title: In vitro studies on stability and development of metronidazole resistance in Helicobacter pylori.
abstract: Seventy isolates of Helicobacter pylori from antral biopsy samples were tested for their susceptibilities to metronidazole by agar dilution. Seven (10%) of these clinical isolates appeared to be resistant to metronidazole. Sixty-three strains were susceptible. In 42 (67%) of the 63 susceptible isolates, resistant isolates were obtained by serial passage on plates containing subinhibitory concentrations of metronidazole. In 10 of these 42 strains, the acquired resistance appeared to be unstable. The difference between the stability of resistance that occurred after one or two passages and the stability of resistance that occurred after three passages was statistically significant (P < 0.006). Primary resistance in clinical isolates was a stable phenomenon. Whether the resistance that emerges during therapy in patients is stable or unstable needs to be established.
authors.affiliation: Regional Public Health Laboratory, Groningen, The Netherlands.
authors.forename: A A
authors.initials: AA
authors.lastname: van Zwet
authors.forename: J C
authors.initials: JC
authors.lastname: Thijs
authors.forename: W
authors.initials: W
authors.lastname: Schievink-de Vries
authors.forename: J
authors.initials: J
authors.lastname: Schiphuis
authors.forename: J A
authors.initials: JA
authors.lastname: Snijder
mesh_terms: D004352:Drug Resistance, Microbial; D004355:Drug Stability; D016480:Helicobacter pylori / Q000187:drug effects* / Q000502:physiology; D006801:Humans; D008795:Metronidazole / Q000494:pharmacology*; D008826:Microbial Sensitivity Tests
chemical_list: D008795:Metronidazole