Antibiotic resistance of Helicobacter pylori in the European part of the Russian Federation: first results

Cover Page

Cite item

Full Text

Abstract

Aim. Determine the primary antibiotic resistance of Helicobacter pylori (H. pylori) strains isolated from patients living in the European part of the Russian Federation.

Materials and methods. As part of a clinical laboratory study, from 2015 to 2018, 27 gastrobiopsy samples obtained from H. pylori-infected patients were analyzed. H. pylori infection was verified using a rapid urease test or a 13C-urea breath test. The values of the minimum inhibitory concentration (MIC) of antibiotics were determined by the diffusion method using E-test strips (BioMerieux, France) according to the recommendations of the manufacturer. The sensitivity of the isolates was determined for 6 antibacterial drugs (amoxicillin, clarithromycin, metronidazole, levofloxacin, tetracycline, rifampicin).

Results. According to the data obtained, resistance to amoxicillin was 0%, clarithromycin – 11.1%, metronidazole – 59.3%, levofloxacin – 3.7%, tetracycline – 0%, and rifampicin – 14.8%. Dual resistance to clarithromycin and metronidazole was recorded in two isolates (7.4%).

Conclusion. Thus, the first results of the evaluation of H. pylori antibiotic resistance in the European part of the Russian Federation indicate a low resistance of the microorganism to clarithromycin and quite high to metronidazole.

About the authors

I. V. Maev

Yevdokimov Moscow State University of Medicine and Dentistry

Email: dna-mit8@mail.ru
ORCID iD: 0000-0001-6114-564X

д.м.н., проф., зав. каф. пропедевтики внутренних болезней и гастроэнтерологии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова», заслуженный врач РФ, заслуженный деятель науки РФ

Russian Federation, Moscow

D. N. Andreev

Yevdokimov Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: dna-mit8@mail.ru
ORCID iD: 0000-0002-4007-7112

к.м.н., доц. каф. пропедевтики внутренних болезней и гастроэнтерологии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow

V. M. Govorun

Federal Research And Clinical Center of Physical-Chemical Medicine Federal Medical Biological Agency

Email: dna-mit8@mail.ru
ORCID iD: 0000-0003-0837-8764

акад. РАН, д.б.н., ген. директор ФГБУ «ФНКЦ Физико-химической медицины» ФМБА России

Russian Federation, Moscow

E. N. Ilina

Federal Research And Clinical Center of Physical-Chemical Medicine Federal Medical Biological Agency

Email: dna-mit8@mail.ru
ORCID iD: 0000-0003-0130-5079

чл.-кор. РАН, д.б.н., зам. ген. директора по научной работе ФГБУ «ФНКЦ Физико-химической медицины» ФМБА России

Russian Federation, Moscow

Yu. A. Kucheryavyy

Yevdokimov Moscow State University of Medicine and Dentistry

Email: dna-mit8@mail.ru
ORCID iD: 0000-0001-7760-2091

к.м.н., доц. каф. пропедевтики внутренних болезней и гастроэнтерологии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow

T. S. Oganesian

City Clinical Hospital №4

Email: dna-mit8@mail.ru
ORCID iD: 0000-0003-2980-1007

к.м.н., ГБУЗ ГКБ №4

Russian Federation, Moscow

E. V. Melnikova

Medical Center for Diagnostics and Prevention

Email: dna-mit8@mail.ru
ORCID iD: 0000-0003-3352-5949

к.м.н., зам. ген. директора по научной работе ООО «Медицинский центр диагностики и профилактики»

Russian Federation, Yaroslavl

O. V. Zayratyants

Yevdokimov Moscow State University of Medicine and Dentistry

Email: dna-mit8@mail.ru
ORCID iD: 0000-0003-3606-3823

д.м.н., проф., зав. каф. патологической анатомии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow

T. V. Parfenova

Laboratory «Litekh»

Email: dna-mit8@mail.ru
ORCID iD: 0000-0001-6631-1993

с.н.с., ООО «Лаборатория Литех»

Russian Federation, Moscow

L. V. Dzhedzheia

Laboratory «Litekh»

Email: dna-mit8@mail.ru
ORCID iD: 0000-0003-2299-4483

зав. КДЛ OOO «Лаборатория Литех»

Russian Federation, Moscow

N. V. Kirillova

«Litekh»

Email: dna-mit8@mail.ru
ORCID iD: 0000-0003-3281-1695

с.н.с., ООО НПФ «Литех»

Russian Federation, Moscow

E. A. Maevskaya

Yevdokimov Moscow State University of Medicine and Dentistry

Email: dna-mit8@mail.ru
ORCID iD: 0000-0002-3323-3279

к.м.н., ассистент каф. пропедевтики внутренних болезней и гастроэнтерологии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow

