Objective: Helicobacter pylori has begun to show resistance to imidazoles and could result in the low efficacy of short-term triple therapy, The aim of this study was to assess whether administration of tetracycline instead of tinidazole in short-term low-dose triple therapy could increase the H. pylori eradication rate, Methods: In a prospective study, 113 patients with peptic ulcer (n = 36) or non-ulcer dyspepsia (n = 77) were randomized to receive 1-wk treatment, composed of omeprazole 20 mg b.i.d., clarithromycin 250 mg b.i.d., and either tinidazole 500 mg b.i.d. (n = 57) or tetracycline 500 mg b.i.d. (n = 56), upon detection of H. pylori infection at endoscopy, Results: H. pylori eradication, defined as a negative bacterial finding in a rapid urease test and upon histologic assessment at least 4 wk after cessation of therapy, was achieved in 86% (49 of 57; 95% confidence interval = 76.9 - 95) of patients in the first group and in 71.4%, (40 of 56; 95% confidence interval = 59.6 - 83.3) in the second group (p = not significant), Side effects occurred in 28% of patients from the tinidazole-based group and in 12.5% from the tetracycline group (p = not significant), Two patients in the tinidazole group discontinued therapy at 5 and 6 days because of side effects, Conclusions: The administration of tetracycline instead of tinidazole in short-term triple therapy yielded disappointing results in H. pylori eradication.

Omeprazole plus clarithromycin and either tinidazole or tetracycline for Helicobacter pylori infection: A randomized prospective study / A., Zullo; Rinaldi, Vittorio Mario; F., Pugliano; F., Diana; Attili, Adolfo Francesco. - In: THE AMERICAN JOURNAL OF GASTROENTEROLOGY. - ISSN 0002-9270. - STAMPA. - 92:11(1997), pp. 2029-2031.

Omeprazole plus clarithromycin and either tinidazole or tetracycline for Helicobacter pylori infection: A randomized prospective study

RINALDI, Vittorio Mario;ATTILI, Adolfo Francesco
1997

Abstract

Objective: Helicobacter pylori has begun to show resistance to imidazoles and could result in the low efficacy of short-term triple therapy, The aim of this study was to assess whether administration of tetracycline instead of tinidazole in short-term low-dose triple therapy could increase the H. pylori eradication rate, Methods: In a prospective study, 113 patients with peptic ulcer (n = 36) or non-ulcer dyspepsia (n = 77) were randomized to receive 1-wk treatment, composed of omeprazole 20 mg b.i.d., clarithromycin 250 mg b.i.d., and either tinidazole 500 mg b.i.d. (n = 57) or tetracycline 500 mg b.i.d. (n = 56), upon detection of H. pylori infection at endoscopy, Results: H. pylori eradication, defined as a negative bacterial finding in a rapid urease test and upon histologic assessment at least 4 wk after cessation of therapy, was achieved in 86% (49 of 57; 95% confidence interval = 76.9 - 95) of patients in the first group and in 71.4%, (40 of 56; 95% confidence interval = 59.6 - 83.3) in the second group (p = not significant), Side effects occurred in 28% of patients from the tinidazole-based group and in 12.5% from the tetracycline group (p = not significant), Two patients in the tinidazole group discontinued therapy at 5 and 6 days because of side effects, Conclusions: The administration of tetracycline instead of tinidazole in short-term triple therapy yielded disappointing results in H. pylori eradication.
1997
amoxicillin; bismuth; combination; cure; dose triple therapy; eradication; metronidazole; peptic-ulcers; regimen
01 Pubblicazione su rivista::01a Articolo in rivista
Omeprazole plus clarithromycin and either tinidazole or tetracycline for Helicobacter pylori infection: A randomized prospective study / A., Zullo; Rinaldi, Vittorio Mario; F., Pugliano; F., Diana; Attili, Adolfo Francesco. - In: THE AMERICAN JOURNAL OF GASTROENTEROLOGY. - ISSN 0002-9270. - STAMPA. - 92:11(1997), pp. 2029-2031.
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/28120
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 20
  • ???jsp.display-item.citation.isi??? 19
social impact