Efficacy of Disc Diffusion and Agar Dilution Methods in Evaluating Helicobacter pylori Susceptibility to Antibiotics.

BACKGROUND: In this study, efficacy and consistency of disc diffusion (DD) and agar dilution (AD) methods in determining Helicobacter pylori susceptibility to antibiotics were evaluated using Brucella blood agar (BBA) in both methods and tetrazolium egg yolk agar (TEYA) in AD. METHODS: Twenty H. pyl...

Descripción completa

Detalles Bibliográficos
Publicado en:Middle East Journal of Digestive Diseases Vol. 14; no. 2; pp. 207 - 214
Autores principales: Mansour-Ghanaei, Fariborz, Poostizadeh, Gelareh, Joukar, Farahnaz, Siavoshi, Farideh
Formato: research tables/charts Journal Article
Publicado: Iranian Association of Gastroenterology & Hepatology Apr2022
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157963604&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 157963604
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        20085230
        BG4K
      jtl: Middle East Journal of Digestive Diseases
      issn: 20085230
      maglogo: N
    pubinfo:
      dt: Apr2022
      vid: 14
      iid: 2
      pid: 70725
      pub: Iranian Association of Gastroenterology & Hepatology
    artinfo:
      ui:
        157963604
        157963604
        157963604
        10.34172/mejdd.2022.274
        157963604
      ppf: 207
      ppct: 7
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Efficacy of Disc Diffusion and Agar Dilution Methods in Evaluating Helicobacter pylori Susceptibility to Antibiotics.
      aug:
        au:
          Mansour-Ghanaei, Fariborz
          Poostizadeh, Gelareh
          Joukar, Farahnaz
          Siavoshi, Farideh
        affil: Gastrointestinal and Liver Diseases Research Center (GLDRC), Guilan University of Medical Sciences, Rasht, Iran
      sug:
        subj:
          Microbial Culture and Sensitivity Tests Methods
          Culture Media
          Antibiotics Pharmacodynamics
          Helicobacter Pylori Drug Effects
          Colony Count, Microbial Methods
          Human
          Female
          Male
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Metronidazole
          Clarithromycin
          Amoxicillin
          Iran
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: BACKGROUND: In this study, efficacy and consistency of disc diffusion (DD) and agar dilution (AD) methods in determining Helicobacter pylori susceptibility to antibiotics were evaluated using Brucella blood agar (BBA) in both methods and tetrazolium egg yolk agar (TEYA) in AD. METHODS: Twenty H. pylori isolates were tested for susceptibility to nine antibiotics; metronidazole (MTZ), clarithromycin (CLR), amoxicillin (AMX), tetracycline (TET), ofloxacin (OFX), levofloxacin (LVX), ciprofloxacin (CIP), furazolidone (FRZ), and rifampin (RIF). Antibiotics solutions were impregnated into blank paper disks on BBA in the DD method or added to BBA (ADB) or TEYA (ADT) media in the AD method. Suspensions of H. pylori isolates were surface or spot inoculated on solid media. Plates were incubated in CO2 incubator at 37°C for 5-7 days. RESULTS: The highest rate of susceptibility to MTZ (65%) was determined by DD method compared with AD method (ADB: 40%, ADT: 30%). Both methods showed similar CLR (85%) and AMX (100%) susceptibility rates. Susceptibility to remaining antibiotics, determined by DD and ADB/ADT media were in respective order as 95%, 75% / 75% for TET, 100%, 95% / 85% for FRZ, 85%, 85% / 75% for OFX, 90%, 95% / 85% for LVX, 90%, 85% / 85% for CIP, and 100%, 85% / 75% for RIF. CONCLUSION: DD and AD methods showed consistency in determining 161 (89.4%) susceptibility and resistance and inconsistency in determining 19 (10.6%) susceptibility and resistance (P < 0.05). DD is recommended as a cheap and easy method with the efficacy and precision comparable to the AD method in determining H. pylori susceptibility to antibiotics.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N