Helicobacter pylori rescue treatment with vonoprazan, metronidazole, and sitafloxacin in the presence of penicillin allergy.
JGH Open
; 5(2): 307-311, 2021 Feb.
Article
en En
| MEDLINE
| ID: mdl-33553672
ABSTRACT
BACKGROUND AND AIM:
To assess the efficacy and safety of 7-day Helicobacter pylori rescue treatment consisting of a vonoprazan (VPZ), metronidazole (MNZ), and sitafloxacin (STFX) regimen (VPZ-MNZ-STFX therapy) in patients with penicillin allergy.METHODS:
This was a registered prospective intervention study. Patients with penicillin allergy who were diagnosed with H. pylori infection and had a history of H. pylori eradication were eligible for inclusion. Seventeen patients were prospectively treated with VPZ 20 mg bid, MNZ 250 mg bid, and STFX 100 mg bid for 7 days. Safety was evaluated using a questionnaire on adverse effects.RESULTS:
The eradication rate of 7-day VPZ-MNZ-SFTX therapy was 88.2% (95% confidence interval 63.6-98.5%; n = 17) in both intention-to-treat and per-protocol analyses. On the questionnaire, 25% of patients reported experiencing diarrhea, with a score of 2 or 3. All patients undergoing VPZ-MNZ-STFX therapy completed 100% of their medication course.CONCLUSION:
Rescue H. pylori eradication with VPZ-MNZ-STFX therapy is effective and well tolerated in patients with penicillin allergy (UMIN000016335, jRCTs031180133).
Texto completo:
1
Base de datos:
MEDLINE
Tipo de estudio:
Guideline
Idioma:
En
Revista:
JGH Open
Año:
2021
Tipo del documento:
Article