Global spread of New Delhi metallo-beta-lactamase-1(NDM-1)

摘要

The latest Maastricht III guideline for H. pylori infection treatment emphasizes on regimens containing clarithromycin (500 mg/BD), a PPI (standard dosing) and amoxicillin (1 gr/BD) or alternative regimen including metronidazole (400 or 500 mg/BD) substituting for amoxicillin (24). American College of Gastroenterology (ACG) guideline for H. pylori infection treatment also focuses on mentioned regimens, despite only 70- 85% success rate (26). In penicillin-allergic patients amoxicillin can be replaced by metronidazole (500 mg/BD).