Drug resistance in Helicobacter pylori
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da FURG (RI FURG) |
Texto Completo: | http://repositorio.furg.br/handle/1/7103 http://dx.doi.org/10.1590/S0004-28032016000400002 |
Resumo: | Background Helicobacter pylori has a worldwide distribution and is associated with the pathogenesis of various diseases of the digestive system. Treatment to eradicate this microorganism involves the use of a combination of antimicrobials, such as amoxicillin, metronidazole, clarithromycin, and levofloxacin, combined with proton pump inhibitors. Although the current therapy is effective, a high rate of treatment failure has been observed, mainly because of the acquisition of point mutations, one of the major resistance mechanisms developed by H. pylori. This phenomenon is related to frequent and/or inappropriate use of antibiotics. Conclusion This review reported an overview of the resistance to the main drugs used in the treatment of H. pylori, confirming the hypothesis that antibacterial resistance is a highly local phenomenon and genetic characteristics of a given population can influence which therapy is the most appropriate. |
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Drug resistance in Helicobacter pyloriA resistência de helicobacter pylori aos antimicrobianos.Helicobacter pyloriMicrobial drug resistancePoint mutationResistência microbiana a medicamentosMutação pontualBackground Helicobacter pylori has a worldwide distribution and is associated with the pathogenesis of various diseases of the digestive system. Treatment to eradicate this microorganism involves the use of a combination of antimicrobials, such as amoxicillin, metronidazole, clarithromycin, and levofloxacin, combined with proton pump inhibitors. Although the current therapy is effective, a high rate of treatment failure has been observed, mainly because of the acquisition of point mutations, one of the major resistance mechanisms developed by H. pylori. This phenomenon is related to frequent and/or inappropriate use of antibiotics. Conclusion This review reported an overview of the resistance to the main drugs used in the treatment of H. pylori, confirming the hypothesis that antibacterial resistance is a highly local phenomenon and genetic characteristics of a given population can influence which therapy is the most appropriate.Contexto Helicobacter pylori tem uma distribuição a nível mundial, e está associado a patogênese de várias doenças do sistema digestivo. O tratamento para a erradicação deste microrganismo envolve a utilização de uma combinação de agentes antimicrobianos, tais como amoxicilina, metronidazol, claritromicina e levofloxacino, combinados com inibidores da bomba de prótons. Embora a terapia atual seja eficaz, uma elevada taxa de fracasso de tratamento tem sido observada, principalmente devido à aquisição de mutações pontuais, um dos principais mecanismos de resistência desenvolvida por H. pylori, relacionado com o uso frequente e/ou inadequado dos antibióticos. Conclusão Esta revisão abordou uma visão geral da resistência às principais drogas utilizadas no tratamento de H. pylori, confirmando a hipótese de que a resistência bacteriana é um fenômeno altamente local e as características genéticas de uma dada população podem influenciar qual terapia é a mais apropriada.2017-03-14T20:50:19Z2017-03-14T20:50:19Z2016info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfVIANNA, Júlia Silveira et al. Drug resistance in Helicobacter pylori. Arquivos de Gastroenterologia. vol. 53, n. 4 , p. 215, 2016. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032016000400215>. Acesso em: 14 mar. 2017.0004-2803http://repositorio.furg.br/handle/1/7103http://dx.doi.org/10.1590/S0004-28032016000400002porVianna, Júlia SilveiraRamis, Ivy BastosSoares, Daniela Fernandes RamosGroll, Andrea VonSilva, Pedro Eduardo Almeida dainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURG2019-12-03T20:22:41Zoai:repositorio.furg.br:1/7103Repositório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2019-12-03T20:22:41Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false |
dc.title.none.fl_str_mv |
Drug resistance in Helicobacter pylori A resistência de helicobacter pylori aos antimicrobianos. |
title |
Drug resistance in Helicobacter pylori |
spellingShingle |
Drug resistance in Helicobacter pylori Vianna, Júlia Silveira Helicobacter pylori Microbial drug resistance Point mutation Resistência microbiana a medicamentos Mutação pontual |
title_short |
Drug resistance in Helicobacter pylori |
title_full |
Drug resistance in Helicobacter pylori |
title_fullStr |
Drug resistance in Helicobacter pylori |
title_full_unstemmed |
Drug resistance in Helicobacter pylori |
title_sort |
Drug resistance in Helicobacter pylori |
author |
Vianna, Júlia Silveira |
author_facet |
Vianna, Júlia Silveira Ramis, Ivy Bastos Soares, Daniela Fernandes Ramos Groll, Andrea Von Silva, Pedro Eduardo Almeida da |
author_role |
author |
author2 |
Ramis, Ivy Bastos Soares, Daniela Fernandes Ramos Groll, Andrea Von Silva, Pedro Eduardo Almeida da |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Vianna, Júlia Silveira Ramis, Ivy Bastos Soares, Daniela Fernandes Ramos Groll, Andrea Von Silva, Pedro Eduardo Almeida da |
dc.subject.por.fl_str_mv |
Helicobacter pylori Microbial drug resistance Point mutation Resistência microbiana a medicamentos Mutação pontual |
topic |
Helicobacter pylori Microbial drug resistance Point mutation Resistência microbiana a medicamentos Mutação pontual |
description |
Background Helicobacter pylori has a worldwide distribution and is associated with the pathogenesis of various diseases of the digestive system. Treatment to eradicate this microorganism involves the use of a combination of antimicrobials, such as amoxicillin, metronidazole, clarithromycin, and levofloxacin, combined with proton pump inhibitors. Although the current therapy is effective, a high rate of treatment failure has been observed, mainly because of the acquisition of point mutations, one of the major resistance mechanisms developed by H. pylori. This phenomenon is related to frequent and/or inappropriate use of antibiotics. Conclusion This review reported an overview of the resistance to the main drugs used in the treatment of H. pylori, confirming the hypothesis that antibacterial resistance is a highly local phenomenon and genetic characteristics of a given population can influence which therapy is the most appropriate. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 2017-03-14T20:50:19Z 2017-03-14T20:50:19Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
VIANNA, Júlia Silveira et al. Drug resistance in Helicobacter pylori. Arquivos de Gastroenterologia. vol. 53, n. 4 , p. 215, 2016. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032016000400215>. Acesso em: 14 mar. 2017. 0004-2803 http://repositorio.furg.br/handle/1/7103 http://dx.doi.org/10.1590/S0004-28032016000400002 |
identifier_str_mv |
VIANNA, Júlia Silveira et al. Drug resistance in Helicobacter pylori. Arquivos de Gastroenterologia. vol. 53, n. 4 , p. 215, 2016. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032016000400215>. Acesso em: 14 mar. 2017. 0004-2803 |
url |
http://repositorio.furg.br/handle/1/7103 http://dx.doi.org/10.1590/S0004-28032016000400002 |
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por |
language |
por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Institucional da FURG (RI FURG) instname:Universidade Federal do Rio Grande (FURG) instacron:FURG |
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Universidade Federal do Rio Grande (FURG) |
instacron_str |
FURG |
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FURG |
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Repositório Institucional da FURG (RI FURG) |
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Repositório Institucional da FURG (RI FURG) |
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Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG) |
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1813187228966322176 |