Comparative study of Helicobacter pylori eradication rates of concomitant therapy vs modified quadruple therapy comprising proton-pump inhibitor, bismuth, amoxicillin, and metronidazole in Korea
DC Field | Value | Language |
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dc.contributor.author | Choe, Jung Wan | - |
dc.contributor.author | Jung, Sung Woo | - |
dc.contributor.author | Kim, Seung Young | - |
dc.contributor.author | Hyun, Jong Jin | - |
dc.contributor.author | Jung, Young Kul | - |
dc.contributor.author | Koo, Ja Seol | - |
dc.contributor.author | Yim, Hyung Joon | - |
dc.contributor.author | Lee, Sang Woo | - |
dc.date.accessioned | 2021-09-02T12:52:19Z | - |
dc.date.available | 2021-09-02T12:52:19Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2018-04 | - |
dc.identifier.issn | 1083-4389 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/76234 | - |
dc.description.abstract | BackgroundThe standard triple Helicobacter pylori regimen now shows unacceptably low treatment success in Korea. Administration of the concomitant therapy for 10days, which has a high cure rate, is recommended as an alternative first-line treatment in areas of high clarithromycin resistance including Korea. Recently, modified bismuth-containing quadruple therapy with amoxicillin (PAM-B therapy) showed excellent results, regardless of dual clarithromycin and metronidazole resistance. This study compared the concomitant therapy with PAM-B therapy as a first-line treatment for H.pylori infection. MethodSubjects infected with H.pylori and naive to treatment were performed a head-to-head comparison between 10-day concomitant therapy [rabeprazole 20mg, amoxicillin 1g, clarithromycin 500mg, and metronidazole 500mg twice daily] and 14-day PAM-B therapy [rabeprazole 20mg, amoxicillin 1g, metronidazole 750mg, and tripotassium dicitrato bismuthate 600mg (elemental bismuth 240mg) twice daily]. Six weeks after treatment, H.pylori eradication was assessed. ResultsTwo hundred and seventy subjects were randomized. Both regimens achieved high cure rates: 83.0% (112/135) and 88.1% (119/135) by the intention-to-treat analysis and 95.5% (106/111) and 96.6% (114/118) by the per-protocol analysis, respectively. The intention-to-treat and per-protocol analyses revealed no statistically significant difference in the eradication rate (P=.299 and P=.743, respectively). Rates of adverse events were similar between groups (25.2% vs 23.0%, P -value: .776) Adverse events, which resulted in poor compliance, occurred in six patients of each group, but there were no serious complications. ConclusionsPAM-B therapy is as effective as concomitant therapy for eradicating H.pylori with comparative safety. PAM-B therapy is regarded as a promising alternative to standard triple therapy for a first-line eradication in Korea. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.subject | STANDARD TRIPLE THERAPY | - |
dc.subject | ANTIBIOTIC-RESISTANCE | - |
dc.subject | CONSENSUS REPORT | - |
dc.subject | INFECTION | - |
dc.subject | CLARITHROMYCIN | - |
dc.subject | EFFICACY | - |
dc.subject | METAANALYSIS | - |
dc.subject | MANAGEMENT | - |
dc.subject | 1ST-LINE | - |
dc.subject | STRAINS | - |
dc.title | Comparative study of Helicobacter pylori eradication rates of concomitant therapy vs modified quadruple therapy comprising proton-pump inhibitor, bismuth, amoxicillin, and metronidazole in Korea | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choe, Jung Wan | - |
dc.contributor.affiliatedAuthor | Jung, Sung Woo | - |
dc.contributor.affiliatedAuthor | Kim, Seung Young | - |
dc.contributor.affiliatedAuthor | Hyun, Jong Jin | - |
dc.contributor.affiliatedAuthor | Jung, Young Kul | - |
dc.contributor.affiliatedAuthor | Koo, Ja Seol | - |
dc.contributor.affiliatedAuthor | Yim, Hyung Joon | - |
dc.contributor.affiliatedAuthor | Lee, Sang Woo | - |
dc.identifier.doi | 10.1111/hel.12466 | - |
dc.identifier.scopusid | 2-s2.0-85044384187 | - |
dc.identifier.wosid | 000428403400008 | - |
dc.identifier.bibliographicCitation | HELICOBACTER, v.23, no.2 | - |
dc.relation.isPartOf | HELICOBACTER | - |
dc.citation.title | HELICOBACTER | - |
dc.citation.volume | 23 | - |
dc.citation.number | 2 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalResearchArea | Microbiology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Microbiology | - |
dc.subject.keywordPlus | STANDARD TRIPLE THERAPY | - |
dc.subject.keywordPlus | ANTIBIOTIC-RESISTANCE | - |
dc.subject.keywordPlus | CONSENSUS REPORT | - |
dc.subject.keywordPlus | INFECTION | - |
dc.subject.keywordPlus | CLARITHROMYCIN | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | 1ST-LINE | - |
dc.subject.keywordPlus | STRAINS | - |
dc.subject.keywordAuthor | bismuth salts | - |
dc.subject.keywordAuthor | concomitant therapy | - |
dc.subject.keywordAuthor | eradication | - |
dc.subject.keywordAuthor | Helicobacter pylori | - |
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