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巴基斯坦使用氟喹诺酮类药物进行一线根除治疗成功的预测因素:人口统计学和临床因素的前瞻性探索

Predictors of Successful First-Line Eradication with Fluoroquinolones in Pakistan: A Prospective Exploration of Demographic and Clinical Factors.

作者信息

Khadim Sumaira, Muhammad Iyad Naeem, Alam Tanveer, Usman Shahnaz, Rehman Hina, Haider Sajjad

机构信息

Faculty of Health Sciences, Iqra University of Health Sciences, Karachi 75500, Pakistan.

Faculty of Pharmacy & Pharmaceutical Sciences, University of Karachi, Karachi 75270, Pakistan.

出版信息

Antibiotics (Basel). 2024 Feb 23;13(3):211. doi: 10.3390/antibiotics13030211.

Abstract

Growing antibiotic resistance complicates eradication, posing a public health challenge. Inconclusive research on sociodemographic and clinical factors emphasizes the necessity for further investigations. Hence, this study aims to evaluate the correlation between demographic and clinical factors and the success rates of eradication. A group of 162 -positive patients were allocated randomly to receive either a ten-day moxifloxacin-based triple therapy or a levofloxacin-based sequential therapy. Eradication success was determined through the stool antigen test. Logistic regression analysis was utilized to figure out potential factors that contribute to eradication success. Significantly higher eradication rates were observed in the middle age group (COR: 3.671, = 0.007), among females ( = 0.035), those with BMI ≥ 25 (COR: 2.011, = 0.045), and non-smokers (COR: 2.718, = 0.018). In multivariate analysis, age and smoking emerged as significant predictors ( < 0.05). Patients with comorbidities, excluding diabetes and hypertension (COR: 4.432, = 0.019), dyspepsia (COR: 0.178, < 0.001), and moxifloxacin triple therapy (COR: 0.194, = 0.000), exhibited higher chances of eradication ( < 0.05). Further research is vital for tailored approaches to enhance eradication success.

摘要

日益增长的抗生素耐药性使根除治疗变得复杂,对公共卫生构成挑战。关于社会人口统计学和临床因素的研究尚无定论,这凸显了进一步调查的必要性。因此,本研究旨在评估人口统计学和临床因素与根除成功率之间的相关性。一组162名阳性患者被随机分配接受为期十天的基于莫西沙星的三联疗法或基于左氧氟沙星的序贯疗法。通过粪便抗原检测确定根除是否成功。采用逻辑回归分析来找出有助于根除成功的潜在因素。在中年组(校正比值比:3.671,P = 0.007)、女性(P = 0.035)、体重指数≥25的人群(校正比值比:2.011,P = 0.045)和非吸烟者(校正比值比:2.718,P = 0.018)中观察到显著更高的根除率。在多变量分析中,年龄和吸烟成为显著的预测因素(P < 0.05)。患有合并症(不包括糖尿病和高血压)(校正比值比:4.432,P = 0.019)、消化不良(校正比值比:0.178,P < 0.001)以及接受莫西沙星三联疗法(校正比值比:0.194,P = 0.000)的患者根除成功的机会更高(P < 0.05)。进一步的研究对于采用量身定制的方法提高根除成功率至关重要。

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