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Antibiotic Resistant Helicobacter Pylori in Rajavithi Hospital

Completed
Conditions
Dyspepsia
Interventions
Procedure: gastroscopic examination
Registration Number
NCT00285688
Lead Sponsor
Rajavithi Hospital
Brief Summary

Peptic ulcer disease is the most common gastrointestinal disease. Antibiotic resistant Helicobacter pylori is a major problem worldwide. The gold standard for Helicobacter pylori eradication is composed of Proton-pump inhibitor/Ranitidine bismuth citrate + Amoxycillin + Metronidazole /Clarithromycin. In Thailand, clarithromycin resistant strains increased and led to treatment failure. Data on file at Rajavithi Hospital showed that metronidazole resistant H. pylori was about 50% and Clarithromycin resistant strains accounted for 8%. This molecular genetic study will be performed in patients presenting with dyspepsia, who had an indication for gastroscopic examination, to explore the incidence of antibiotic resistant Helicobacter pylori in Rajavithi Hospital, Thailand.

Detailed Description

Genetic and Biomolecular factors determining clarithromycin resistance will be characterized.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • male or female with dyspepsia
  • age > 15 years
  • fulfil indication for gastroscopic examination
  • able to give informed consent
Exclusion Criteria
  • contraindication for gastroscopic examination and biopsy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
2gastroscopic examinationGastroscope positive for H. pylori and not resistant to clarithromycin
1gastroscopic examinationGastroscope positive for H. pylori and resistant to clarithromycin
Primary Outcome Measures
NameTimeMethod
Incidence of H. pylori Clarithromycin resistance geneone year
Secondary Outcome Measures
NameTimeMethod
Characteristic of H. pylori clarithromycin resistant gene mutationone year

Trial Locations

Locations (1)

Rajavithi Hospital

🇹🇭

Ratchathewi, Bangkok, Thailand

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