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Clinical practice of Helicobacter pylori infection management by gastroenterologists in secondary and tertiary hospitals: A stratified sampling cross-sectional survey.
- Source :
-
Journal of digestive diseases [J Dig Dis] 2022 Jul; Vol. 23 (7), pp. 365-375. Date of Electronic Publication: 2022 Aug 20. - Publication Year :
- 2022
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Abstract
- Objective: To investigate the management of Helicobacter pylori (H. pylori) infection by gastroenterologists from secondary and tertiary hospitals in Shandong Province, China, where there is a high prevalence of H. pylori infection.<br />Methods: A questionnaire-based, stratified sampling survey was conducted from June 1 to August 30, 2021. The ratio of secondary to tertiary hospitals was set at 2:1. An electronic questionnaire was sent to the gastroenterologists via the WeChat platform.<br />Results: A total of 89.09% (1053/1182) gastroenterologists were included. Overall, 34.19% and 60.59% of gastroenterologists recommended screening for and treating H. pylori infection in patients without any competing factors. The most preferred testing method in secondary and tertiary hospitals was the <superscript>13</superscript> C-urea breath test (53.92% and 80.48%), but the reexamination rate of results close to the cut-off value was low (55.10% and 59.48%). Gastroenterologists preferred bismuth-containing quadruple therapy (secondary and tertiary hospitals: 96.67% and 98.53%), but the antibiotic combination prescribed for patients with penicillin allergy was suboptimal in secondary hospitals. The overall post-treatment follow-up rate was 64.58%, and gastroenterologists in secondary hospitals were more proactive than those in tertiary hospitals (69.41% vs 60.04%, P = 0.001). Less than 80% of gastroenterologists emphasized the importance of post-treatment reexamination to their patients. Only a minority of gastroenterologists in secondary and tertiary hospitals (30.79% and 34.36%) achieved acceptable eradication rates (exceeding 80%).<br />Conclusions: Deficiencies exist in gastroenterologists from secondary and tertiary hospitals, and the H. pylori eradication rate is relatively low. Training programs for gastroenterologists are warranted to strengthen their comprehension of guidelines.<br /> (© 2022 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.)
- Subjects :
- Amoxicillin therapeutic use
Anti-Bacterial Agents therapeutic use
Bismuth therapeutic use
Cross-Sectional Studies
Drug Therapy, Combination
Humans
Penicillins therapeutic use
Proton Pump Inhibitors therapeutic use
Tertiary Care Centers
Urea
Gastroenterologists
Helicobacter Infections diagnosis
Helicobacter Infections drug therapy
Helicobacter pylori
Subjects
Details
- Language :
- English
- ISSN :
- 1751-2980
- Volume :
- 23
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Journal of digestive diseases
- Publication Type :
- Academic Journal
- Accession number :
- 35880374
- Full Text :
- https://doi.org/10.1111/1751-2980.13119