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Journal of Clinical Microbiology, January 2003, p. 486-499, Vol. 41, No. 1
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.1.486-488.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Clarithromycin Resistance among Helicobacter pylori Strains Isolated from Children: Prevalence and Study of Mechanism of Resistance by PCR-Restriction Fragment Length Polymorphism Analysis

Teresa Alarcón,1* Alba E. Vega,1,2 Diego Domingo,1 Maria Josefa Martínez,3 and Manuel López-Brea1

Department of Microbiology, Hospital Universitario de la Princesa,1 Gastroenterology Unit, Hospital del Niño Jesus, Madrid, Spain,3 University of San Luis, San Luis, Argentina2

Received 9 May 2002/ Returned for modification 18 June 2002/ Accepted 18 October 2002

Clarithromycin and metronidazole resistance was 29.1 and 23.9%, respectively, in 96 Helicobacter pylori strains obtained from pediatric patients. No resistance to amoxicillin was observed. Resistance according to patients' ages to clarithromycin and metronidazole was 45.4 and 18.2% in 22 patients from 4 to 8 years old, 30.2 and 20.7% in 53 patients from 9 to 13 years old, and 9.5 and 38.1% in 21 patients from 14 to 18 years old, respectively. The A2143G mutation was the most prevalent (82.1%) among clarithromycin-resistant strains.


* Corresponding author. Mailing address: Department of Microbiology, Hospital Universitario de la Princesa, Diego de León 62, 28006 Madrid, Spain. Phone and fax: 34 91 5202403. E-mail: talarcon{at}helicobacterspain.com.


Journal of Clinical Microbiology, January 2003, p. 486-499, Vol. 41, No. 1
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.1.486-488.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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