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Wiley InterScience


Fundamental & Clinical Pharmacology

Fundamental & Clinical Pharmacology

Volume 19 Issue 4, Pages 421 - 427

Published Online: 27 Jun 2005

Journal compilation © 2010 Société Française de Pharmacologie et de Thérapeutique



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REVIEW ARTICLE
Eradication of Helicobacter pylori: recent advances in treatment
Ramona M. McLoughlin, Colm A. O'Morain, Humphrey J. O'Connor*
Department of Gastroenterology, Adelaide and Meath Hospital, Tallaght, Dublin 24 and Faculty of Health Sciences, Trinity College, Dublin, Ireland
  *Correspondence and reprints: humphrey.oconnor@amnch.ie
Copyright 2005 Blackwell Publishing
KEYWORDS
eradication • H. pylori

Abstract

AbstractIntroductionTreatment failureNew treatment options for first-line therapyManagement of treatment failureConclusionReferences

Helicobacter pylori plays a key role in dyspepsia, peptic ulcer disease, and gastric neoplasia and eradication of the infection has become an important treatment goal in clinical practice. Seven-day proton-pump inhibitor–amoxicillin–clarithromycin triple therapy is the current first-line therapy for H. pylori but eradication rates are compromised by poor compliance and antibiotic resistance. Ten-day sequential treatment may emerge as an alternative first-line therapy. Bismuth-based quadruple therapy is the second-line regimen of choice. Antimicrobial sensitivity testing is not recommended in the routine management of H. pylori infection. Novel triple-therapy regimens containing rifabutin, levofloxacin, or furazolidone may be useful alternatives as second- or third-line therapy.


Received 30 August 2004; revised 11 February 2005; accepted 8 March 2005

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1472-8206.2005.00340.x About DOI

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