The Trend of Eradication Rate of Helicobacter pylori Infection and Clinical Factors That Affect the Eradication of First-line Therapy.
10.4166/kjg.2010.55.6.368
- Author:
Dong Keun CHO
1
;
Seon Young PARK
;
Won Ju KEE
;
Jeong Hyeon LEE
;
Ho Seok KI
;
Kyung Won YOON
;
Sung Bum CHO
;
Wan Sik LEE
;
Young Eun JOO
;
Hyun Soo KIM
;
Sung Kyu CHOI
;
Jong Sun REW
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. jsrew@chonnam.ac.kr
- Publication Type:Original Article ; English Abstract
- Keywords:
Helicobacter pylori;
First-line triple therapy;
Eradication rate
- MeSH:
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Anti-Bacterial Agents/therapeutic use;
Aspirin/therapeutic use;
Child;
Drug Therapy, Combination;
Female;
Helicobacter Infections/diagnosis/*drug therapy;
*Helicobacter pylori;
Humans;
Male;
Middle Aged;
Multivariate Analysis;
Proton Pump Inhibitors/therapeutic use;
Retrospective Studies;
Risk Factors;
Treatment Outcome
- From:The Korean Journal of Gastroenterology
2010;55(6):368-375
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Although triple combination therapy containing a proton pump inhibitor (PPI) and two antibiotics is considered as a standard regimen for the first-line anti-Helicobacter pylori treatment, the recent trend of eradication rates following this therapy has been declined in the last few years. The purpose of this study was to investigate the trend of H. pylori eradication rates over the last 9 years and to evaluate are clinical factors affecting eradication rates. METHODS: From January 2001 to June 2009, H. pylori eradication rates in 709 patients with documented H. pylori infection who received triple combination therapy for 7 days were retrospectively evaluated according to years and various clinical factors. H. pylori status was evaluated by (13)C urea breath test 4-6 weeks after completion of treatment. RESULTS: The overall H. pylori eradication rate was 77.0%. The annual eradication rates from year 2001 to 2009 were 78.9%, 72.5%, 81.0%, 75.0%, 79.1%, 77.1%, 77.8%, 77.8%, and 75.0% by per-protocol analysis. There was no decreasing tendency of the eradiation rate over 9 years (p=0.974). There was no statistical difference in the eradication rates according to age, sex, smoking, alcohol, NSAIDs, underlying diseases, endoscopic diagnosis, and PPI. However, the eradication rate was lower in patients who took aspirin (OR=0.509, 95% CI=0.292-0.887, p=0.001) and antibiotics within 6 months (OR=0.347, 95% CI=0.183-0.658, p=0.001). CONCLUSIONS: The H. pylori eradication rate has not changed at Gwangju-Chonnam province in Korea for recent 9 years. Lower eradication rate in aspirin and antibiotics users warrants further attention.
