylori infection in the gastric-remnant patients (8.65%) than in the non-gastrectomized patients (17.76%) (P<.001) with the diagnostic method of culture. In the gastric-remnant patients, the H. pylori strains had resistance rates to metronidazole, clarithromycin, levofloxacin, amoxicillin, and furazolidone of 100%, 20.63%, 22.22%, 0%, and 0%, respectively. In the non-gastrectomized patients, H. pylori resistance to metronidazole, clarithromycin, levofloxacin, amoxicillin, and furazolidone was 90.49%, 24.61%, 21.70%, 0.22%, and 0.11%, respectively. Gastric-remnant patients had a significantly higher metronidazole resistance rate than non-gastrectomized patients (P=.005). Moreover, no significant changes in the resistance to 5 antibiotics were observed among the gastric-remnant patients from different age, gender, and surgical indication groups.
Conclusion: Patients after partial gastrectomy showed a lower prevalence of H. pylori infection. Gastric-remnant patients were more likely to harbor metronidazole-resistant H. pylori strains.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amoxicillin</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Disease susceptibility</subject><subject>Drug resistance in microorganisms</subject><subject>Drug Resistance, Microbial</subject><subject>Female</subject><subject>Gastrectomy</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastroenterology & Hepatology</subject><subject>GASTROINTESTINAL TRACT</subject><subject>Gastroscopy</subject><subject>Health aspects</subject><subject>Helicobacter infections</subject><subject>Helicobacter Infections - diagnosis</subject><subject>Helicobacter Infections - drug therapy</subject><subject>Helicobacter Infections - epidemiology</subject><subject>Helicobacter pylori</subject><subject>Helicobacter pylori - drug effects</subject><subject>Helicobacter pylori - isolation & purification</subject><subject>Humans</subject><subject>Infection</subject><subject>Levofloxacin</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Metronidazole</subject><subject>Microbial Sensitivity Tests</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Patient outcomes</subject><subject>Postoperative Complications</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Statistics</subject><subject>Young Adult</subject><issn>1300-4948</issn><issn>2148-5607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNks1rFDEYxgdR7Fq9epSAF6HMmmTy6UFYltoWChY_ziGTjzVlZrImmcr-92bduih6KDkkvPk9T5I3T9O8RHBJEcVvy-1miSGGSyQ7Sh41C4yIaCmD_HGzQB2ELZFEnDTPcr6FsBOI4afNSUcEZ52Qi6asphL6EEsw4JPLIRc9GQeiB5duCCb22hSXwHY3xBTAVY6DLs4Cn-IIbnQJbioZaL9nbnQqQQ_gQueSnClx3L0Dq-paUszbWgh3Dnwus909b554PWT34n4-bb5-OP-yvmyvP15crVfXraGYlBYjC7ueSW-MZpIzVt9Ge8ZIbyGlGGNtvGUYWuIh90jYvnOi19hb6K1gXXfavD_4bud-dNbUyyY9qG0Ko047FXVQf-9M4ZvaxDslJKeE4Grw5t4gxe-zy0WNIRs3DHpycc4KMyigpATRir4-oBs9OBUmH6uj2eNqxQQTUlApKrX8D1WHdWPt9uR8qPUqEEQyLPnDBf-cYGrXc3L--FwE1T4yqkZG7SOjfkWmCl792aQj_jsjFRAH4Ifro8-m_rlxRwxCyDHnhPO6gmgdSk1FnNZxnkqVnj1c2v0ElaDe-Q</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Li, Lan</creator><creator>Zhou, Weihua</creator><creator>Li, Hongzhang</creator><creator>Yu, Chaohui</creator><creator>Yan, Tianlian</creator><creator>Yang, Ningmin</creator><creator>Li, You-Ming</creator><general>Aves</general><general>AVES</general><general>Turkish Society of Gastroenterology</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211201</creationdate><title>Antibiotic Resistance of Helicobacter pylori Isolated from Patients after Partial Gastrectomy: A Retrospective Study</title><author>Li, Lan ; Zhou, Weihua ; Li, Hongzhang ; Yu, Chaohui ; Yan, Tianlian ; Yang, Ningmin ; Li, You-Ming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-21d03b69fcca697662145b664bd055222acfd620d4f07f18db3e8ba2fd0fd8633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amoxicillin</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Disease susceptibility</topic><topic>Drug resistance in microorganisms</topic><topic>Drug Resistance, Microbial</topic><topic>Female</topic><topic>Gastrectomy</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastroenterology & Hepatology</topic><topic>GASTROINTESTINAL TRACT</topic><topic>Gastroscopy</topic><topic>Health aspects</topic><topic>Helicobacter infections</topic><topic>Helicobacter Infections - diagnosis</topic><topic>Helicobacter Infections - drug therapy</topic><topic>Helicobacter Infections - epidemiology</topic><topic>Helicobacter pylori</topic><topic>Helicobacter pylori - drug effects</topic><topic>Helicobacter pylori - isolation & purification</topic><topic>Humans</topic><topic>Infection</topic><topic>Levofloxacin</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Metronidazole</topic><topic>Microbial