Antimicrobial Susceptibility Testing, Triple Therapy
Conditions
Keywords
Helicobacter Pylori Infection, Antimicrobial susceptibility testing (AST), Triple Therapy
Brief summary
Helicobacter pylori (H. pylori), which infects about 50% of the global population, has been recognized as a main risk factor of multiple gastric pathologies, especially non-cardiac gastric cancer. Strongly evidence supports that H. pylori eradication is an effective approach to reduce the incidence of those pathologies.
Interventions
amoxicillin 1000 mg bid. for 14 days
clarithromycin 500 mg bid. for 14 days.
tinidazole 500 mg bid. for 14 days.
levofloxacin 500 mg qd. for 14 days.
furazolidone 100 mg bid. for 14 days.
tetracycline 750 mg bid. for 14 days.
Ilaprazole 5 mg bid. for 14 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Consecutive patients who are 18-70 years old with persistent H. pylori infection after first or second line treatment attempts.
Exclusion criteria
* Enable to undergo upper endoscopy; * Patients with gastrectomy, acute GI bleeding and advanced gastric cancer; * Known or suspected allergy to study medications; * Taking bismuth and antibiotics in the previous four weeks, or taking proton pump inhibitor and H2-receptor blockers in the previous two weeks; * Currently pregnant or lactating * Inability to provide informed consent and other situations that could interfere with the examination or therapeutic protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Eradication rate of AST guided triple therapy | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| the rate of improving dyspepsia symptoms after H. pylori eradication | 3 months |
| the rate of adverse events happening | 3 months |
| the rate of good compliance (take pills more than 90%) | 3 months |