Management of Helicobacter Pylori in the United States: Results from a national survey of gastroenterology physicians.
Prev Med
; 100: 216-222, 2017 Jul.
Article
en En
| MEDLINE
| ID: mdl-28457713
ABSTRACT
BACKGROUND AND AIMS:
We sought to determine current knowledge and practices among gastroenterology physicians and assess adherence to current guidelines for H. pylori management.METHODS:
Online surveys were distributed in 2014 to practicing gastroenterology physicians for information related to the diagnosis and treatment of H. pylori infection.RESULTS:
A total of 582 completed surveys were reviewed. The H. pylori screening test used "almost always" was gastric biopsy obtained during endoscopy (histology) (59%) followed by stool antigen test (20%). Standard triple therapy for 14days was commonly prescribed by 53% of respondents. The stool antigen test was most frequently chosen to confirm H. pylori eradication (51%), although only 58% of physicians checked for eradication in patients who underwent treatment.CONCLUSIONS:
Adherence to current American College of Gastroenterology guidelines is low. Although more physicians treat patients with a positive H. pylori test, only half ensure eradication after treatment. Improving knowledge of the resistance patterns of H. pylori may be critical to ensure successful eradication.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Médicos
/
Helicobacter pylori
/
Guías de Práctica Clínica como Asunto
/
Gastroenterología
Tipo de estudio:
Guideline
/
Qualitative_research
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Año:
2017
Tipo del documento:
Article