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Objective . This study compared the eradication rates of of  Helicobacter pylori  (HP) infection by a 7-day and 14-day anti-HP regimen.  Materials and Methods . An open, randomized, prospective study was performed to evaluate the response to anti-HP treatment in adult HP-positive patients following a 7-day course (Regimen A) of a proton pump inhibitor in association with clarithromycin and amoxicillin compared to a 14-day course (Regimen B). Gastric biopsies were performed at baseline and two months after anti-HP treatment.  Results . Seventy-eight patients aged 18–64 years (28 males, 50 females) diagnosed with HP infection were included. Fifty-two (66.7%) patients received Regimen B and 26 (33.3%) Regimen A. The overall eradication rate was 70.5%. Better treatment response ( p  < 0.01) was seen in Regimen B (44/52, 84.2% versus 11/26, 42.3%). Significant improvement in histological features was seen in regimen B. There has been significant overall reduction in endoscopic aspects of gastric and duodenal lesions in both regimens. Younger patients ≤35 years had a better response to Regimen B. Better treatment response was seen in women, urban residents, and those with tertiary level of education in both groups.  Conclusion . 14-day anti-HP regimen offered a significant better overall eradication of HP in study population.

gastroenterology research and practice

Efficacy of 7-Day and 14-Day Triple Therapy Regimens for the Eradication of<i>Helicobacter pylori</i>: A Comparative Study in a Cohort of Romanian Patients

Efficacy of 7-Day and 14-Day Triple Therapy Regimens for the Eradication ofHelicobacter pylori: A Comparative Study in a Cohort of Romanian Patients