An Updated Approach to Evaluation and Treatment of Helicobacter pylori Infection
ABSTRACTHelicobacter pylori is a chronic bacterial infection that can lead to peptic ulcer disease, chronic gastritis, and gastric cancer. Its prevalence in the United States is lower than in most of the world, although specific populations are at particular risk for disease-related complications, i...
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Published in: | Southern medical journal (Birmingham, Ala.) Vol. 112; no. 7; pp. 392 - 398 |
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Abstract | ABSTRACTHelicobacter pylori is a chronic bacterial infection that can lead to peptic ulcer disease, chronic gastritis, and gastric cancer. Its prevalence in the United States is lower than in most of the world, although specific populations are at particular risk for disease-related complications, including those with lower socioeconomic status and older adults. Since its discovery, there have been advances in H. pylori diagnosis and treatment, which are the focus of this review for general practice. Practice guidelines have expanded the role for treatment, despite traditional management algorithms resulting in diminished effectiveness as a result of increasing antibiotic resistance. In this context, new approaches warrant discussion. As such, this review aims to provide a clinical context and framework for the testing and rational treatment of H. pylori infection consistent with the available evidence. |
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AbstractList | ABSTRACTHelicobacter pylori is a chronic bacterial infection that can lead to peptic ulcer disease, chronic gastritis, and gastric cancer. Its prevalence in the United States is lower than in most of the world, although specific populations are at particular risk for disease-related complications, including those with lower socioeconomic status and older adults. Since its discovery, there have been advances in H. pylori diagnosis and treatment, which are the focus of this review for general practice. Practice guidelines have expanded the role for treatment, despite traditional management algorithms resulting in diminished effectiveness as a result of increasing antibiotic resistance. In this context, new approaches warrant discussion. As such, this review aims to provide a clinical context and framework for the testing and rational treatment of H. pylori infection consistent with the available evidence. is a chronic bacterial infection that can lead to peptic ulcer disease, chronic gastritis, and gastric cancer. Its prevalence in the United States is lower than in most of the world, although specific populations are at particular risk for disease-related complications, including those with lower socioeconomic status and older adults. Since its discovery, there have been advances in diagnosis and treatment, which are the focus of this review for general practice. Practice guidelines have expanded the role for treatment, despite traditional management algorithms resulting in diminished effectiveness as a result of increasing antibiotic resistance. In this context, new approaches warrant discussion. As such, this review aims to provide a clinical context and framework for the testing and rational treatment of infection consistent with the available evidence. |
Author | Lloyd, Benjamin R Leiman, David A |
AuthorAffiliation | From the Division of Gastroenterology, Duke University Medical Center, and Duke Clinical Research Institute, Durham, North Carolina |
AuthorAffiliation_xml | – name: From the Division of Gastroenterology, Duke University Medical Center, and Duke Clinical Research Institute, Durham, North Carolina |
Author_xml | – sequence: 1 givenname: Benjamin surname: Lloyd middlename: R fullname: Lloyd, Benjamin R organization: From the Division of Gastroenterology, Duke University Medical Center, and Duke Clinical Research Institute, Durham, North Carolina – sequence: 2 givenname: David surname: Leiman middlename: A fullname: Leiman, David A |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31282969$$D View this record in MEDLINE/PubMed |
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Snippet | ABSTRACTHelicobacter pylori is a chronic bacterial infection that can lead to peptic ulcer disease, chronic gastritis, and gastric cancer. Its prevalence in... is a chronic bacterial infection that can lead to peptic ulcer disease, chronic gastritis, and gastric cancer. Its prevalence in the United States is lower... |
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SubjectTerms | Anti-Bacterial Agents - therapeutic use Drug Resistance, Multiple, Bacterial Drug Therapy, Combination General Practice Helicobacter Infections - diagnosis Helicobacter Infections - drug therapy Helicobacter Infections - epidemiology Helicobacter pylori Humans United States |
Title | An Updated Approach to Evaluation and Treatment of Helicobacter pylori Infection |
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