This study was conducted to estimate the evolution of antimicrobial susceptibilities of H. pylori strains isolated in Cameroon from 2014 to 2016 in relation to sociodemographic factors and clinical outcomes. A total of 278 H. pylori strains were isolated from patients with gastroduodenal disorders and tested for their susceptibility to nine antibiotics using the disc diffusion method. With time, a significant decreased of resistance was observed against clarithromycin (31.11 to 3.20%, p<0.0001), erythromycin (66.69 to 9.6%, p<0.0001) and metronidazole (86.67 to 69.6%, p<0.0001). Resistance to tetracycline (0 to 2.4%) and doxycycline (0 to 1.6%) slightly increase with time. Resistance to amoxicillin (95.5 to 94.4%), ciprofloxacin (4.44 to 4%) and levofloxacin (0 to 0.8%) was relatively constant. No resistance was detected against rifampicin with the time. A significant decrease of resistance was detected against metronidazole / clarithromycin (22.22 to 1.6%, p<0.0001) and amoxicillin / clarithromycin (26.67 to 3.2%, p<0.0001). Among the tested isolates, 0.92 and 2.4% elicited triple resistance to metronidazole / tetracycline / amoxicillin in 2015 and 2016, and 0.8% quadruple resistance to metronidazole / tetracycline / clarithromycin / amoxicillin in 2016. Higher resistance rate was noticed as age increase and among female compared to men. Our data showed evolution in the antimicrobial susceptibilities of H pylori strains circulating in our milieu with time. This finding highlights the need of monitoring periodically H. pylori resistance profile to antibiotics in order to determine the adapted treatment for this infection.
Published in | International Journal of Gastroenterology (Volume 4, Issue 2) |
DOI | 10.11648/j.ijg.20200402.17 |
Page(s) | 63-71 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Helicobacter pylori, Antibiotics, Resistance Evolution, Cameroon
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APA Style
Eyoum Bille Bertrant, Tali Nguefak Lionel Danny, Fotso Chimi Serge, Malongue Agnes, Ateba Mbassa Roger, et al. (2020). Evolution of Susceptibilities of Helicobacter pylori Strains Circulating in Cameroon to Usual Antibiotics: A Three-year Study. International Journal of Gastroenterology, 4(2), 63-71. https://doi.org/10.11648/j.ijg.20200402.17
ACS Style
Eyoum Bille Bertrant; Tali Nguefak Lionel Danny; Fotso Chimi Serge; Malongue Agnes; Ateba Mbassa Roger, et al. Evolution of Susceptibilities of Helicobacter pylori Strains Circulating in Cameroon to Usual Antibiotics: A Three-year Study. Int. J. Gastroenterol. 2020, 4(2), 63-71. doi: 10.11648/j.ijg.20200402.17
AMA Style
Eyoum Bille Bertrant, Tali Nguefak Lionel Danny, Fotso Chimi Serge, Malongue Agnes, Ateba Mbassa Roger, et al. Evolution of Susceptibilities of Helicobacter pylori Strains Circulating in Cameroon to Usual Antibiotics: A Three-year Study. Int J Gastroenterol. 2020;4(2):63-71. doi: 10.11648/j.ijg.20200402.17
@article{10.11648/j.ijg.20200402.17, author = {Eyoum Bille Bertrant and Tali Nguefak Lionel Danny and Fotso Chimi Serge and Malongue Agnes and Ateba Mbassa Roger and Kuiate Jules Roger and Kouitcheu Mabeku Laure Brigitte}, title = {Evolution of Susceptibilities of Helicobacter pylori Strains Circulating in Cameroon to Usual Antibiotics: A Three-year Study}, journal = {International Journal of Gastroenterology}, volume = {4}, number = {2}, pages = {63-71}, doi = {10.11648/j.ijg.20200402.17}, url = {https://doi.org/10.11648/j.ijg.20200402.17}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20200402.17}, abstract = {This study was conducted to estimate the evolution of antimicrobial susceptibilities of H. pylori strains isolated in Cameroon from 2014 to 2016 in relation to sociodemographic factors and clinical outcomes. A total of 278 H. pylori strains were isolated from patients with gastroduodenal disorders and tested for their susceptibility to nine antibiotics using the disc diffusion method. With time, a significant decreased of resistance was observed against clarithromycin (31.11 to 3.20%, pH pylori strains circulating in our milieu with time. This finding highlights the need of monitoring periodically H. pylori resistance profile to antibiotics in order to determine the adapted treatment for this infection.}, year = {2020} }
TY - JOUR T1 - Evolution of Susceptibilities of Helicobacter pylori Strains Circulating in Cameroon to Usual Antibiotics: A Three-year Study AU - Eyoum Bille Bertrant AU - Tali Nguefak Lionel Danny AU - Fotso Chimi Serge AU - Malongue Agnes AU - Ateba Mbassa Roger AU - Kuiate Jules Roger AU - Kouitcheu Mabeku Laure Brigitte Y1 - 2020/11/19 PY - 2020 N1 - https://doi.org/10.11648/j.ijg.20200402.17 DO - 10.11648/j.ijg.20200402.17 T2 - International Journal of Gastroenterology JF - International Journal of Gastroenterology JO - International Journal of Gastroenterology SP - 63 EP - 71 PB - Science Publishing Group SN - 2640-169X UR - https://doi.org/10.11648/j.ijg.20200402.17 AB - This study was conducted to estimate the evolution of antimicrobial susceptibilities of H. pylori strains isolated in Cameroon from 2014 to 2016 in relation to sociodemographic factors and clinical outcomes. A total of 278 H. pylori strains were isolated from patients with gastroduodenal disorders and tested for their susceptibility to nine antibiotics using the disc diffusion method. With time, a significant decreased of resistance was observed against clarithromycin (31.11 to 3.20%, pH pylori strains circulating in our milieu with time. This finding highlights the need of monitoring periodically H. pylori resistance profile to antibiotics in order to determine the adapted treatment for this infection. VL - 4 IS - 2 ER -