Wang P, Adair R
Abbott Northwestern Hospital, Minneapolis, MN 55407, USA.
J Gen Intern Med. 1999 Sep;14(9):567-8. doi: 10.1046/j.1525-1497.1999.01309.x.
This study determines the prevalence of Helicobacter pylori infection in a group of immigrants from East Africa with dyspepsia symptoms. Costs of treatment (including financial costs, adverse effects of treatment, and complexity of care) are compared for empiric treatment and treatment guided by serologic testing. Of the symptomatic patients, 93% had H. pylori antibodies. Empiric treatment of all patients with dyspepsia could reduce the cost of care by approximately half, with minimal risk to uninfected patients.
本研究确定了一组有消化不良症状的东非移民中幽门螺杆菌感染的患病率。比较了经验性治疗和血清学检测指导下的治疗的治疗成本(包括经济成本、治疗的不良反应和护理的复杂性)。在有症状的患者中,93%有幽门螺杆菌抗体。对所有消化不良患者进行经验性治疗可将护理成本降低约一半,对未感染患者的风险最小。