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胃溃疡及胃炎患者幽门螺杆菌耐药性分析
引用本文:黄宏思,黄衍强,黄赞松,周喜汉,岑朝,俞文强.胃溃疡及胃炎患者幽门螺杆菌耐药性分析[J].中国公共卫生,2010,26(1).
作者姓名:黄宏思  黄衍强  黄赞松  周喜汉  岑朝  俞文强
作者单位:1. 右江民族医学院微生物学教研室,广西,百色,533000
2. 右江民族医学院附属医院
基金项目:广西自然科学基金,广西教育厅科研项目 
摘    要:目的 了解胃溃疡及胃炎患者幽门螺杆菌(Helicobacterpylori,Hp)对甲硝唑等抗生素的耐药情况.方法 采集右江民族医学院附属医院近3年确诊为Hp感染患者的胃窦部黏膜样本进行Hp分离培养和鉴定,经鉴定后选择374株Hp菌株,采用纸片扩散法测定其对甲硝唑、阿莫西林、克拉霉素等抗生素的敏感性.结果 Hp对甲硝唑、阿莫西林、克拉霉素的耐药率从2006年的68.6%,10.2%,15.3%分别上升到2008年的91.7%,21.2%,28.8%;部分Hp同时对多种抗生素耐药,同时对甲硝唑、克拉霉素和阿莫西林耐药的有14株,耐药率为3.74%.结论 胃溃疡及胃炎患者Hp对甲硝唑、阿莫西林、克拉霉素均有一定耐药性,有必要使用其他抗生素替代.

关 键 词:幽门螺杆菌  抗生素  耐药

Drug resistance of Helicobacter pylori to antibiotic among gastric ulcer and gastritis patients in west Guangxi
HUANG Hong-si,HUANG Yan-qiang,HUANG Zan-song,et al..Drug resistance of Helicobacter pylori to antibiotic among gastric ulcer and gastritis patients in west Guangxi[J].Chinese Journal of Public Health,2010,26(1).
Authors:HUANG Hong-si  HUANG Yan-qiang  HUANG Zan-song  
Institution:HUANG Hong-si,HUANG Yan-qiang,HUANG Zan-song,et al.Department of Microbiology,Youjiang Medical College for Nationalities(Baise 533000,China)
Abstract:Objective To investigate the antibiotic resistance of Helicobacter pylori ( Hp) to metronidazole,amoxicillin,clarithromycin among gastric ulcer and gastritis patients in west Guangxi.Methods Gastric mucosa biopsy specimens were taken from the patients diagnosed from 2006 through 2008.Three hundred seventy-four strains were diagnosed.The resistance to metronidazole,amoxicillin and clarithromycin of the strains were determined with K-B diffusion test.Results The resistance rates were 68.6%,10.2%,15.3% for met...
Keywords:Helicobacter pylori  antibiotic  drug resistance
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