[The physician's attitude towards infection by Helicobacter pylori in clinical practice].
OBJECTIVE
To study the attitude of general practitioners and internists towards the infection with helicobacter pylori.


METHODS
Interviews were conducted among 170 physicians. Proportions were compared using the Z test.


RESULTS
Out of 170 interviewed, 152 questionnaires were completed correctly: 80.9% were general practitioners and 19% internists. All of the GPs and 84.6% of internists chose the oral-fecal as the route of transmission. Gastric ulcer was thought to be associated by 60.8% of GPs and 72.4% of internists. The least well known association was with MALT lymphoma (8.1%). Biopsy was reported as the best way to make diagnosis (54 and 72.4%). GPs reported they would treat recurring ulcers as Helicobacter pylori, while internists would treat them since the first episode. Sixty point 2 percent (60.2%) of GPs and 69% of internists are using inadequate schemes for treating Hp infections. The combination of omeprazol, amoxicillin, bismuth salts or clarithromycin was the most frequently used.


CONCLUSIONS
Current knowledge regarding Helicobacter pylori infection among GPs and internists is not sufficiently understood.
Montes Teves
Pedro Andrés
PA
Medico SERUMS.
Soria Medina
Jaime Ismael
JI
Gamarra Espinoza
Zer Ima
ZI
Monge Salgado
Eduardo
E
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D001291:Attitude of Health Personnel; D001428:Bacterial Vaccines; D001729:Bismuth / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004381:Duodenal Ulcer / Q000209:etiology / Q000382:microbiology; D005664:Furazolidone / Q000627:therapeutic use; D007722:Health Knowledge, Attitudes, Practice; D016481:Helicobacter Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology* / Q000635:transmission; D016480:Helicobacter pylori / Q000276:immunology / Q000302:isolation & purification; D006801:Humans; D007388:Internal Medicine; D018442:Lymphoma, B-Cell, Marginal Zone / Q000382:microbiology; D008875:Middle Aged; D010820:Physicians / Q000523:psychology*; D010821:Physicians, Family / Q000523:psychology*; D011364:Professional Practice; D012008:Recurrence; D013274:Stomach Neoplasms / Q000382:microbiology; D013276:Stomach Ulcer / Q000209:etiology / Q000382:microbiology; D011795:Surveys and Questionnaires
D000900:Anti-Bacterial Agents; D000897:Anti-Ulcer Agents; D000907:Antibodies, Bacterial; D001428:Bacterial Vaccines; D005664:Furazolidone; D001729:Bismuth