Clarithromycin versus levofloxacin-based regimens for Helicobacter pylori eradication in the Kurdistan Region of Iraq: A randomized clinical trial
| Autor: | Ramadhan S. Hajany, Omer Q. B. Al-lela, Shinah A. Mohammed, Nawfal R Hussein, Laween S. Alduhoky |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Urea breath test Rapid urease test Helicobacter pylori Eradication Levofloxacin Clarithromycin Duhok Iraq RC799-869 law.invention Randomized controlled trial law Internal medicine Medicine Hepatology biology medicine.diagnostic_test business.industry Gastroenterology Odds ratio Diseases of the digestive system. Gastroenterology bacterial infections and mycoses biology.organism_classification Regimen business medicine.drug |
| Zdroj: | Gastroenterology Insights; Volume 10; Issue 1; Pages: 8256 Gastroenterology Insights, Vol 10, Iss 1 (2019) |
| ISSN: | 2036-7422 2036-7414 |
| DOI: | 10.4081/gi.2019.8256 |
| Popis: | Helicobacter pylori infection is a predisposing factor for gastric cancer. This prospective, randomized clinical trial aimed to compare H. pylori eradication rates associated with a clarithromycin-based regimen and levofloxacin-based regimen. H. pylori infection was confirmed by a rapid urease test during endoscopy and its eradication by a urea breath test. In this study, 192 patients were recruited; 93 patients received a clarithromycin- based regimen and 99 a levofloxacin- based regimen. Sixty-four patients completed the clarithromycinbased regimen and 60 the levofloxacinbased regimen. The eradication success rate of the clarithromycin-based regimen was 52/64 (81.25%), while that of the levofloxacin- based regimen was 49/60 (81.6%) (P=0.9524; odds ratio [OR]=1.0280; confidence interval [CI]=0.4153-2.5447). Investigation of the risk factors associated with treatment failure showed that the overall efficacy of the regimens was influenced by body mass index (BMI), with a high failure rate observed in patients with a high BMI (P=0.0174; OR=1.1116; CI=1.0187- 1.2129). Age, sex, endoscopic diagnosis and smoking did not influence treatment outcomes. Further studies are needed to monitor H. pylori antibiotic resistance rates. |
| Databáze: | OpenAIRE |
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