Farmaco-resistenza in stipiti di Helicobacter pylori isolati da pazienti afferenti a strutture ospedaliere della Sicilia centro-occidentale.

Resistance to clarithromycin and genotypes in Helicobacter pylori strains isolated in Sicily

The resistance of Helicobacter pylori strains to clarithromycin is increasing in several developed countries and their association with a genetic pattern circulation has been variously explained as related to different geographical areas. In this study we have reported: the prevalence of the resistance of H. pylori, isolated in Sicily, to clarithromycin; the principal point of mutation associated with this resistance; and the more frequent association between resistance to clarithromycin and cagA, the EPIYA motif, and the vacA and oipA genes. Resistance to clarithromycin was detected in 25 % of cases, the main genetic mutation involved being A2143G. The cagA gene was present in 48 % of case…