Half of the world's population is thought to carry the
common infection Helicobacter pylori (H. pylori). Eliminating H. pylori has a
significant impact on how peptic ulcer disease and gastric cancer develop
naturally, although antibiotic resistance is becoming recognised as a factor in
certain patients' failure to respond to H. pylori eradication therapy. It is
crucial to assess H. pylori's antibiotic sensitivity pattern in order to
effectively eradicate the organism in the right patient group because many disorders
linked to the pathogen are widely known. To get pertinent biodata, surveys were
given out. Gastric biopsy samples were taken during endoscopy and cultivated
using Columbia blood agar media (Oxoid Ltd, England) for the detection of H.
pylori. The disc diffusion technique was used to evaluate the sensitivity
profile of isolates. To ascertain the degree of eradication, pre- and
post-treatment stool samples from each patient were collected for the H. pylori
faecal antigen test. Levofloxacin and clarithromycin rendered H. pylori
completely susceptible, but amoxicillin only rendered H. pylori 9.2 percent
susceptible. It was discovered that all other tested antibiotics were
completely resistant. Histology revealed an 81.7 percent prevalence of H.
pylori. A considerable amoxicillin resistance rate was found in this
investigation, whereas clarithromycin and levofloxacin showed good sensitivity
(100 percent ). In Nigeria, we recommended using levofloxacin as part of a
triple treatment regimen to eradicate H. pylori instead of amoxicillin.
Author(s) Details:
Ahmad K. Bello,
Department of Internal Medicine, Faculty of Medicine, Ahmadu Bello
University / Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Mohammad M. Borodo,
Department of
Internal Medicine, Faculty of Health Sciences, Bayero University Kano, Aminu
Kano Teaching Hospital, Kano, Nigeria.
Ahmad M.
Yakasai,
Department of
Infectious Diseases, Faculty of Clinical Sciences, Public Health and Diagnostic
Institute, College of Medical Sciences, North-West University, Kano, Nigeria.
Abubakar
D. Tukur,
Department of
Microbiology, Faculty of Allied Health Science, Aminu Kano Teaching Hospital,
Bayero University, Kano, Nigeria.
Please see the link here: https://stm.bookpi.org/CODHR-V2/article/view/7747
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