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A new highly effective short‐term therapy schedule for Helicobacter pylori eradication
Author(s) -
Angelo Zullo,
_ Rinaldi,
Simon Winn,
P. Meddi,
Raffaella Lionetti,
Cesare Hassan,
C. Ripani,
Gordon F. Tomaselli,
Adolfo Francesco Attili
Publication year - 2000
Publication title -
alimentary pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.308
H-Index - 177
eISSN - 1365-2036
pISSN - 0269-2813
DOI - 10.1046/j.1365-2036.2000.00766.x
Subject(s) - medicine , helicobacter pylori , rapid urease test , omeprazole , gastroenterology , clarithromycin , tinidazole , breath test , regimen , urea breath test , gastritis , amoxicillin , surgery , antibiotics , metronidazole , helicobacter pylori infection , microbiology and biotechnology , biology
Background: Although triple therapy regimens suggested in the Current European guidelines give fairly good results, several studies have reported an unsatisfactory Helicobacter pylori eradication rate (< 80%). Aim: To evaluate the efficacy of a new short‐term treatment sequence on H. pylori eradication. Methods: A total of 52 patients with H. pylori infection and either non‐ulcer dyspepsia (34 patients) or peptic ulcer (18 patients) were enrolled to receive a 10‐day therapy: omeprazole 20 mg b.d. plus amoxycillin 1 g b.d. for the first 5 days, followed by omeprazole 20 mg b.d., clarithromycin 500 mg b.d. and tinidazole 500 mg b.d. for the remaining 5 days. H. pylori infection at entry was assessed by rapid urease test and histology on biopsies from the antrum and the corpus. Bacterial eradication was assessed by endoscopy (peptic ulcer patients) or 13 C urea breath test (non‐ulcer dyspepsia patients) 4–6 weeks after therapy had ended. Results: All patients completed the study. H. pylori eradication was achieved in all but one patient, with an eradication rate of 98% (95% CI: 94.3–100) with intention‐to‐treat analysis. Patient compliance was good (consumption of prescribed drugs > 95%) for all but one patient, who took the triple therapy regimen for 4 days instead of 5 days. No major side‐effects were reported but three (6%) patients complained of mild side‐effects. Conclusions: The use of this ‘five plus five’ therapy schedule as an initial treatment for H. pylori deserves further investigation.