ANTIBIOTIC-RESISTANCE OF HELICOBACTER PYLORI: EPIDEMIOLOGY DIAGNOSIS AND TREATMENT
Successful eradicative treatment of H.pylori will reduce the recurrence rate of peptic ulcer disease and the risk of gastric cancer. In our country, the indication of antibiotics for both H.pylori-induced and non-H.pylori-induced diseases has been so available that it has increased H.pylori antibiotic resistance which decreased the efficacy of H.pylori treatment. Some national researches have shown that the rate of H.pylori resistance to Clarithromycin is higher than 20%. For H.pylori-infected patients in whom two empirical regimens fail to eradicate H.pylori, it is necessary to perform culture and antibiogram so that doctors will choose which treatment regimen is suitable for them. Among the H.pylori antibiotic susceptibility testing, the Epsilometer test is both less effort and accurate. H.pylori treatment should be not only standardized and updated according to Maastricht Consensus IV-2012 but also strengthened the management of key antibiotics in H.pylori treatment.