Sensitivity Tests</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Patient outcomes</topic><topic>Postoperative Complications</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Statistics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Lan</creatorcontrib><creatorcontrib>Zhou, Weihua</creatorcontrib><creatorcontrib>Li, Hongzhang</creatorcontrib><creatorcontrib>Yu, Chaohui</creatorcontrib><creatorcontrib>Yan, Tianlian</creatorcontrib><creatorcontrib>Yang, Ningmin</creatorcontrib><creatorcontrib>Li, You-Ming</creatorcontrib><creatorcontrib>Sanmen People’s Hospital, Taizhou, China</creatorcontrib><creatorcontrib>Zhiyuan Medical Inspection Institute Co., Ltd, Hangzhou, China</creatorcontrib><creatorcontrib>Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Turkish Journal of Gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Lan</au><au>Zhou, Weihua</au><au>Li, Hongzhang</au><au>Yu, Chaohui</au><au>Yan, Tianlian</au><au>Yang, Ningmin</au><au>Li, You-Ming</au><aucorp>Sanmen People’s Hospital, Taizhou, China</aucorp><aucorp>Zhiyuan Medical Inspection Institute Co., Ltd, Hangzhou, China</aucorp><aucorp>Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antibiotic Resistance of Helicobacter pylori Isolated from Patients after Partial Gastrectomy: A Retrospective Study</atitle><jtitle>The Turkish Journal of Gastroenterology</jtitle><stitle>TURK J GASTROENTEROL</stitle><addtitle>Turk J Gastroenterol</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>32</volume><issue>12</issue><spage>996</spage><epage>1002</epage><pages>996-1002</pages><issn>1300-4948</issn><eissn>2148-5607</eissn><abstract>Background: To determine the prevalence of Helicobacter pylori infection and the antibiotic susceptibility of H. pylori in patients after partial gastrectomy.
Methods: Patients who underwent gastroscopy from January 2009 to November 2017 and had a history of partial gastrectomy were retrospectively enrolled in the remnant stomach group. Contemporary non-gastrectomized patients with an endoscopic diagnosis of chronic gastritis were enrolled in the non-operated stomach group. The detection of H. pylori infection was performed by culture and histology. The in vitro antimicrobial susceptibility was examined by the agar dilution method on strains from gastric biopsies.
Results: In this study, a total of 728 gastrectomized and 5035 non-gastrectomized patients were included. There was a significantly lower prevalence of H. pylori infection in the gastric-remnant patients (8.65%) than in the non-gastrectomized patients (17.76%) (P<.001) with the diagnostic method of culture. In the gastric-remnant patients, the H. pylori strains had resistance rates to metronidazole, clarithromycin, levofloxacin, amoxicillin, and furazolidone of 100%, 20.63%, 22.22%, 0%, and 0%, respectively. In the non-gastrectomized patients, H. pylori resistance to metronidazole, clarithromycin, levofloxacin, amoxicillin, and furazolidone was 90.49%, 24.61%, 21.70%, 0.22%, and 0.11%, respectively. Gastric-remnant patients had a significantly higher metronidazole resistance rate than non-gastrectomized patients (P=.005). Moreover, no significant changes in the resistance to 5 antibiotics were observed among the gastric-remnant patients from different age, gender, and surgical indication groups.
Conclusion: Patients after partial gastrectomy showed a lower prevalence of H. pylori infection. Gastric-remnant patients were more likely to harbor metronidazole-resistant H. pylori strains.</abstract><cop>SISLI</cop><pub>Aves</pub><pmid>34876389</pmid><doi>10.5152/tjg.2020.19354</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Amoxicillin Anti-Bacterial Agents - pharmacology Disease susceptibility Drug resistance in microorganisms Drug Resistance, Microbial Female Gastrectomy Gastrectomy - adverse effects Gastroenterology & Hepatology GASTROINTESTINAL TRACT Gastroscopy Health aspects Helicobacter infections Helicobacter Infections - diagnosis Helicobacter Infections - drug therapy Helicobacter Infections - epidemiology Helicobacter pylori Helicobacter pylori - drug effects Helicobacter pylori - isolation & purification Humans Infection Levofloxacin Life Sciences & Biomedicine Male Metronidazole Microbial Sensitivity Tests Middle Aged Original Patient outcomes Postoperative Complications Prevalence Retrospective Studies Science & Technology Statistics Young Adult |
| title | Antibiotic Resistance of Helicobacter pylori Isolated from Patients after Partial Gastrectomy: A Retrospective Study |
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