Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003.

Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003. Research Abstract Details 

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Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003. Abstract Text:

Michael G Bruce,Dana L Bruden,Brian J McMahon,Thomas W Hennessy,Alisa Reasonover,Julie Morris,Debby A Hurlburt,Helen Peters,Frank Sacco,Patrick Martinez,Michael Swenson,Douglas E Berg,Debra Parks,Alan J Parkinson,

BACKGROUND: Previous studies in Alaska have demonstrated elevated proportions of antimicrobial resistance among Helicobacter pylori isolates. MATERIALS AND METHODS: We analyzed H. pylori data from the Centers for Disease Control and Prevention (CDC)'s sentinel surveillance in Alaska from July 1999 to June 2003 to determine the proportion of culture-positive biopsies from Alaska Native persons undergoing routine upper-endoscopy, and the susceptibility of H. pylori isolates to metronidazole [minimum inhibitory concentration (MIC) of > 8 g metronidazole/mL), clarithromycin (MIC > or = 1), tetracycline (MIC > or = 2) and amoxicillin (MIC > or = 1)] using agar dilution. RESULTS: Nine-hundred sixty-four biopsy specimens were obtained from 687 participants; 352 (51%) patients tested culture positive. Mean age of both culture-positive and culture-negative patients was 51 years. Metronidazole resistance was demonstrated in isolates from 155 (44%) persons, clarithromycin resistance from 108 (31%) persons, amoxicillin resistance from 8 (2%) persons, and 0 for tetracycline resistance. Metronidazole and clarithromycin resistance varied by geographic region. Female patients were more likely than male subjects to show metronidazole resistance (p < .01) and clarithromycin resistance (p = .05). CONCLUSIONS: Resistance to metronidazole and clarithromycin is more common among H. pylori isolates from Alaska Native persons when compared with those from elsewhere in the USA.

Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003. Publishing Authors By Initials

MG Bruce,DL Bruden,BJ McMahon,TW Hennessy,A Reasonover,J Morris,DA Hurlburt,H Peters,F Sacco,P Martinez,M Swenson,DE Berg,D Parks,AJ Parkinson,

For similar organic chemicals: hydrocarbons: hydrocarbons, cyclic: hydrocarbons, aromatic: polycyclic hydrocarbons, aromatic: naphthacenes: tetracyclines: tetracycline research abstracts see: organic chemicals: hydrocarbons: hydrocarbons, cyclic: hydrocarbons, aromatic: polycyclic hydrocarbons, aromatic: naphthacenes: tetracyclines: tetracycline research

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Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Helicobacter

VOLUME: 11

Page Numbers: 581-8

Journal Abbreviation: Helicobacter

ISSN: 1083-4389

DAY: 3

MONTH: Dec

YEAR: 2006

Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9605411

Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003. Keywords Mesh Terms:

KEYWORDS: Tetracycline

MESH TERMS: pharmacology

Chemical & Substance for Abstract: Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003. Information

Substance Name: Clarithromycin

Registry Number: 81103-11-9

Grant and Affiliation Information for Alaska sentinel surveillance for antimicrobial resistance in Helicobacter pylori isolates from Alaska native persons, 1999-2003.

AFFILIATION: Arctic Investigations Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Anchorage, AK 99508, USA. zwa8@cdc.gov

Country: United States

AGENCY: United States NIDDK

GRANT: R01 DK53727

ACRONYM: DK

MEDLINETA: Helicobacter

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