TY - JOUR T1 - The role of rdxAmutation in metronidazole resistance in Helicobacter pylori strains TT - ارزیابی نقش موتاسیون ژن rdxA در ایجاد مقاومت نسبت به مترونیدازول در سویه های هلیکوباکترپیلوری JF - Iran-J-Med-Microbiol JO - Iran-J-Med-Microbiol VL - 3 IS - 1 UR - http://ijmm.ir/article-1-141-en.html Y1 - 2009 SP - 25 EP - 30 KW - Helicobacter pylori KW - Metronidazole resistance KW - rdxAgene N2 - 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. M3 ER -