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Antimicrobial Agents and Chemotherapy, February 2000, p. 458-461, Vol. 44, No. 2
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

In Vitro Activities of Rabeprazole, a Novel Proton Pump Inhibitor, and Its Thioether Derivative Alone and in Combination with Other Antimicrobials against Recent Clinical Isolates of Helicobacter pylori

Yoshiyuki Kawakami,1,* Takayuki Akahane,2,dagger Masaru Yamaguchi,2 Kozue Oana,1 Yuko Takahashi,2 Yukie Okimura,2 Tadashi Okabe,2 Akira Gotoh,3,Dagger and Tsutomu Katsuyama4

Division of Clinical Microbiology, Department of Medical Technology, School of Allied Medical Sciences, Shinshu University,1 Central Clinical Laboratories, Shinshu University Hospital,2 and The Second Department of Internal Medicine,3 and Department of Laboratory Medicine,4 Shinshu University School of Medicine, Matsumoto, Nagano, 390-8621, Japan

Received 17 May 1999/Returned for modification 24 August 1999/Accepted 15 November 1999

The MICs of rabeprazole sodium (RPZ), a newly developed benzimidazole proton pump inhibitor (PPI), against 133 clinical Helicobacter pylori strains revealed a higher degree of activity than the another two PPIs, lansoprazole and omeprazole. Time-kill curve assays of RPZ, when combined with amoxicillin, clarithromycin, or metronidazole, disclosed that synergistic effects were demonstrated in combination with each antibiotic examined. Moreover, no apparent antagonistic effect appeared among all of the strains tested.


* Corresponding author. Mailing address: Division of Clinical Microbiology, Department of Medical Technology, School of Allied Medical Sciences, Shinshu University, Matsumoto, 390-8621, Japan. Phone: 81-263-37-2381. Fax: 81-263-37-2370. E-mail: yk23724{at}gipac.shinshu-u.ac.jp.

dagger Present address: Central Clinical Laboratories, Toyoshina Red Cross Hospital, Toyoshina, 399-8292, Japan.

Dagger Present address: Department of Internal Medicine, Nagano Municipal Hospital, Nagano, 381-8551, Japan.


Antimicrobial Agents and Chemotherapy, February 2000, p. 458-461, Vol. 44, No. 2
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.