Antimicrobial resistance of H. pylori to the outcome of 10-days vs 7-days moxifloxacin based therapy for eradication

Autor: Bago, Josip, Belošić Halle, Željka, Troskot Perić, Rosana, Marušić, Marinko, Bakula, Vinko, Kučušec, Nastja, Pevec, Branko, Majstorović, Karolina
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Popis: Antibiotic resistance decreses success of H. pylori eradication. Recently published results show a low rate of resistance and better compliance with moxifloxacin based regiments. Wherher 7 days moxifloxacine with lansoprasole and amoxycillin can be compared with 10 days moxifloxacine with lansoprasole and amoxycillin according to moxifloxacin resistance. Patients with non-ulcer dyspepsia and culture and histology positive H. pylori infection and (n=150)were randomly assigned into two groups. The first group (n=75) receive moxifloxacin 400 mg/d during 7 days and the other group (n=75) received moxifloxacin 400 mg/d during 10 days. All patients receive amoxycillin 1 g twice daily, lansoprasole 30 mg twice dailiy during 7 days. All H. pylori cultures were tested for sensitivity to moxifloxacin. 138 patients (92%) completed the study, 68 in the first group and 70 in the second. Eradicetion rates were, in the 7 days moxifloxacin group, 87%(57/68) and 90% in the second (63/70) according to the PP analysis ; p=n.s. Among 129 patients (86% of entire study group), 6% of strains were primary resistant to moxifloxacin. Eradication of moxifloxacin sensitive/resistant strains was 98%/66%, p
Databáze: OpenAIRE