A. K. Fomenko

Yevdokimov Moscow State University of Medicine and Dentistry

Email: dna-mit8@mail.ru
ORCID iD: 0000-0002-1794-7263

клинический ординатор каф. пропедевтики внутренних болезней и гастроэнтерологии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow

E. G. Lobanova

Yevdokimov Moscow State University of Medicine and Dentistry

Email: dna-mit8@mail.ru

д.м.н., проф. каф. фармакологии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow

A. V. Zaborovskii

Yevdokimov Moscow State University of Medicine and Dentistry

Email: dna-mit8@mail.ru
ORCID iD: 0000-0002-7923-9916

д.м.н., зав. каф. фармакологии ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow

K. A. Kriukov

Yaroslavl State Medical University

Email: dna-mit8@mail.ru
ORCID iD: 0000-0002-5598-6132

студент 4-го курса ФГБОУ ВО ЯГМУ

Russian Federation, Yaroslavl

References

  1. Маев И.В., Самсонов А.А., Андреев Д.Н. и др. Клиническое значение инфекции Helicobacter pylori. Клин мед. 2013;91(8):4-12 [Maev IV, Samsonov AA, Andreev DN, et al. Clinical significance of Helicobacter pylori infection. Klin. Med. 2013;91(8):4-12 (In Russ.)].
  2. Suzuki H, Warren R, Marshall B. Helicobacter Pylori; Springer: Tokyo, Japan, 2016.
  3. Ивашкин В.Т., Маев И.В., Лапина Т.Л. и др. Клинические рекомендации Российской гастроэнтерологической ассоциации по диагностике и лечению инфекции Helicobacter pylori у взрослых. Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2018;28(1):55-70 [Ivashkin VT, Mayev IV, Lapina TL, et al. Diagnostics and treatment of Helicobacter pylori infection in adults: Clinical guidelines of the Russian gastroenterological association. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2018;28(1):55-70. (In Russ.)]. doi: 10.22416/1382-4376-2018-28-1-55-70
  4. Malfertheiner P, Megraud F, O’Morain CA, et al. Management of Helicobacter pylori infection-the Maastricht V/Florence Consensus. Report. Gut. 2017;66(1):6-30. doi: 10.1136/gutjnl-2016-312288
  5. Chey WD, Leontiadis GI, Howden CW, Moss SF. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol. 2017;112(2):212-39. doi: 10.1038/ajg.2016.563
  6. Sugano K, Tack J, Kuipers EJ, et al.; faculty members of Kyoto Global Consensus Conference. Kyoto global consensus report on Helicobacter pylori gastritis. Gut. 2015;64(9):1353-67. doi: 10.1136/gutjnl-2015-309252
  7. Lee YC, Chen TH, Chiu HM, et al. The benefit of mass eradication of Helicobacter pylori infection: a community-based study of gastric cancer prevention. Gut. 2013;62:676-82. doi: 10.1136/gutjnl-2012-302240
  8. Malfertheiner P, Link A, Selgrad M. Helicobacter pylori: perspectives and time trends. Nat Rev Gastroenterol Hepatol. 2014;11(10):628-38. doi: 10.1038/nrgastro.2014.99
  9. Iwańczak F, Iwańczak B. Treatment of Helicobacter pylori infection in the aspect of increasing antibiotic resistance. Adv Clin Exp Med. 2012;21(5):671-80.
  10. Vianna JS, Ramis IB, Ramos DF, et al. Drug resistance in Helicobacter pylori. Arq Gastroenterol. 2016;53(4):215-23. doi: 10.1590/S0004-28032016000400002
  11. Маев И.В., Андреев Д.Н. Молекулярно-генетические предикторы резистентности к антихеликобактерной терапии. Терапевтический архив. 2017;89(8):5-12 [Maev IV, Andreev DN. Molecular genetic predictors of resistance to anti-Helicobacter pylori therapy. Therapeutic Archive. 2017;89(8):5-12 (In Russ.)]. doi: 10.17116/ terarkh20178985-12
  12. Savoldi A, Carrara E, Graham DY, et al. Prevalence of Antibiotic Resistance in Helicobacter pylori: A Systematic Review and Meta-analysis in World Health Organization Regions. Gastroenterology. 2018;155(5):1372-82.e17. doi: 10.1053/j.gastro.2018.07.007
  13. Маев И.В., Кучерявый Ю.А., Андреев Д.Н., Баркалова Е.В. Эрадикационная терапия инфекции Helicobacter pylori: обзор мировых тенденций. Терапевтический архив. 2014;86(3):94-9 [Maev IV, Kucheryavyi Yu.A, Andreev DN, Barkalova EV. Eradication therapy for Helicobacter pylori infection: review of world trends. Therapeutic Archive. 2014;86(3):94-9 (In Russ.).]
