美国幽门螺杆菌管理：对胃肠病医生的全国性调查结果。

Management of Helicobacter Pylori in the United States: Results from a national survey of gastroenterology physicians.

机构信息

Department of Internal Medicine, Division of Gastroenterology, University of Arizona Medical Center, Tucson, AZ, United States; Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, Tucson, AZ, United States.

Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, Tucson, AZ, United States.

出版信息

Prev Med. 2017 Jul;100:216-222. doi: 10.1016/j.ypmed.2017.04.021. Epub 2017 Apr 27.

DOI:10.1016/j.ypmed.2017.04.021

PMID:28457713

Abstract

BACKGROUND AND AIMS

We sought to determine current knowledge and practices among gastroenterology physicians and assess adherence to current guidelines for H. pylori management.

METHODS

Online surveys were distributed in 2014 to practicing gastroenterology physicians for information related to the diagnosis and treatment of H. pylori infection.

RESULTS

A total of 582 completed surveys were reviewed. The H. pylori screening test used "almost always" was gastric biopsy obtained during endoscopy (histology) (59%) followed by stool antigen test (20%). Standard triple therapy for 14days was commonly prescribed by 53% of respondents. The stool antigen test was most frequently chosen to confirm H. pylori eradication (51%), although only 58% of physicians checked for eradication in patients who underwent treatment.

CONCLUSIONS

Adherence to current American College of Gastroenterology guidelines is low. Although more physicians treat patients with a positive H. pylori test, only half ensure eradication after treatment. Improving knowledge of the resistance patterns of H. pylori may be critical to ensure successful eradication.

摘要

背景与目的

我们旨在确定胃肠病学医师目前的知识和实践情况，并评估其对当前幽门螺杆菌管理指南的遵循情况。

方法

2014 年，我们向执业胃肠病学医师在线分发了调查，以获取与幽门螺杆菌感染诊断和治疗相关的信息。

结果

共审查了 582 份完整的调查回复。在使用“几乎总是”的幽门螺杆菌筛查检测中，内镜检查（组织学）时获取的胃活检（59%）位居首位，其次是粪便抗原检测（20%）。53%的受访者通常会开出标准的 14 天三联疗法。粪便抗原检测是最常被用于确认幽门螺杆菌根除的方法（51%），尽管只有 58%的医生会在接受治疗的患者中检查是否根除。