Chinese Consensus Report on Family-Based Helicobacter pylori Infection Control and Management (2021 Edition)

Autor: Wei-Hong Wang, Shiyao Chen, Jianzhong Zhang, Wei-Fen Xie, Xing-Zhou Xia, Yuan Yuan, Yong Xie, Bing-Yong Zhang, Xiaohua Hou, Chengwei Tang, Jian-Qiu Sheng, Bo Jiang, Zhen-Yu Zhang, Yin Zhu, Chun-Hui Lan, Ying Han, Yan Li, Song-Ze Ding, Yi-Qi Du, Yan-Qing Li, Kaichun Wu, Jing-Tong Wang, Gui-Bin Yang, Ye Chen, Gui-Ying Zhang, Yinglei Miao, Hong Lu, Yunsheng Yang, Changqing Yang, Jiaming Qian, Jing-Yuan Fang, Xiu-Li Zuo, Jingnan Li, Bin Lyu, Nong-Hua Lyu, Guo-Xin Zhang, Fu-Lian Hu, Zhirong Zeng, Jian-Ming Xu, Yongzhan Nie, Mingzhou Guo, Hua-Hong Wang, Minhu Chen, Heng-Jun Gao, Hai-Xing Jiang, Xue-Hong Wang, Jun-Ping Wang, Li-Ya Zhou, Wei-Chang Chen, Hong Cheng, Jiang-Bin Wang, Zhao-Shen Li, Youming Li, Peng-Yuan Zheng, Jie Liu, Youyong Lu, Fen Wang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Gut
ISSN: 1468-3288
0017-5749
Popis: Objective Helicobacter pyloriinfection is mostly a family-based infectious disease. To facilitate its prevention and management, a national consensus meeting was held to review current evidence and propose strategies for population-wide and family-basedH. pyloriinfection control and management to reduce the related disease burden. Methods Fifty-seven experts from 41 major universities and institutions in 20 provinces/regions of mainland China were invited to review evidence and modify statements using Delphi process and grading of recommendations assessment, development and evaluation system. The consensus level was defined as ≥80% for agreement on the proposed statements. Results Experts discussed and modified the original 23 statements on family-basedH. pyloriinfection transmission, control and management, and reached consensus on 16 statements. The final report consists of three parts: (1)H. pyloriinfection and transmission among family members, (2) prevention and management ofH. pyloriinfection in children and elderly people within households, and (3) strategies for prevention and management ofH. pyloriinfection for family members. In addition to the ‘test-and-treat’ and ‘screen-and-treat’ strategies, this consensus also introduced a novel third ‘family-basedH. pyloriinfection control and management’ strategy to prevent its intrafamilial transmission and development of related diseases. Conclusion H. pyloriis transmissible from person to person, and among family members. A family-basedH. pyloriprevention and eradication strategy would be a suitable approach to prevent its intra-familial transmission and related diseases. The notion and practice would be beneficial not only for Chinese residents but also valuable as a reference for other highly infected areas.
Databáze: OpenAIRE