title: Managing Helicobacter pylori in college health, with special considerations for international students.
abstract: Helicobacter pylori infection is the major cause of dyspepsia, peptic ulcer disease, and gastric cancer. This paper will make specific recommendations for a diagnostic and treatment strategy tailored to the international student population.
  
  
  
  This paper is a case report and narrative review based on recent international epidemiologic studies and consensus conference recommendations identified in MEDLINE.
  
  
  
  In the nations (mostly Asian) that send the largest number of students to the United States, the prevalence of H. pylori is generally 60% to 80%, whereas the prevalence in the United States is about 25%. The patterns of antibiotic resistance in those countries are also different than that in the general US population.
  
  
  
  Health care providers should have a higher index of suspicion for Helicobacter infection among international students with dyspepsia and need to use a different treatment regimen than is standard for the general US population.
authors.affiliation: a Department of Psychiatry , Michigan State University Colleges of Medicine , East Lansing , Michigan , USA.
authors.forename: James Randolph
authors.initials: JR
authors.lastname: Hillard
authors.affiliation: b Olin Student Health Center, Michigan State University , East Lansing , Michigan , USA.
authors.forename: Suman
authors.initials: S
authors.lastname: Kashup
mesh_terms: D019468:Disease Management; D004415:Dyspepsia / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D016481:Helicobacter Infections / Q000175:diagnosis / Q000628:therapy*; D016480:Helicobacter pylori / Q000472:pathogenicity; D006801:Humans; D038622:Internationality; D010437:Peptic Ulcer / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D013274:Stomach Neoplasms / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D013333:Student Health Services / Q000592:standards / Q000706:statistics & numerical data; D013334:Students / Q000706:statistics & numerical data*; D014481:United States; D014495:Universities / Q000458:organization & administration
keywords: Dyspepsia; Helicobacter; international students