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Eradication of H pylori infection in a rural population: One-day quadruple therapy versus 7-day triple therapy

Eradication of H pylori infection in a rural population: One-day quadruple therapy versus 7-day triple therapy

作     者:Lian Zhang Lin Shen Jun-Ling Ma Kai-Feng Pan Wei-Dong Liu Jie Li Shu-Dong Xiao San-Ren Lin Meinhard Classen Wei-Cheng You 

作者机构:Department of Cancer Epidemiology Peking University School of Oncology Beijing Cancer Hospital and Institute Beijing 100036 China Department of Internal Medicine PekingUniversity School of Oncology Beijing Cancer Hospital and Institute Beijing 100036 China Linqu Public Health Bureau Linqu Shandong 262600 China Shanghai Institute for Digestive Disease Shanghai China The Third Hospital of Peking University Beijing China Technical University Munich Germany 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2006年第12卷第24期

页      面:3915-3918页

核心收录:

学科分类:1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100401[医学-流行病与卫生统计学] 10[医学] 

基  金:Supported by a grant from International Digestive Cancer Alliance and Peking University School of Oncology 

主  题:Eradication H pylori infection Quadrupletherapy Triple therapy 

摘      要:AIM: To compare the one-day quadruple therapy with a standard 7-d triple therapy for H pylori eradication in a rural population of China. METHODS: A total of 396 patients with 13C-urea breath test positive for H pylori were assigned into two groups: 239 patients received one-day quadruple therapy (amoxicillin 2000 mg qid; metronidazole 500 mg qid; bismuth citrate 900 mg qid and lansoprazole 60 mg once daily) and 157 patients received 7-d standard triple therapy (amoxicillin 1000 mg bid; clarithromycin 500 mg bid and lansoprazole 30 mg bid). All the patients underwent a 13C-UBT to assess the eradication of Hpylori infection six weeks after treatment. RESULTS: Two hundred and twenty-nine patients completed the one-day therapy (95.8%) and 148 patients completed the 7-d therapy (94.2%). The oneday therapy eradicated H pylori infection in 64 patients (27.95%). In contrast, 103 patients (69.59%) were Hpylori negative after the 7-d therapy (P 〈 0.01). CONCLUSION: This pilot study suggests there is no beneficial effect of the one-day therapy in treatment ofHpylori infection compared with the 7-d standard therapy.

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