Stevens I W, Lawrence Z, Elitsur Y
Department of Pediatrics, Division of Gastroenterology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
W V Med J. 2001 Sep-Oct;97(5):257-9.
Helicobacter pylori infection has been implicated in the development of peptic ulcer disease in children. Although clinical protocols for the diagnosis and treatment of this infection in children are available, the implementation of those guidelines by primary physicians are insufficient. In this study, we surveyed the clinical practices of 409 primary physicians who practice in West Virginia and treat children with H. pylori infection. Results showed in contradiction with the recommendation, primary physicians are still using serology as the preferred diagnostic method for this disease. Most of the physicians treat this disease with a combination of two antibiotics and anti-acid medication (H2 blockers or PPI) for at least one week. We conclude that an increase in knowledge of those guidelines among primary physicians may improve physicians' compliance with H. pylori guidelines.
幽门螺杆菌感染与儿童消化性溃疡病的发生有关。尽管有针对儿童这种感染的诊断和治疗临床方案，但初级医师对这些指南的执行情况并不理想。在本研究中，我们调查了在西弗吉尼亚州执业并治疗幽门螺杆菌感染儿童的409名初级医师的临床实践。结果显示，与建议相悖的是，初级医师仍将血清学作为该疾病的首选诊断方法。大多数医师使用两种抗生素和抗酸药物（H2阻滞剂或质子泵抑制剂）联合治疗该疾病至少一周。我们得出结论，提高初级医师对这些指南的认识可能会改善医师对幽门螺杆菌指南的依从性。
