Abstract
Between April 1998 and July 1999, we prospectively investigated 152 patients with gastric or duodenal ulcer and we observed concomitant H. pylori infection in 72.8% and 78.5% respectively. We proposed to the GPs of these patients the recommended triple therapy (omeprazole 20 mg, amoxicillin 1 g and clarithromycin 500 mg (OAC) twice daily for 7 or 10 days). H. pylori eradication was tested using the C13-urea breath test. Our results showed a modest overall eradication rate of about 70%. We have to persuade the patients and the GPs of the benefit of antibiotics and of the importance of the correct dosages. We have to continue to follow the resistance against antibiotics.
MeSH terms
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Adult
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Aged
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Aged, 80 and over
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Amoxicillin / therapeutic use
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Anti-Bacterial Agents / therapeutic use
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Anti-Ulcer Agents / therapeutic use
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Belgium / epidemiology
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Clarithromycin / therapeutic use
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Drug Therapy, Combination
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Female
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Helicobacter Infections / complications
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Helicobacter Infections / drug therapy*
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Helicobacter Infections / epidemiology*
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Helicobacter pylori*
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Humans
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Male
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Middle Aged
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Omeprazole / therapeutic use
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Penicillins / therapeutic use
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Peptic Ulcer / microbiology*
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Prevalence
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Prospective Studies
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Treatment Outcome
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Urban Population / statistics & numerical data
Substances
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Anti-Bacterial Agents
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Anti-Ulcer Agents
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Penicillins
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Amoxicillin
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Clarithromycin
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Omeprazole