title: The efficacy of antimicrobial treatment in Campylobacter pylori-associated gastritis and duodenal ulcer.
abstract: The efficacy of various antimicrobial and anti-ulcer agents on the elimination of Campylobacter pylori in duodenal ulcer patients was investigated. Ranitidine, cimetidine, pirenzepine, aluminium phosphate gel as well as combinations of H2-receptor antagonists or pirenzepine + penicillin V, ciprofloxacin, ofloxacin, phenyl-mercuryborate or rifampicin had no influence on C. pylori in vivo. Short term elimination of C. pylori was achieved in 3/15 patients treated with ranitidine + bacampicillin and in 1/5 treated with cimetidine + metronidazole. This elimination was accompanied by a significant reduction of polymorphonuclear infiltration of the antral mucosa. Development of bacterial resistance was observed in patients with additional quinolones, metronidazole and rifampicin but not in patients treated with betalactam antibiotics.
authors.affiliation: Hygiene-Institute University Vienna, Austria.
authors.forename: A M
authors.initials: AM
authors.lastname: Hirschl
authors.forename: E
authors.initials: E
authors.lastname: Hentschel
authors.forename: K
authors.initials: K
authors.lastname: Schütze
authors.forename: H
authors.initials: H
authors.lastname: Nemec
authors.forename: R
authors.initials: R
authors.lastname: Pötzi
authors.forename: A
authors.initials: A
authors.lastname: Gangl
authors.forename: W
authors.initials: W
authors.lastname: Weiss
authors.forename: M
authors.initials: M
authors.lastname: Pletschette
authors.forename: G
authors.initials: G
authors.lastname: Stanek
authors.forename: M L
authors.initials: ML
authors.lastname: Rotter
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002167:Campylobacter / Q000302:isolation & purification; D002169:Campylobacter Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D004305:Dose-Response Relationship, Drug; D004358:Drug Therapy / Q000592:standards; D004381:Duodenal Ulcer / Q000209:etiology* / Q000382:microbiology; D005756:Gastritis / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D013997:Time Factors
chemical_list: D000900:Anti-Bacterial Agents