%0 Journal Article %T Multidrug resistance: The clinical dilemma of refractory Helicobacter pylori infection. %A Kuo CJ %A Lee CH %A Chang ML %A Lin CY %A Lin WR %A Su MY %A Chiu CH %A Tseng CN %A Wu YS %A Chiu CT %A Lai CH %J J Microbiol Immunol Infect %V 0 %N 0 %D Mar 2021 23 %M 33840604 %F 10.273 %R 10.1016/j.jmii.2021.03.006 %X This study investigated the antimicrobial resistance of isolates from patients with refractory Helicobacter pylori. The resistance rate was 34.1% for amoxicillin, 92.7% for clarithromycin, 65.9% for metronidazole, 85.4% for levofloxacin, and 29.3% for rifabutin. Dual resistance to both clarithromycin and levofloxacin was found in 73.2%. The antimicrobial resistance rate of refractory H. pylori was extremely high, which had become a major consideration in therapeutic challenge.