Antimicrobial resistance of H. pylori to the outcome of 10-days vs. 7-days Moxifloxacin based therapy for the eradication: a randomized controlled trial

作者：Bago Josip^*; Majstorovic Karolina; Belosic Halle Zeljka; Kucisec Nastja; Bakula Vinko; Tomic Monika; Bago Petra; Troskot Rosana

来源：Annals of Clinical Microbiology and Antimicrobials, 2010, 9: 13.

DOI：10.1186/1476-0711-9-13

Introduction: Antibiotic resistance decreases success of Helicobacter pylori (Hp) eradication. Recently published results show low rate of resistance and better compliance with moxifloxacin based regiments.
Aims&methods: Whether 7 days moxifloxacin with lansoprasole and amoxycillin can be compared with 10 days moxifloxacin with lansoprasole and amoxycillin according to moxifloxacin resistance. Patients with non-ulcer dyspepsia who had culture and histology positive Hp infection (n = 150) were randomly assigned into two groups. The first group (n = 75) received moxifloxacin 400 mg/d during 7 days and the other (n = 75) received moxifloxacin 400 mg/d during 10 days. All patients received amoxycillin 1 g twice daily, lansoprasole 30 mg twice daily. All Hp cultures were tested for sensitivity to moxifloxacin.
Results: 138 patients (92%) completed the study, 68 in the first group and 70 in the second. Eradication rates were 84% (57/68) and 76% (57/75) in the 7 days moxifloxacin group and 90% and 84% in the second group (63/70, 63/75) according to the PP and ITT analysis; p = n.s. Among 129 patients (86% of study group), 6% of strains were primary resistant to moxifloxacin.
Eradication of moxifloxacin sensitive/resistant strains was 98%/66%, p < 0.05
Conclusion: According to our results we recommend 7 days moxiflixacin based triple therapy.

• 出版日期2010