Elbehiry Ayman, Marzouk Eman, Aldubaib Musaad, Abalkhail Adil, Anagreyyah Sulaiman, Anajirih Nuha, Almuzaini Abdulaziz M, Rawway Mohammed, Alfadhel Abdulmajeed, Draz Abdelmaged, Abu-Okail Akram
Department of Public Health, College of Public Health and Health Informatics, Qassim University, Al Bukayriyah 52741, Saudi Arabia.
Department of Bacteriology, Mycology and Immunology, Faculty of Veterinary Medicine, University of Sadat City, Sadat City 32511, Egypt.
Antibiotics (Basel). 2023 Jan 17;12(2):191. doi: 10.3390/antibiotics12020191.
() infection, which affects approximately half of the world's population, remains a serious public health problem. As infection leads to a number of gastric pathologies, including inflammation, gastroduodenal ulcers, and malignancies, early detection and treatment are crucial to preventing the spread of the infection. Multiple extragastric complications, such as iron deficiency anaemia, immune thrombocytopenic purpura, vitamin B12 deficiency, diabetes mellitus, cardiovascular diseases, and certain neurological disorders, have also been linked to infection. An awareness of and associated health hazards is necessary to minimize or even eradicate the infection. Therefore, there is an urgent need to raise the standards for the currently employed diagnostic, eradication, alternative treatment strategies. In addition, a brief overview of traditional and cutting-edge approaches that have proven effective in identifying and managing is needed. Based on the test and laboratory equipment available and patient clinical characteristics, the optimal diagnostic approach requires weighing several factors. The pathophysiology and pathogenic mechanisms of should also be studied, focusing more on the infection-causing virulence factors of this bacterium. Accordingly, this review aims to demonstrate the various diagnostic, pathophysiological, therapeutic, and eradication tactics available for , emphasizing both their advantages and disadvantages. Invasive methods (such as quick urease testing, biopsy, or culture) or noninvasive methods (such as breath tests, stool investigations, or serological tests) can be used. We also present the most recent worldwide recommendations along with scientific evidence for treating . In addition to the current antibiotic regimens, alternative therapies may also be considered. It is imperative to eradicate the infections caused by as soon as possible to prevent problems and the development of stomach cancer. In conclusion, significant advances have been made in identifying and treating . To improve eradication rates, peptide mass fingerprinting can be used as a diagnostic tool, and vaccines can also eliminate the infection.
(某种细菌)感染影响着全球约一半的人口,仍然是一个严重的公共卫生问题。由于该细菌感染会导致多种胃部病变,包括炎症、胃十二指肠溃疡和恶性肿瘤,早期检测和治疗对于预防感染传播至关重要。多种胃外并发症,如缺铁性贫血、免疫性血小板减少性紫癜、维生素B12缺乏、糖尿病、心血管疾病和某些神经系统疾病,也与该细菌感染有关。了解该细菌及其相关健康危害对于尽量减少甚至根除感染是必要的。因此,迫切需要提高目前所采用的诊断、根除和替代治疗策略的标准。此外,还需要简要概述已被证明在识别和管理该细菌方面有效的传统和前沿方法。根据现有的检测和实验室设备以及患者的临床特征,最佳诊断方法需要权衡多个因素。还应研究该细菌的病理生理学和致病机制,更多地关注这种细菌的感染致病毒力因子。因此,本综述旨在展示可用于该细菌的各种诊断、病理生理、治疗和根除策略,强调其优点和缺点。可使用侵入性方法(如快速尿素酶检测、活检或培养)或非侵入性方法(如呼气试验、粪便检查或血清学检测)。我们还介绍了最新的全球治疗该细菌的建议以及科学依据。除了目前的抗生素治疗方案外,也可考虑替代疗法。必须尽快根除由该细菌引起的感染,以预防问题和胃癌的发展。总之,在识别和治疗该细菌方面已经取得了重大进展。为了提高根除率,肽质量指纹图谱可作为一种诊断工具,疫苗也可消除感染。