Helicobacter pylori Flashcards
GRAM-NEGATIVE RODS RELATED TO THE ENTERIC TRACT
Helicobacter pylori Disease
1_Gastritis and peptic ulcer.
2_ Risk factor for gastric carcinoma.
Characteristics of h.pylori
Curved gram-negative rod.
Habitat of H.pylori
Habitat is the human stomach.
Transmission of H.pylori
Transmission is by ingestion
Pathogenesis of H.pylori
1_Organisms synthesize urease, which produces ammonia that damages gastric mucosa.
2_Ammonia also neutralizes acid pH in stomach, which allows the organism to live in gastric mucosa.
Laboratory Diagnosis of H.pylori
1_Gram stain and culture.
2_Urease positive.
3Serologic tests for antibody
4“urea breath” test are useful.
Treatment of H.pylori
1_Amoxicillin
2_metronidazole
3_bismuth (Pepto-Bismol).
Prevention
No vaccine or drug is available.