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Antibiotics can be used to treat the infection. However, unique to H. pylori, the recommendation from the US Food and Drug Administration is to use a triple therapy. The current protocols are 10 days of treatment with omeprazole , amoxicillin , and clarithromycin (OAC); 14 days of treatment with bismuth subsalicylate , metronidazole , and tetracycline (BMT); or 10 or 14 days of treatment with lansoprazole , amoxicillin , and clarithromycin (LAC). Omeprazole, bismuth subsalicylate, and lansoprazole are not antibiotics but are instead used to decrease acid levels because H. pylori prefers acidic environments.

Although treatment is often valuable, there are also risks to H. pylori eradication. Infection with H. pylori may actually protect against some cancers, such as esophageal adenocarcinoma and gastroesophageal reflux disease. Martin J. Blaser. “Disappearing Microbiota: Helicobacter pylori Protection against Esophageal Adenocarcinoma.” Cancer Prevention Research 1 (2008) 5: pp. 308–311. http://cancerpreventionresearch.aacrjournals.org/content/1/5/308.full.pdf+html. Ivan F. N. Hung and Benjamin C. Y. Wong. “Assessing the Risks and Benefits of Treating Helicobacter pylori Infection.” Therapeutic Advances in Gastroenterology 2 (2009) 3: pp, 141–147. doi: 10.1177/1756283X08100279.

  • How does H. pylori cause peptic ulcers?

Clostridium perfringens Gastroenteritis

Clostridium perfringens gastroenteritis is a generally mild foodborne disease that is associated with undercooked meats and other foods. C. perfringens is a gram-positive, rod-shaped, endospore-forming anaerobic bacterium that is tolerant of high and low temperatures. At high temperatures, the bacteria can form endospores that will germinate rapidly in foods or within the intestine. Food poisoning by type A strains is common. This strain always produces an enterotoxin , sometimes also present in other strains, that causes the clinical symptoms of cramps and diarrhea. A more severe form of the illness, called pig-bel or enteritis necroticans , causes hemorrhaging, pain, vomiting, and bloating. Gangrene of the intestines may result. This form has a high mortality rate but is rare in the United States.

Diagnosis involves detecting the C. perfringens toxin in stool samples using either molecular biology techniques (PCR detection of the toxin gene) or immunology techniques (ELISA). The bacteria itself may also be detected in foods or in fecal samples. Treatment includes rehydration therapy, electrolyte replacement, and intravenous fluids. Antibiotics are not recommended because they can damage the balance of the microbiota in the gut, and there are concerns about antibiotic resistance. The illness can be prevented through proper handling and cooking of foods, including prompt refrigeration at sufficiently low temperatures and cooking food to a sufficiently high temperature.

Clostridium difficile

Clostridium difficile is a gram-positive rod that can be a commensal bacterium as part of the normal microbiota of healthy individuals. When the normal microbiota is disrupted by long-term antibiotic use, it can allow the overgrowth of this bacterium, resulting in antibiotic-associated diarrhea caused by C. difficile . Antibiotic-associated diarrhea can also be considered a nosocomial disease . Patients at the greatest risk of C. difficile infection are those who are immunocompromised, have been in health-care settings for extended periods, are older, have recently taken antibiotics, have had gastrointestinal procedures done, or use proton pump inhibitors, which reduce stomach acidity and allow proliferation of C. difficile . Because this species can form endospores , it can survive for extended periods of time in the environment under harsh conditions and is a considerable concern in health-care settings.

