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欧洲幽门螺杆菌治疗共识 5
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Discrepancy in treatment

The cure of Hp usually requires antibiotics. Other things have been tried and have a weaker effect.

Moderators: barjammar, Toni, luci2010, Ondek-Expert, kkimura

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BacteriaBound
Posts: 3
Joined: Mon Sep 28, 2015 7:27 pm

Discrepancy in treatment

Post by BacteriaBound »

I read this on the page here that lists the different treatments.

Conventional First-Line Triple Therapies – (Twice-Daily PPI-Based Triple Therapies)
Cure rate 90%:with 2 weeks treatment in the U.S.; 1 week Treatment outside U.S.


I don't understand this. Is it two weeks or one that will work. If it takes two weeks to cure an American, does that mean one month, for the rest of us, is insufficient?

msreza16
Posts: 16
Joined: Thu Sep 24, 2015 7:59 pm

Re: Discrepancy in treatment

Post by msreza16 »

I'm with you BacteriaBound. Do the therapies work based on nationality? It does not make sense!

I was treated with this therapy for one week and it didn't work. Now the bacteria in my stomach is resistant to it. Perhaps it could have cured me had I taken it for two weeks, like the Americans!

BacteriaBound
Posts: 3
Joined: Mon Sep 28, 2015 7:27 pm

Re: Discrepancy in treatment

Post by BacteriaBound »

I agree! This is my nightmare, that the one week I have will only half work, say like 45% as opposed to the 90% in the two week course..haha..stats/ratio might be off there.
I left a message at my doctor's to see if she could call in another weeks worth. Now that I am talking about it I keep hearing of people who have been through the treatment but i keeps coming back. The worrying thing is one can have no symptoms yet this thing can lead to cancer???

Helico_expert
Site Admin
Posts: 4600
Joined: Wed Mar 02, 2011 7:20 am

Re: Discrepancy in treatment

Post by Helico_expert »

hi all,

H. pylori is different from people to people and from countries to countries. that's why there is no standard therapy that works for every country. Actually, triple therapy used to work very well world wide many years ago. However, due to the abuse of antibiotics, H. pylori has become stronger and resistant to many treatment. That's why cure rate of triple therapy has dramatically decreased and many countries are switching to quadruple therapy. and if antibiotics are still not controlled, very soon we will be facing triple and quadruple drug resistant H. pylori.

Anyway, the general rule is, the longer the treatment, the higher the chance of H. pylori eradication. same rule apply to the PPI. the more PPI the better (as long as it is still within the safe dosage).

it's not easy to get reinfection. we have treated hundreds of patients and the true reinfection is less than 5 cases.

(we cultured and tested every H. pylori strains. We even routinely sequence these bacterial's genome to find out if they are true reinfection).

BacteriaBound
Posts: 3
Joined: Mon Sep 28, 2015 7:27 pm

Re: Discrepancy in treatment

Post by BacteriaBound »

Well that's good to know.

Thank you for your reply.

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