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Prevalence and resistance of Helicobacter pylori in a predominantly Hispanic population

World Journal of Gastrointestinal Endoscopy 2024年第9期16卷 526-532页

作者： alireza tabesh Ricardo Alberto Antillon Manvel Kondradzhyan Ann Zera Tan Internal Medicine Adventist Health White MemorialLos AngelesCA 90033United States Family Medicine UCLALos AngelesCA 90024United States Department of Pathology Adventist Health White MemorialLos AngelesCA 90033United States

BACKGROUND Helicobacter pylori(***)is the most common chronic bacterial infection in *** risk of acquiring *** is related to socioeconomic status and living conditions early in *** regimens must consider local antibiotic resistance *** Health White Memorial Hospital serves a predominantly indigent population in east Los Angeles with a large number of immigrants from South and Central *** regarding the prevalence and resistance of *** in this population is *** To evaluate the prevalence and resistance of *** and correlate with country of *** All gastric biopsies were obtained by a single gastroenterologist at the hospital in a consecutive manner from patients with gastritis from 2017 to 2022 and sent to various labs for *** Two hundred and sixty-six patients are born in the United States,450,171,70,and 30 patients are immigrants from Mexico,Central and South America(CSA),Asia,and other countries ***,14.65%were found to be infected with *** of infection in United States-born citizens,immigrants from Mexico,CSA,and Asia are 9.02%,18.67%,13.45%,and 11.43%respectively,with Mexican immigrants having a relative risk of 2.3889[95%confidence interval(CI):1.4789-3.8588,P=0.0004]compared to those born in United *** correlation seen between infection and length of time immigrants were in United *** risk of infection in patients with no proton pump inhibitor use within the past 30 days found to be 1.9276(95%CI:1.3562-2.7398,P=0.0003).Rates of resistance for clarithromycin and levofloxacin are 21.43%and 31.11%.CONCLUSION *** infection appears to be associated with low socioeconomic status and poor living conditions early in *** and levofloxacin based treatment regimens should be avoided as first line therapy in this region,particularly in patients of Latin American origin.

关键词： Hispanic Proton pump inhibitors Gastritis Disparity Race/racial Helicobacter pylori Prevalence Resistance

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