Where to Biopsy to Detect Helicobacter pylori and How Many Biopsies Are Needed to Detect Antibiotic Resistance in a Human Stomach
- Type de publi. : Article dans une revue
- Date de publi. : 01/09/2020
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Auteurs :
Maxime PichonCong Tri TranGaëtan MotillonCharlotte DebiaisSylvain GautierMarie AballeaJulie CremniterPhilippe VasseurDavid TougeronMagali GarciaMartine GarnierCharles BodetJean-Pierre FaureChristophe Burucoa
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Organismes :
Laboratoire de Bactériologie (CHU de Poitiers)
Pharmacologie des anti-infectieux [U 1070]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Pharmacologie des anti-infectieux [U 1070]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Service d’hépato-gastro-entérologie et assistance nutritive [CHU de Poitiers]
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Service d’hépato-gastro-entérologie et assistance nutritive [CHU de Poitiers]
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Laboratoire Inflammation, Tissus épithéliaux et Cytokines [EA 4331]
Service de Chirurgie viscérale [CHU de Poitiers]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
Laboratoire de Bactériologie (CHU de Poitiers)
Pharmacologie des anti-infectieux [U 1070]
Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
- Publié dans Journal of Clinical Medicine le 29/10/2020
Résumé : This study aims to determine the gastric distribution, density, and diversity of
Helicobacter pylori infection. Subtotal resection of the stomachs of three
H. pylori-infected and asymptomatic obese patients were collected after a sleeve gastrectomy. Distribution and density of
H. pylori were determined using culture and RT-PCR on multiple gastric sites (88, 176, and 101 biopsies per patient). Diversity of
H. pylori strains was studied using antibiotic susceptibility testing, random amplified polymorphism DNA (RAPD) typing and cagA gene detection on single-colony isolates (44, 96, and 49 isolates per patient).
H. pylori was detected in nearly all analyzed sites (354/365 biopsies, 97%). Antral density was higher in one patient only. The three stomachs were almost exclusively infected by an antibiotic-susceptible strain. One clarithromycin-resistant isolate in one biopsy was detected in two stomachs (1/44 and 1/49 isolates), while in the third one, eight (8/96 isolates) metronidazole-resistant isolates were detected. DNA typing showed infection with cagA-negative strains for one patient, cagA-positive strains for a second patient and the third patient was infected with two different strains of distinct cagA genotypes. Infection with
H. pylori is shown to spread to the whole surface of the stomach, but a possibility of minor sub-population of antibiotic-resistant clones, undetectable in routine practice.
Fichiers liés :
jcm-09-02812-v2.pdf
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