2019, Number 4
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Rev Méd Electrón 2019; 41 (4)
New challenges in the treatment of the infection for Helicobacter pylori
Avalos GR, Vanterpool HM, Morales DM, Lamoth WI, Prendes HA
Language: Portugués
References: 31
Page: 979-992
PDF size: 748.60 Kb.
ABSTRACT
The infection for
Helicobacter pylori affects approximately to the world population's
50%, it is causing of chronic gastritis, peptic ulcer, gastric cancer and linfoma
associated to the mucous one. From their discovery, the eradication has been one of
the most important challenges in Gastroenterología. In many countries the prevalencia
of primary resistance is ignored from the microorganism to the different antibiotics
that empirically they are used, and for not carrying out routine tests that verify its
eradication in the daily practice, the effectiveness of the prescribed outlines it is
ignored. The progressive increment of the resistance to the claritromicina and
metronidazol, together to an absence of alternative antibioticotherapy, challenges the
capacity to eliminate from an effective way to this bacteria. The bismuth subcitrato has
resurged and its addition in the therapy has allowed to increase the cure rates above
90%. At the moment it is invoked that to improve the effectiveness in the treatment,
that is should combine a potent suppression of the gastric acid in combined quadruple
treatments with a duration of 14 days, for most of the cases. The adherence to the
treatment is crucial to obtain therapeutic good results.
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