Inclusion of Lactobacillus Reuteri in the Treatment of Helicobacter pylori in Sardinian Patients: A Case Report Series.

Clinical studies have shown that bismuth-containing quadruple therapy given twice a day for 10 to 14 days is effective and safe in the treatment of Helicobacter pylori infection in Sardinia. However, bismuth is no longer available in Italy. To report the effectiveness and tolerability of pantoprazol...

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Publicado en:Medicine Vol. 95; no. 15; pp. 1 - 4
Autores principales: Dore, Maria P., Soro, Sara, Rocchi, Chiara, Loria, Maria F., Bibbò, Stefano, Pes, Giovanni M.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Apr2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2016
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Inclusion of Lactobacillus Reuteri in the Treatment of Helicobacter pylori in Sardinian Patients: A Case Report Series.
      aug:
        au:
          Dore, Maria P.
          Soro, Sara
          Rocchi, Chiara
          Loria, Maria F.
          Bibbò, Stefano
          Pes, Giovanni M.
        affil: Department of Clinical and Experimental Medicine, University of Sassari, Sassari Italy
      sug:
        subj:
          Drug Therapy, Combination Methods
          Probiotics Therapeutic Use
          Helicobacter Infections Drug Therapy
          Lactobacillus
          Helicobacter Pylori
          Italy
          Metronidazole Therapeutic Use
          Male
          Middle Age
          Antibiotics Therapeutic Use
          Proton Pump Inhibitors Therapeutic Use
          Sulfur Compounds Therapeutic Use
          Tetracycline Therapeutic Use
          Female
          Human
          Middle Aged: 45-64 years
          Male
          Female
      ab: Clinical studies have shown that bismuth-containing quadruple therapy given twice a day for 10 to 14 days is effective and safe in the treatment of Helicobacter pylori infection in Sardinia. However, bismuth is no longer available in Italy. To report the effectiveness and tolerability of pantoprazole 20 mg, tetracycline 500 mg, and metronidazole 500 mg given b.i.d. (with the midday and evening meals) for 10 days supplemented with Lactobacillus reuteri (DSM 17938) 10(8)  cfu/tablet once a day for 20 days in patients treated in a routine daily practice setting. H pylori infection was defined as a positive gastric histopathology and/or 13C-Urea Breath Test (UBT) and/or stool antigen testing. Successful eradication was documented by 13C-UBT, and/or stool antigen assay at least 4 weeks post-therapy. Compliance and side effects were recorded after completing treatment. A total of 45 patients (10 men, 35 women; mean age 52.6 years) have completed the treatment regimen with the success rate of 93% (95% confidence interval = 85-99%). Compliance was excellent. Side effects were absent or generally mild.Proton pump inhibitor-tetracycline-metronidazole-L reuteri therapy provided high eradication rates with few side effects and therefore can safely replace bismuth in H pylori treatment. Further studies are needed that include susceptibility testing.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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