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Helicobacter pylori eradication provided significant benefits to primary care patients with functional dyspepsia.
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We found a moderate rate of primary resistance to metronidazole. However, a high MIC (> 256 mg/L) which was found in 71% of the isolates is considerable. In the case of amoxicillin, an increased resistance rate of 20% is worrying. Resistance to clarithromycin and tetracycline is also emerging among the H. pylori strains in our region.
Telithromycin is the first member of a new class of antimicrobials-the ketolides. The main objective of this study was to assess the effect of various oral doses of telithromycin on QT interval during single and repeated administrations.
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We investigated the distributions of 12 antibiotics (viz., sulfonamides, macrolides, and trimethoprim) in the water from the Mekong Delta, Vietnam, and compared them with those in the Tamagawa River, Japan. In Vietnam, only a few antibiotics (viz., sulfamethoxazole, sulfamethazine, trimethoprim, and erythromycin-H2O) were detected in the river and canals from urban and rural sites, at concentrations of 7-360 ng/L. This contrasts with the results from the Japanese urban river, where more antibiotics (sulfamethoxazole, sulfapyridine, trimethoprim, erythromycin-H20, azithromycin, clarithromycin, and roxithromycin) were detected at concentrations ranging from 4to 448 ng/L. The concentrations of sulfonamides in the Mekong Delta were comparable to those in the Tamagawa River, whereas macrolide concentrations were lowerthanthose in the Tamagawa River. The ubiquitous occurrence of sulfamethazine, used as a veterinary medicine, in the waters in Vietnam at relatively high concentrations (15-328 ng/L) was unique. Extremely high concentrations of sulfamethazine [(18.5-19.2) x 10(3) ng/L] were detected in pig farm wastewaters, and relatively high concentrations were observed in canals near chicken and pig farms. All these data suggested the potential utility of sulfamethazine as a molecular marker of livestock-source contamination. The present study demonstrated widespread inputs of veterinary medicines to waters in Vietnam.
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Studies evaluating therapeutic regimens that combine antisecretory agents with antibiotics for the eradication of H. pylori have reported significant variations in efficacy.
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A Markov model was constructed to examine 4 mutually exclusive strategies: erythromycin, azithromycin, clarithromycin, or no intervention, stratified by age group of contacts ("infant", "child", and "adult"). Transition probabilities, costs and quality-adjusted life years (QALYs) were derived from the literature. Chronic neurologic sequelae were modeled over a lifetime, with costs and QALYs discounted at 5%. Associated health outcomes and costs were compared, and incremental cost-effectiveness ratios (ICER) were calculated in 2012 Canadian dollars. Deterministic and probabilistic sensitivity analyses were performed to evaluate the degree of uncertainty in the results.
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This study was performed to compare the efficacy of short-term rabeprazole-based triple therapy with that of omeprazole-based triple therapy and to determine the influence of omeprazole pretreatment in omeprazole-based short-term triple therapy.
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One hundred and fifty-seven patients were eligible for intention-to-treat analysis (ITT) and 140 patients completed the study and returned for assessment of eradication. Intention-to-treat cure rates were 78% with RBCCT, 71% with RBCCA and 61% with RBCTA. An all-patients-treated analysis (APT), performed on evaluable patients, demonstrated eradication rates of 85% with RBCCT, 81% with RBCCA and 70% with RBCTA. No statistically significant difference was found between treatment groups. Twenty-four patients experienced side-effects, but in only seven cases was treatment discontinued due to adverse events.
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Although it is well known that a variety of antibacterials may incidentally cause malignant arrhythmia, the list of drugs causing arrhythmia and the impact of these adverse effects are still uncertain. We investigated on this topic by using a large prescription database with different observational designs.
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31 patients were included, one patient was excluded from the protocol due to adverse drug react to amoxicillin. Of the remaining 30 patients who completed treatment, 22 (73%) were negative to breath test and 8 (27%) were positive. Of the patients who completed treatment, 10 had minor adverse events to treatment, the main symptoms were epigastralgia and nausea.