Interpretation of ACG clinical practice guideline in 2024:treatment of helicobacter pylori infection
10.3969/j.issn.1006-5725.2025.04.001
- VernacularTitle:2024年美国胃肠病学院幽门螺杆菌感染治疗最新临床实践指南要点解读
- Author:
Xinguo WU
1
;
Ruhua ZHENG
;
Xin CHANG
;
Chunyan NIU
;
Fuyu ZHANG
Author Information
1. 南京市溧水区人民医院 消化内科(江苏 南京 211200)
- Publication Type:Journal Article
- Keywords:
helicobacter pylori;
infection;
management;
the American College of Gastroenterology;
clinical practice guideline
- From:
The Journal of Practical Medicine
2025;41(4):459-464
- CountryChina
- Language:Chinese
-
Abstract:
Helicobacter pylori(H.pylori)infection is a prevalent global health issue that can lead to indiges-tion,peptic ulcer disease,and gastric cancer.With ongoing research advancements,significant progress has been made in the eradication of H.pylori.Based on these important findings from North America,the American College of Gastroenterology(ACG)has released updated clinical practice guideline(CPG),published in the American Journal of Gastroenterology in September 2024.Compared to previous guidelines,key updates include:increased resistance rates to critical antibiotics used for H.pylori treatment,such as clarithromycin and levofloxacin,which have reduced the efficacy of common treatment regimens containing these antibiotics;and research on novel treat-ment options for newly diagnosed patients,including new antibiotic alternatives(e.g.,rifampicin)or more potent next-generation gastric acid inhibitors(e.g.,potassium-competitive acid blockers,PCABs).These updates provide the latest evidence and reference for the clinical management of H.pylori infection.