Helicobacter pylori antimicrobial susceptibility in people with HIV infection Infections and Infestations H. pylori infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. No history of H. pylori treatment 2. Ambulatory HIV-positive and HIV-negative individuals 3. Naïve to H. pylori treatment 4. Aged =18 years 5. Underwent upper gastrointestinal endoscopy for any reason and for which H. pylori antimicrobial susceptibility test results is available
Exclusion criteria
Exclusion criteria: 1. Coagulopathy 2. Partial gastrectomy 3. Does not agree to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Primary H. pylori antibiotic resistance is evaluated by anamnesis and by microbial examination of gastric samples using disk diffusion methods (Neo-Sensitabs; Rosco, Taastrup, Denmark), and the minimum inhibitory concentration (MIC) determined by an agar dilution method at a single time point 2. Antibiotic consumption within the country during the period studied, measured by defined daily dose per 1000 inhabitants using national records | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at the time of H. pylori diagnosis: 1. Demographics measured using anamnesis, medical records, and hospital database 2. History of H. pylori treatment obtained by anamnesis, patient’s medical chart, phone contact with the family medical doctor 3. HIV status measured using medical records 4. HIV viral load (measured using COBAS AmpliPrep/COBAS Amplicor HIV-1 Monitor Test v1.0, 1COBAS® AmpliPrep/COBAS® TaqMan® HIV-1 Test, v2.0 real time PCR) 5. Lymphocyte T CD4 count (measured using flow cytometry, NAVIOS) 6. Chemoprevention against Toxoplasma gondii or Pneumocystis jiroveci ( with trimethoprim-sulfamethoxazole ) or anti-malaria drug use (including mefloquine, atovaquone, chloroquine, primaquine) 7. Consequences of infection measured by endoscopy performed using video Olympus GIF-q165, GIF-HQ 190 and gastric biopsy | — |
Countries
Belgium