Kargar M, Baghernejad M, Doosti A. The role of rdxAmutation in metronidazole resistance in Helicobacter pylori strains. Iran J Med Microbiol 2009; 3 (1) :25-30
URL:
http://ijmm.ir/article-1-141-en.html
1- Department of Microbiology, Islamic Azad University, Jahrom, Iran , microkargar@gmail.com
2- Department of Microbiology, Islamic Azad University, Jahrom, Iran
3- Biotechnology Research Center, Shahrekord Azad University, Shahrekord, Iran
Abstract: (12760 Views)
Background and objectives: Metronidazole is a key component for treatment of peptic ulcer caused by
Helicobacter pylori infection. The aim of this study was to determine the role of rdxA gene in
metronidazole resistance in H.pylori strains isolated from Hajar hospital of Shahrekord, Iran.
Materials and methods: This cross-sectional study was done on 263 patient who referred to endoscopy
department of Hajar hospital of Shahrekord on summer 2007. H.pylori was identified using gram stain,
urease, catalase, oxidase tests and PCR method. Metronidazole Resistance was evaluated according to
Standard Clinical and Laboratory Standards Institute (CLSI). Specific primers were used for detection of
200bp deletion in sensitive, semi-sensitive and resistance strains.
Results: Out of 84 isolated strains, 49 (58.33%) and 7 (%8.33) were resistant and semi-sensitive to
metronidazole respectively. However 200bp deletion in rdxA gene was observed in only 2 strains .Statistical
analysis indicated that there was no relation between metronidazole resistance, clinical criteria and rdxA gene
deletion.
Conclusion: Regarding to low frequency of rdxAgene mutation observed in our survey, the study of other
possible molecular mechanisms involved in resistance to metronidazole is recommended.
Type of Study:
Original Research Article |
Subject:
Medical Bacteriology Received: 2013/11/21 | Accepted: 2013/11/21 | ePublished: 2013/11/21