Risk Factors for Helicobacter pylori Resistance
Authors: Thomas W. Hennessy, Brian J. McMahon, Jay C. Butler
Journal: Annals of Internal Medicine (2004)

Letters1 June 2004Risk Factors for Helicobacter pylori ResistanceThomas W. Hennessy, MD, MPH, Brian J. McMahon, MD, and Jay C. Butler, MDThomas W. Hennessy, MD, MPHFrom Centers for Disease Control and Prevention, Anchorage, AK 99508.Search for more papers by this author, Brian J. McMahon, MDFrom Centers for Disease Control and Prevention, Anchorage, AK 99508.Search for more papers by this author, and Jay C. Butler, MDFrom Centers for Disease Control and Prevention, Anchorage, AK 99508.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-11-200406010-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree that the SHARP study (1) was useful for establishing the prevalence of antimicrobial resistance among H. pylori in the United States. However, the SHARP analysis did not include the most important determinant of antimicrobial resistance: an individual's antimicrobial use. Therefore, we believe the factors associated with antimicrobial-resistant H. pylori in the SHARP study are useful for hypothesis generation, but their value for clinical decision making is highly suspect. The factors cited by Drs. Seow and Chew are likely to be markers for patients with higher antimicrobial use. For example, the higher frequency of metronidazole-resistant H. pylori ...Reference1. Meyer JM, Silliman NP, Wang W, Siepman NY, Sugg JE, Morris D, et al . Risk factors for Helicobacter pylori resistance in the United States: the surveillance of H. pylori antimicrobial resistance partnership (SHARP) study, 1993-1999. Ann Intern Med. 2002;136:13-24. [PMID: 11777360] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Thomas W. Hennessy, MD, MPH; Brian J. McMahon, MD; Jay C. Butler, MDAffiliations: From Centers for Disease Control and Prevention, Anchorage, AK 99508. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRisk Factors for Helicobacter pylori Resistance in the United States: The Surveillance of H. pylori Antimicrobial Resistance Partnership (SHARP) Study, 1993–1999 Joette M. Meyer , Nancy P. Silliman , Wenjin Wang , Nancy Y. Siepman , Jennifer E. Sugg , David Morris , Jie Zhang , Helen Bhattacharyya , Eileen C. King , and Robert J. Hopkins The Relationship among Previous Antimicrobial Use, Antimicrobial Resistance, and Treatment Outcomes for Helicobacter pylori Infections Brian J. McMahon , Thomas W. Hennessy , J. Michael Bensler , Dana L. Bruden , Alan J. Parkinson , Julie M. Morris , Alisa L. Reasonover , Debby A. Hurlburt , Michael G. Bruce , Frank Sacco , and Jay C. Butler Risk Factors for Helicobacter pylori Resistance Josefina Seow and Fook Tim Chew Metrics 1 June 2004Volume 140, Issue 11Page: 931KeywordsAntimicrobial resistanceAntimicrobialsDecision makingHelicobacter pyloriMedical risk factorsRacial and ethnic issues ePublished: 1 June 2004 Issue Published: 1 June 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...