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Room for improvement in the treatment of Helicobacter pylori infection: Lessons from the European Registry on H. pylori Management (Hp-EuReg)
Nyssen, Olga Pérez | Gastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain |
Vaira, Dino | Department of Surgical and Medical Sciences, University of Bologna, Bologna, Italy |
Tepeš, Bojan | Gastroenterology Unit, AM DC Rogaska, Rogaska Slatina, Slovenia |
Bordin, Dmitry | Department of pancreatobiliary and upper GI diseases, Moscow Clinical Scientific Center, and A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation |
Pérez-Aisa, Maria Ángeles | Servicio de Gastroenterología, Agencia Sanitaria Costa del Sol, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Marbella, Spain |
Gasbarrini, Antonio | Gastronterology Area, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy |
Castro Fernández, Manuel | Digestive Unit, Hospital de Valme, Sevilla, Spain |
Bujanda, Luis | Department of Gastroenterology, Hospital Donostia/ Instituto Biodonostia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Universidad del País Vasco (UPV/EHU), Donosti, Spain |
Garre, Ana | Gastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain |
Lucendo, Alfredo | Hospital de Tomelloso, Ciudad Real, Spain |
Vologzhanina, Lyudmila Georgievna | Gastrocentre Perm, Perm, Russian Federation |
Brglez Jurecic, Natasa | Diagnostic Bled Centre, Bled, Slovenia |
Rodrigo Sáez, Luis Ricardo | Gastroenterology Unit, Hospital Universitario Central de Asturias, Oviedo, Spain |
Huguet, José María | Consorcio Hospital General Universitario, Valencia, Spain |
Voynovan, Irina | Department of pancreatobiliary and upper GI diseases, Moscow Clinical Scientific Center, and A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation |
Pérez Lasala, Jorge | Digestive Service, HM Sanchinarro, Madrid, Spain |
Mata Romero, Pilar | Hospital San Pedro de Alcántara, Caceres, Spain |
Vujasinovic, Miroslav | Slovenj Gradec General Hospital, Slovenj Gradec, Slovenia |
Abdulkhakov, Rustam Abbasovich | Kazan State Medical University, Kazan, Russian Federation |
Barrio, Jesús | Hospital Río Hortega, Valladolid, Spain |
Fernández-Salazar, Luis | Hospital Clínico Universitario, Valladolid, Spain |
Espada, Maria | Gastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain |
Megraud, Francis | Laboratoire de Bactériologie, Hôpital Pellegrin, Bordeaux Cedex, France |
O'Morain, Colm | Trinity College Dublin – Faculty of Health Sciences, Trinity College Dublin, Dublin/IE, Faculty of Health Sciences, Dublin, Ireland |
Gisbert, Javier Perez | Gastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain |
Date Issued |
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2020-09-12 |
no. EP2.11
Electronic Poster Round 2: Treatment of Helicobacter Infection.
Background: Managing Helicobacter pylori infection requires constant decision-making, and each decision is open to possible errors. Aim: To evaluate common mistakes in the eradication of H. pylori, based on the European Registry on Helicobacter pylori management (Hp-EuReg). Methods: International multicentre prospective non-interventional registry evaluating the decisions and outcomes of H. pylori management by European gastroenterologists in routine clinical practice. Results: Countries recruiting over 1,000 patients were included (26,340 patients). The most common mistakes (percentages) were: 1) To use the standard triple therapy where it is ineffective (46%). 2) To prescribe eradication therapy for only 7-10 days (69%) (Table 1). 3) To use a low dose of proton pump inhibitors (48%) (Table 2). 4) In patients allergic to penicillin, to prescribe always a triple therapy with clarithromycin and metronidazole (38%). 5) To repeat certain antibiotics after eradication failure (>15%). 6) To ignore the importance of compliance with treatment (2%). 7) Not to check the eradication success (6%). Time-trend analyses showed progressive greater compliance with current clinical guidelines. Conclusion: The management of H. pylori infection by European gastroenterologists is heterogeneous, frequently suboptimal and discrepant with current recommendations. Clinical practice is constantly adapting to updated recommendations, although this shift is delayed and slow.