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Journal of Antimicrobial Chemotherapy (2000) 46, 1029-1031
© 2000 The British Society for Antimicrobial Chemotherapy


Brief report

Features and trends in Helicobacter pylori antibiotic resistance in Lisbon area, Portugal (1990–1999)

J. Cabritaa,b,*, M. Oleastroa, R. Matosa, A. Manhentea, J. Cabralc, R. Barrosc, A. I. Lopesd, P. Ramalhod, B. C. Nevese and A. S. Guerreiroe

a Laboratório de Bacteriologia, Instituto Nacional de Saúde; b Faculdade de Farmácia de Lisboa; c Unidade de Gastrenterologia, Serviço de Patologia Clínica, Hospital de D. Estefânia; d Unidade de Gastrenterologia Pediátrica, Hospital de Santa Maria; e Clínica Universitária de Medicina Interna e Gastrenterologia, Hospital de Pulido Valente, Lisboa, Portugal

The features of Helicobacter pylori antibiotic resistance in Lisbon from 1990 to 1999 were studied. Overall resistance rates to amoxycillin, tetracycline, metronidazole, clarithromycin and ciprofloxacin were 0, 0, 30.6, 19.0 and 9.6%, respectively. The incidence of resistance to clarithromycin was much higher in isolates from children (44.8%) than adults (14.6%). For metronidazole, the contrary was observed (children: 19.0%, adults: 32.3%). Ciprofloxacin-resistant isolates were all from adult patients. Concerning the adult population, the resistance rate to metronidazole showed a slight increase during the decade, while for clarithromycin and ciprofloxacin a significant increase was observed (4.6 to 22.0% and 0 to 20.9%, respectively).

* Correspondence address. Instituto Nacional de Saúde, Dr Ricardo Jorge Av., Padre Cruz 1649-016 Lisboa, Portugal. Tel: +351-21-75-19231; Fax: +351-21-75-90441; E-mail: jcabrita{at}ff.ul.pt


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