Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP

The aims of this study were to assess primary resistance of H. pylori strains isolated from adult patients of Ilam, Iran to antibacterial agents (amoxicillin, clarithromycin, metronidazole and tetracycline) and detection of clarithromycin, azithromycin, clarithromycin, metronidazole and tetracycline...

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Main Authors: Sadeghifard, Nourkhoda, Seidnazari, Teimour, Ghafourian, Sobhan, Soleimani, Mohammad, Maleki, Abbas, Akbari Qomi, Mostafa, Sekawi, Zamberi
Format: Article
Language:English
Published: SEAMEO Regional Tropical Medicine and Public Health Network 2013
Online Access:http://psasir.upm.edu.my/id/eprint/29690/1/Survey%20in%20Iran%20of%20clarithomycin%20resistance%20in%20Helicobacter%20pylori%20isolates%20by%20PCR.pdf
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author Sadeghifard, Nourkhoda
Seidnazari, Teimour
Ghafourian, Sobhan
Soleimani, Mohammad
Maleki, Abbas
Akbari Qomi, Mostafa
Sekawi, Zamberi
author_facet Sadeghifard, Nourkhoda
Seidnazari, Teimour
Ghafourian, Sobhan
Soleimani, Mohammad
Maleki, Abbas
Akbari Qomi, Mostafa
Sekawi, Zamberi
author_sort Sadeghifard, Nourkhoda
collection UPM
description The aims of this study were to assess primary resistance of H. pylori strains isolated from adult patients of Ilam, Iran to antibacterial agents (amoxicillin, clarithromycin, metronidazole and tetracycline) and detection of clarithromycin, azithromycin, clarithromycin, metronidazole and tetracycline resistance by disc diffusion. Fifty biopsies were taken from gastric mucosa of the antrum and body regions of adult patients by gastroscopy, and were cultured on Helicobacter pylori selective medium. The susceptibility of H. pylori strains showed that 44, 6, 6, 4 and 16% were resistance to metronidazole, amoxicillin, tetracycline, azithromycin, and clarithromycin, respectively. Polymerase chain reaction- restriction fragment length polymorphism analysis showed that all clarithromycin resistance isolates had A2143G mutation and PCR amplicons from these strains upon digestion by BsaI restriction enzyme resulted in 319 and 106 base pair fragments. Because most of physicians in Ilam do not use amoxicillin in triple therapy of H. pylori infection, isolates showed low rate of resistance to amoxicillin.
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spelling upm.eprints-296902016-02-02T01:37:56Z http://psasir.upm.edu.my/id/eprint/29690/ Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP Sadeghifard, Nourkhoda Seidnazari, Teimour Ghafourian, Sobhan Soleimani, Mohammad Maleki, Abbas Akbari Qomi, Mostafa Sekawi, Zamberi The aims of this study were to assess primary resistance of H. pylori strains isolated from adult patients of Ilam, Iran to antibacterial agents (amoxicillin, clarithromycin, metronidazole and tetracycline) and detection of clarithromycin, azithromycin, clarithromycin, metronidazole and tetracycline resistance by disc diffusion. Fifty biopsies were taken from gastric mucosa of the antrum and body regions of adult patients by gastroscopy, and were cultured on Helicobacter pylori selective medium. The susceptibility of H. pylori strains showed that 44, 6, 6, 4 and 16% were resistance to metronidazole, amoxicillin, tetracycline, azithromycin, and clarithromycin, respectively. Polymerase chain reaction- restriction fragment length polymorphism analysis showed that all clarithromycin resistance isolates had A2143G mutation and PCR amplicons from these strains upon digestion by BsaI restriction enzyme resulted in 319 and 106 base pair fragments. Because most of physicians in Ilam do not use amoxicillin in triple therapy of H. pylori infection, isolates showed low rate of resistance to amoxicillin. SEAMEO Regional Tropical Medicine and Public Health Network 2013-01 Article NonPeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/29690/1/Survey%20in%20Iran%20of%20clarithomycin%20resistance%20in%20Helicobacter%20pylori%20isolates%20by%20PCR.pdf Sadeghifard, Nourkhoda and Seidnazari, Teimour and Ghafourian, Sobhan and Soleimani, Mohammad and Maleki, Abbas and Akbari Qomi, Mostafa and Sekawi, Zamberi (2013) Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP. Southeast Asian Journal of Tropical Medicine and Public Health, 44 (1). pp. 89-95. ISSN 0125-1562 http://www.tm.mahidol.ac.th/seameo/journal-44-1-2013.html
spellingShingle Sadeghifard, Nourkhoda
Seidnazari, Teimour
Ghafourian, Sobhan
Soleimani, Mohammad
Maleki, Abbas
Akbari Qomi, Mostafa
Sekawi, Zamberi
Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP
title Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP
title_full Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP
title_fullStr Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP
title_full_unstemmed Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP
title_short Survey in Iran of clarithomycin resistance in Helicobacter pylori isolates by PCR-RFLP
title_sort survey in iran of clarithomycin resistance in helicobacter pylori isolates by pcr rflp
url http://psasir.upm.edu.my/id/eprint/29690/1/Survey%20in%20Iran%20of%20clarithomycin%20resistance%20in%20Helicobacter%20pylori%20isolates%20by%20PCR.pdf
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