Evaluation of metronidazole resistance Helicobacter pylori strains isolated from Shahrekord.

Background: Metronidazole is one of the most important antibiotics in Helicobacter pylori (H.pylori) eradication regimens. This study was designed to determine metronidazole resistance H.pylori isolates from patients referred to Hajar hospital, Shahrekord, Iran.Materials and methods: In this cross-s...

Descripción completa

Detalles Bibliográficos
Publicado en:Medical Sciences Journal of Islamic Azad University Tehran Medical Branch Vol. 19; no. 3; pp. 10 - 11
Autores principales: Kargar M, Baghernejad M, Doosti A
Formato: abstract research Journal Article
Publicado: Medical Sciences Journal of Islamic Azad University Tehran Medical Branch 2009 Fall
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105279328&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 105279328
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10235922
        85SZ
      jtl: Medical Sciences Journal of Islamic Azad University Tehran Medical Branch
      issn: 10235922
      maglogo: N
    pubinfo:
      dt: 2009 Fall
      vid: 19
      iid: 3
      pid: 49161
      pub: Medical Sciences Journal of Islamic Azad University Tehran Medical Branch
    artinfo:
      ui:
        105279328
        105279328
        2010520905
        105279328
      ppf: 10
      ppct: 1
      formats:
      tig:
        atl: Evaluation of metronidazole resistance Helicobacter pylori strains isolated from Shahrekord.
      aug:
        au:
          Kargar M
          Baghernejad M
          Doosti A
        affil: Assistant Professor, Department of Microbiology, Jahrom Branch, Islamic Azad University, Jahrom, Iran
      sug:
        subj:
          Drug Resistance
          Helicobacter Pylori
          Metronidazole
          Cross Sectional Studies
          Geographic Locations
          Human
          Iran
      ab: Background: Metronidazole is one of the most important antibiotics in Helicobacter pylori (H.pylori) eradication regimens. This study was designed to determine metronidazole resistance H.pylori isolates from patients referred to Hajar hospital, Shahrekord, Iran.Materials and methods: In this cross-sectional study, 263 patients who referred to endoscopy department of Hajar hospital, Shahrekord in 2007 were randomly selected. Gastric biopsy samples were cultured on selective Brucella agar containing 10% blood and incubated under microerophilic condition at 370C between 3 and 7 days. Gram stain, urease, catalase and oxidase tests were used to detect H.pylori isolates, and PCR (polymerase chain reaction) to determine ureC gene. H.pylori identified. Standard CLSI (Clinical and Laboratory Standard Institute) was used to evaluate metronidazole resistance.Results: Rapid urease test (RUT), culture and PCR detect H.pylori infection in 54.37%, 84% and 84.79%, respectively. Of isolated strains, 49 (58.33%) metronidazole resistance and 7 (8.33%) semi-sensitive were recognized. Of 49 metronidazole resistant patients, 32.65%, 20.40%, 12.24%, 6.10%, 4.80% and 24.48% had gastritis, gastric ulcer, duodenal ulcer , esophagitis, gastric cancer and normal endoscopy, respectively. Fisher , exact test shows that there are relation between metronidazole resistance and women.Conclusion: Regarding high metronidazole resistance among studied patients, alternative antibiotics with less resistance is recommended in Helicobacter pylori (H.pylori) eradication regimens.
      pubtype: Academic Journal
      doctype:
        abstract
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N