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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.
Genetic and Biomolecular factors determining clarithromycin resistance will be characterized.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Gastroscope positive for H. pylori and resistant to clarithromycin |
| |
| 2 | Gastroscope positive for H. pylori and not resistant to clarithromycin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gastroscopic examination | Procedure | gastroscopic examination for tissue biopsy and real time PCR for gene study |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of H. pylori Clarithromycin resistance gene | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Characteristic of H. pylori clarithromycin resistant gene mutation | one year |
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Inclusion Criteria:
Exclusion Criteria:
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Dydpepsia patient with gastroscopic examination
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| Name | Affiliation | Role |
|---|---|---|
| Piyathida Harnsoomboon, MD | Department of Medical Services Ministry of Public Health of Thailand | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rajavithi Hospital | Ratchathewi | Bangkok | 10400 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22619884 | Derived | Hansomburana P, Anantapanpong S, Sirinthornpunya S, Chuengyong K, Rojborwonwittaya J. Prevalence of single nucleotide mutation in clarithromycin resistant gene of Helicobacter pylori: a 32-months prospective study by using hybridization real time polymerase chain reaction. J Med Assoc Thai. 2012 Mar;95 Suppl 3:S28-35. |
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| ID | Term |
|---|---|
| D004415 | Dyspepsia |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Gastric Biopsy tissue and H. pylori DNA