Prevalence of antimicrobial resistance in Helicobacter pylori isolates in Taiwan in relation to consumption of antimicrobial agents

Sek Kwong Poon, Chih Ho Lai, Chi Sen Chang, Wei Yu Lin, Yun Chieh Chang, Hung Jung Wang, Pao Hsuan Lin, Hwai Jeng Lin, Wen Ching Wang

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

During 1998-2004, a total of 218 Helicobacter pylori isolates were obtained from patients who were randomised to receive one of the following regimens in a medical centre in Taiwan: lansoprazole, amoxicillin and clarithromycin (LAC) therapy; or lansoprazole, metronidazole and clarithromycin (LMC) therapy. In the LMC group, resistance rates for metronidazole and clarithromycin reduced from 48.6% (1998-2000) to 20.4% (2001-2004) (P <0.05) and from 13.5% to 6.3% (P <0.05), respectively. Analysis of annual antimicrobial consumption found that metronidazole use was slowly decreased both in the total population and in gastrointestinal disease patients. The per-protocol analysis revealed a higher eradication rate for patients using LMC therapy in 2001-2004 (82.6% vs. 75.0%), whilst there was similar efficacy for LAC therapy (84.8% vs. 84.2%). This observation suggests an effective programme to control H. pylori antibiotic resistance and hence elevate its cure rate.

Original languageEnglish
Pages (from-to)162-165
Number of pages4
JournalInternational Journal of Antimicrobial Agents
Volume34
Issue number2
DOIs
Publication statusPublished - Aug 2009
Externally publishedYes

    Fingerprint

Keywords

  • Antimicrobial consumption
  • Antimicrobial policy
  • Antimicrobial resistance
  • Helicobacter pylori

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases
  • Pharmacology (medical)

Cite this