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Management of Helicobacter pylori infection—the Maastricht V/Florence Consensus Report
The 5th Chinese Helicobacter treatment consensus
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欧洲幽门螺杆菌治疗共识 5
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用药后,多久以后可以再做吹气测试?

Search found 149 matches

by barjammar
Mon Apr 08, 2019 8:41 pm
Forum: Antibiotics and Acid Pump Blockers
Topic: Nexium Hp7 triple therapy
Replies: 6
Views: 7712

Re: Nexium Hp7 triple therapy

Its confusing and impossible to work out exactly, but I kind of agree with your doctor. Just take all the antibiotics you have, don't forget the Nexium (more is better so I often give 40 mg 3x daily). If you fail treatment then nothing is lost because it means the bacterium was resistant to clarithr...
by barjammar
Mon Nov 10, 2014 11:57 am
Forum: Everything Else 其他
Topic: Lyme like illness
Replies: 2
Views: 6150

Re: Lyme like illness

Regards Lyme: The ability to pull out PCR DNA fragments from a biological sample is not necessarily proof that the germ exists. Bacteria swap bits of DNA around so a piece could resemble a Lyme DNA yet Lyme might not be present. Similarly, antibodies which show up against Lyme could actually be just...
by barjammar
Thu Aug 28, 2014 10:08 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: Just started H. Pylori Treatment...
Replies: 108
Views: 91730

Re: Just started H. Pylori Treatment... and POLYPS

Gastric polyps of about 5 mm size are actually quite common (5-10% of people having endoscopy) and are almost always benign. So my strategy is to biopsy one or two so that I can tell the patient that the polyp IS benign. Some say that's a waste of money because it is so rare for a benign appearing "...
by barjammar
Sun Feb 10, 2013 8:02 pm
Forum: Epidemiology and Transmission ( How do you catch it?) 幽门螺杆菌的传播
Topic: How should I do to avoid transmission?
Replies: 25
Views: 62061

Re: How should I do to avoid transmission?

These days, in a modern country with clean chlorinated water supply, Hp can only be acquired from a close family member. That means a spouse or sometimes mother to child.
So I recommend have your partner tested and then both take the treatment at the same time. Follow up with breath tests. 8-)
by barjammar
Sun Feb 10, 2013 7:47 pm
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: PBRC treatment Dosage Intervals
Replies: 2
Views: 4911

Re: PBRC treatment Dosage Intervals

Spreading out the doses does make sense. However, it is not proven to make any difference. In fact, in one study, two doses per day given at mealtimes was just as effective. Also, separating one type of tablet from the other, is unnecessary. If anyone knows of true evidence on these points let me kn...
by barjammar
Sun Feb 10, 2013 10:29 am
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: 2nd line of treatment?
Replies: 4
Views: 5713

Re: 2nd line of treatment? Diagnosis in people needing PPI

An area of management worthy of discussion. Firstly, every (DIRECT) test becomes less accurate as we interfere with the stomach environment. In order these effects are: antibiotics > bismuth > PPI > H2-Blockers > antacid. So tests which measure actual bacteria in the stomach (biopsy, culture, breath...
by barjammar
Sun Jan 20, 2013 7:18 am
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: 4th Line Treatment to Eradicate H. Pylori
Replies: 15
Views: 20070

Re: 4th Line Treatment - Rifabutin and Neutropenia

Final Reply Neutropenia is somewhat idiosyncratic which means people who have a reaction to the rifabutin would likely develop it. As I review your past treatments my comments are: 1. Repeated treatments with clarithromycin or metronidazole are not very useful. 2. Since the acid blocker is inexpensi...
by barjammar
Wed Sep 26, 2012 11:19 am
Forum: Treatment for Helicobacter 幽门螺杆菌治疗
Topic: h pylori in well water???
Replies: 1
Views: 4330

Re: h pylori in well water???

The techniques for proving H.pylori in an environmental sample are not accurate enough to make it a useful test. I suggest that you should just focus on the cancer issue and then, in 12 months when everything is settled one way or another, have the family members undergo breath test and serology for...
by barjammar
Sun Aug 12, 2012 10:35 pm
Forum: Everything Else 其他
Topic: After HPAC H-Pylori Antibiotics Symptoms
Replies: 19
Views: 45388

Re: After HPAC H-Pylori Antibiotics Symptoms

I second that! The acid blockers help the antibiotics work. Otherwise, acid interferes with the antibiotic activity in some way. As an example, look at clarithromycin. Why don't we use erythromycin which is far cheaper? Answer; because clarithromycin is stable in acid and active in the stomach. Also...
by barjammar
Sun Aug 12, 2012 10:26 pm
Forum: Diseases and Symptoms 疾病与症状
Topic: Just diagnosed on 08/08/12
Replies: 6
Views: 9593

Re: Just diagnosed on 08/08/12 STOMACH PAIN

If you have a lot of pain, discuss it with your doctor in case it is serious. However, ulcers can cause severe pain and might take a couple of weeks to heal (up to 8 weeks sometimes). The Prevpac will heal the ulcer as it kills the Hp so you don't need to be tested for the ulcer in the first instanc...

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