Clarithromycin resistance stability in Helicobacter pylori:: influence of the MIC and type of mutation in the 23S rRNA

被引:24
|
作者
Alarcón, T [1 ]
Domingo, D [1 ]
Prieto, N [1 ]
López-Brea, M [1 ]
机构
[1] Univ Madrid, Hosp Princesa, Dept Microbiol, Madrid 28006, Spain
关键词
D O I
10.1093/jac/46.4.613
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Thirty clarithromycin-resistant Helicobacter pylori strains (MIC range 8-64 mg/L) were subcultured in a drug-free medium and the MIC was determined every five passages to detect in vitro stability of resistance. Three out of the 30 (10%) lost their resistance after 10, 13 or 18 subcultures (MIC decrease from 8 to 0.008, from 16 to 0.064 and from 32 to 0.016 mg/L). The effect of four macrolides at subinhibitory concentrations on the development of resistance was studied in H. pylori NCTC 11638 and TIGR 26695. A change in the MIC was observed only when NCTC11638 was exposed to 0.5 x MIC of erythromycin for 20 days.
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收藏
页码:613 / 616
页数:4
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