Questions & Answers

reactions if viruses to physical and chemical agents?
VICTOR Reply
All viruses contain the following two components: 1) a nucleic acid genome and 2) a protein capsid that covers the genome. Together this is called the nucleocapsid. In addition, many animal viruses contain a 3) lipid envelope. The entire intact virus is called the virion.
Asali
assume you have performed a gram stain on a sample of pus from a patients urethra. you see red, nucleated cells and purple rods. what can you conclude
Petty Reply
bacteria
ABUBAKAR
Study of micro organisation which we cannot see with naked eye...
shyam Reply
Despite their bad reputation, microbes are mostly beneficial or have a neutral effect on our lives. Microbiology is the scientific study of these microorganisms. Microorganisms are those organisms that are too small to see with the naked eye and include things like bacteria, fungi, and viruses.
Asali
yes
Dhirender
not 'things'...'organisms' like bacterias, viruses and fungi
Sinmi
simi, it's not bacterias but bacteria which is the plural form of the word while bacterium is the singular of it
Richard
bacterium is obvio in a singular form but plural of bacterium is bacterias
Sinmi
Richard is right it's bacterium which is the singular form and plural is bacteria. *Bacterias* doesn't exist.
Aakriti
what is microbiology?
Sandeep Reply
what is microbiology
Glory
is the study of small microorganisms that can't be viewed by our naked eyes under a microscope
Nabukwasi
it's the study of microbes their classification, diversity, their cellular structure and processes, their applications and interaction with other organisms.
Chaitanya
what is EMP pathway
rajesh
which organism is implicated in meningoencephalitis
Peter Reply
Herpes virus
Carlos
Yeah
Laxmi
which mold is called dairy mold?
Gopinath
mushroomm
Top
Geotrichum candidum
Gopinath
hi
bio
Hlw
Laxmi
which infectious agent is the smallest
Sinmi
spore or virus
Anushree
prion ....it is a single protein in a misfolded form..there is also a theory based on it
Sinmi
yup...m sry
Anushree
yes it can be turned as a virus
Sinmi
which gram positive bacteria is responsible for food poisoning?
Sinmi
prion is not a living organism yet it is infectoois why
Jeevan
prions are virus like organism. and it is a misfolded protein that may cause disease to us.
Tharra
Clostridium perfringens, B.cereus
Sneha
Who is the father of the biology
Dhirender
I have one more question. . that who is the father of botany and medicine? ? can any one tell
Dhirender
define polar bond in simple way
Rashmi Reply
when there is formation of positive and negative poles i.e. one atom is +ve and other is -ve which further results in the dipole moment. Such bond is know as polar bond. It is a convalent bond only.
Aakriti
Hi everyone, is these site only about microbiology? I want a site which I can download articles on hematological and biochemical profile
Peter Reply
I think it is only about micro biology.
Kimberly
so whats happening
Michael
I am about to enter school and am going for MCB
Olugbenga Reply
What is DNA damage and repair
Sree Reply
removal of nucleotide bases from DNA is damage n addition or insertion of bases in DNA is repair.
Rashmi
replication is a term related to generation of new DNA from a parental DNA.
Rashmi
role of microorganism as pathogens
Parteek Reply
to live inside the host body, reproduction n destroy the immune system of host body.
Rashmi
what is replication
rajesh
please give me ans
rajesh
replication is a term related to generation of new DNA from parental DNA.
Rashmi
difference between endotoxin and exotoxin
Binkheir Reply
toxins released inside the cell or a body is endotoxin n toxins released outside the cell or a body is exotoxin.
Rashmi
Generally, exotoxins are produced by gram positive bacteria and endotoxins are the integral part of the cell wall of gram negative bacteria. But some gram negative bacteria can also produced exotoxins such as E.coli.
Aakriti
Yeah u r ryt aakarti exotoxins screted by gram postive bacteria nd secreted by cell surface and they are secondary metabolites ....On the other hand endotoxin released by gram negtive bacteria nd released inside the cell (lipopolysaccharide) ..
Bharat
Heat stable lipopolysaccharides to be exact.
Aakriti
yup..
Bharat
please I want the names of bacteria and the diseases they cause.
Ibrahim Reply
there are many we classify it according to their shapes gram negative or gram positive
Tharra
so u may refer the book u guess or by when u want I can do a list for you and send u here
Tharra
😊
Tharra
please do a list for me
Ibrahim
I have the lost but it's too much to type ..
Tharra
MSc entrance prepare books and questions LA etha base pani irukum..
Guhan Reply
kushal always prescott is the imp book to follow.search some objective mcqs books based on your syllabus
deepthi Reply
I want to clear entrance of ms university so I have no more idea so my preparation is based on my bachlor studies.
Kushal
what are the opportunistic infection in aids stage
Kalkak
certain cancer or pneumonia 🤔
Kushal
penicillium crysogenum
Kushal Reply

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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