  14. Graham DY, Lee YC, Wu MS. Rational Helicobacter pylori therapy: evidence-based medicine rather than medicine-based evidence. Clin Gastroenterol Hepatol. 2014;12:177-86. doi: 10.1016/j.cgh.2013.05.028
  15. Perez Aldana L, Kato M, Nakagawa S, et al. The relationship between consumption of antimicrobial agents and the prevalence of primary Helicobacter pylori resistance. Helicobacter. 2002;7:306-9.
  16. Megraud F, Coenen S, Versporten A, et al.; Study Group participants. Helicobacter pylori resistance to antibiotics in Europe and its relationship to antibiotic consumption. Gut. 2013;62(1):34-42. doi: 10.1136/gutjnl-2012-302254
  17. Boyanova L, Ilieva J, Gergova G, et al. Numerous risk factors for Helicobacter pylori antibiotic resistance revealed by extended anamnesis: a Bulgarian study. J Med Microbiol. 2012;61(Pt 1):85-93. doi: 10.1099/jmm.0.035568-0
  18. Lim SG, Park RW, Shin SJ, et al. The relationship between the failure to eradicate Helicobacter pylori and previous antibiotics use. Dig Liver Dis. 2016;48(4):385-90. doi: 10.1016/j.dld.2015.12.001
  19. Андреев Д.Н., Маев И.В., Кучерявый Ю.А. и др. Эффективность и безопасность антихеликобактерной терапии у пациентов с сопутствующим хроническим гепатитом С. Терапевтический архив. 2016;4:75-81 [Andreev DN, Maev IV, Kucheryavyi YA, et al. The efficiency and safety of anti-Helicobacter pylori therapy in patients with concomitant chronic hepatitis C. Therapeutic Archive. 2016;88(4):75-81 (In Russ.)]. doi: 10.17116/terarkh201688475-81
  20. McNulty CA, Lasseter G, Shaw I, et al. Is Helicobacter pylori antibiotic resistance surveillance needed and how can it be delivered? Aliment Pharmacol Ther. 2012;35(10):1221-30. doi: 10.1111/j.1365-2036.2012.05083.x
  21. Бордин Д.С., Эмбутниекс Ю.В., Вологжанина Л.Г. и др. Европейский регистр Helicobacter pylori (Hp-Eureg): анализ данных 2360 больных, получавших терапию первой линии в России. Терапевтический архив. 2018;90(2):35-42 [Bordin DS, Embutnieks YV, Vologzhanina LG, et al. European Registry on the management of Helicobacter pylori infection (Hp-EuReg): analysis of 2360 patients receiving first-line therapy in Russia. Therapeutic Archive. 2018;90(2):35-42 (In Russ.).] doi: 10.26442/terarkh201890235-42
  22. Самсонов А.А., Гречушников В.Б., Андреев Д.Н. и др. Оценка фармакоэкономических показателей лечения пациентов с заболеваниями, ассоциированными с Helicobacter pylori. Терапевтический архив. 2014; 86(8):57-61 [Samsonov AA, Grechushnikov VB, Andreev DN, et al. Pharmacoeconomic evaluation of treatment in patients with Helicobacter pylori-associated diseases. Therapeutic Archive. 2014;86(8):56-61 (In Russ.).]
  23. Андреев Д.Н., Дичева Д.Т., Маев И.В. Возможности оптимизации эрадикационной терапии инфекции Helicobacter pylori в современной клинической практике. Терапевтический архив. 2017;89(2):84-90 [Andreev DN, Dicheva DT, Maev IV. Possibilities for optimization of eradication therapy for Helicobacter pylori infection in modern clinical practice. Therapeutic Archive. 2017;89(2):84-90 (In Russ.).]. doi: 10.17116/terarkh201789284-90
  24. Ko SW, Kim YJ, Chung WC, Lee SJ. Bismuth supplements as the first-line regimen for Helicobacter pylori eradication therapy: Systemic review and meta-analysis. Helicobacter. 2019;24(2):e12565. doi: 10.1111/hel.12565
  25. Andreev DN, Maev IV, Dicheva DT. Efficiency of the Inclusion of Rebamipide in the Eradication Therapy for Helicobacter pylori Infection: Meta-Analysis of Randomized Controlled Studies. J Clin Med. 2019;8(9). pii: E1498. doi: 10.3390/jcm8091498

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2020 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies