Helicobacter pylori infection is an infectious disease and should be treated like one, with due consideration of antibiotic resistance and stewardship.1–4 This was the consensus of the 2015 Kyoto H pylori conference,2 and it signaled a fundamental shift in thinking. Up to now, H pylori treatment has not been based on infectious disease principles, leading to suboptimal results and antibiotic resistance. In addition, the conference recommended that H pylori infection be treated whenever it is found unless there are compelling reasons not to. Here we review current and possible future regimens for eradicating H pylori that we hope will be more effective and will lead to less resistance than in the past.
Treating Helicobacter pylori effectively while minimizing misuse of antibiotics / Shiotani, A; Lu, H; Dore, Maria Pina; Graham, Dy. - In: CLEVELAND CLINIC JOURNAL OF MEDICINE. - ISSN 0891-1150. - 84:4(2017), pp. 310-318. [10.3949/ccjm.84a.14110]
Treating Helicobacter pylori effectively while minimizing misuse of antibiotics
DORE, Maria Pina;
2017-01-01
Abstract
Helicobacter pylori infection is an infectious disease and should be treated like one, with due consideration of antibiotic resistance and stewardship.1–4 This was the consensus of the 2015 Kyoto H pylori conference,2 and it signaled a fundamental shift in thinking. Up to now, H pylori treatment has not been based on infectious disease principles, leading to suboptimal results and antibiotic resistance. In addition, the conference recommended that H pylori infection be treated whenever it is found unless there are compelling reasons not to. Here we review current and possible future regimens for eradicating H pylori that we hope will be more effective and will lead to less resistance than in the past.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.