Highly clarithromycin-resistant Helicobacter pylori infection in asymptomatic children from a rural community of Cajamarca-Peru

BMC Res Notes. 2018 Nov 14;11(1):809. doi: 10.1186/s13104-018-3919-z.

Abstract

Objective: The objective of this study was to determine the prevalence of clarithromycin-resistant Helicobacter pylori in asymptomatic children in a rural community of Cajamarca (northern Peru).

Results: Helicobacter pylori was detected in 17.2% (49/285) of the samples. Unboiled water consumption the most frequent associated factor in patients with positive PCR for H. pylori infection (93.9%). Clarithromycin resistant mutations were found in 79.6% (39/49) of the positive samples for H. pylori. The most frequent mutation was A2142G (46.9%), followed by the double-mutation A2142G-A2143G (28.6%).

Keywords: Clarithromycin; Gastric disease; Helicobacter pylori; PCR; Peptic ulcer disease.

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / pharmacology
  • Child
  • Clarithromycin / pharmacology*
  • Cross-Sectional Studies
  • Drug Resistance, Bacterial / genetics*
  • Female
  • Helicobacter Infections / diagnosis*
  • Helicobacter Infections / epidemiology
  • Helicobacter Infections / microbiology
  • Helicobacter pylori / genetics*
  • Helicobacter pylori / physiology
  • Humans
  • Male
  • Mutation
  • Peru / epidemiology
  • Prevalence
  • RNA, Ribosomal, 23S / genetics
  • Rural Population / statistics & numerical data*

Substances

  • Anti-Bacterial Agents
  • RNA, Ribosomal, 23S
  • Clarithromycin