Discussion: In contrast to these earlier reports that identified a limited number of
NRTI mutations (
T215D,
K219Q and
D67G,
V75A) with a low overall frequency (4.2% and 5.1%, respectively) in newly infected Iranian cases, we detected a variety of
NRTI SDRMs (
M41L,
D67N,
K70R,
V75M,
F116Y,
M184V,
L210W,
T215Y, and
K219E) with a higher overall frequency (10%) in chronically infected IDUs in the city of Sanandaj (Table 2).