Clinical Evaluation of a Real-Time PCR Assay for Simultaneous Detection of Helicobacter pylori and Genotypic Markers of Clarithromycin Resistance Directly from Stool

Author:

Marrero Rolon Rebecca12,Cunningham Scott A.2,Mandrekar Jayawant N.3,Polo Erin T.4,Patel Robin25ORCID

Affiliation:

1. Department of Pathology, Clinical Microbiology, Montefiore Medical Center, Bronx, New York, USA

2. Division of Clinical Microbiology, Mayo Clinic, Rochester, Minnesota, USA

3. Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA

4. TIB MOLBIOL, Adelphia, New Jersery, USA

5. Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA

Abstract

Helicobacter pylori infection is mainly diagnosed noninvasively, with susceptibility testing traditionally requiring endoscopy. Treatment is empirical, with clarithromycin-based triple therapy recommended where resistance rates are below 15%. Rising rates of clarithromycin resistance, resulting in high therapy failure rates, are seen worldwide, but U.S. data are limited.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference48 articles.

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2. IARC Working Group on the Evaluation of Carcinogenic Risk to Humans. 1994. Schistosomes, liver flukes and Helicobacter pylori, vol 61. World Health Organization International Agency for Research on Cancer, Lyon, France.

3. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis

4. Global burden of cancer attributable to infections in 2018: a worldwide incidence analysis

5. Helicobacter pylori and Gastric Cancer: Factors That Modulate Disease Risk

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