title: Efficacy of 7-Day and 14-Day Triple Therapy Regimens for the Eradication of Helicobacter pylori: A Comparative Study in a Cohort of Romanian Patients.
abstract: Objective. This study compared the eradication rates of of Helicobacter pylori (HP) infection by a 7-day and 14-day anti-HP regimen. Materials and Methods. An open, randomized, prospective study was performed to evaluate the response to anti-HP treatment in adult HP-positive patients following a 7-day course (Regimen A) of a proton pump inhibitor in association with clarithromycin and amoxicillin compared to a 14-day course (Regimen B). Gastric biopsies were performed at baseline and two months after anti-HP treatment. Results. Seventy-eight patients aged 18-64 years (28 males, 50 females) diagnosed with HP infection were included. Fifty-two (66.7%) patients received Regimen B and 26 (33.3%) Regimen A. The overall eradication rate was 70.5%. Better treatment response (p < 0.01) was seen in Regimen B (44/52, 84.2% versus 11/26, 42.3%). Significant improvement in histological features was seen in regimen B. There has been significant overall reduction in endoscopic aspects of gastric and duodenal lesions in both regimens. Younger patients ≤35 years had a better response to Regimen B. Better treatment response was seen in women, urban residents, and those with tertiary level of education in both groups. Conclusion. 14-day anti-HP regimen offered a significant better overall eradication of HP in study population.
authors: Pathophysiology and Immunology Department, Dental Medicine Faculty, Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania; Digestive Endoscopy Department, Dr. Ion Cantacuzino Hospital, 020475 Bucharest, Romania.
authors: Stefan Sorin
authors: SS
authors: Arama
authors: Pathophysiology and Immunology Department, Dental Medicine Faculty, Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania; Adults III Department, Prof. Dr. Matei Bals National Institute of Infectious Diseases, 021105 Bucharest, Romania.
authors: Catalin
authors: C
authors: Tiliscan
authors: Personal Genetics Medical Practice, 010987 Bucharest, Romania.
authors: Cristina
authors: C
authors: Negoita
authors: Pathophysiology and Immunology Department, Dental Medicine Faculty, Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania.
authors: Alexandru
authors: A
authors: Croitoru
authors: Adults III Department, Prof. Dr. Matei Bals National Institute of Infectious Diseases, 021105 Bucharest, Romania; Infectious Diseases I Department, Prof. Dr. Matei Bals National Institute of Infectious Diseases, Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania.
authors: Victoria
authors: V
authors: Arama
authors: Internal Medicine and Rheumatology Department, Dr. Ion Cantacuzino Hospital, Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania.
authors: Carmen Marina
authors: CM
authors: Mihai
authors: Pathology Department, Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania.
authors: Florinel
authors: F
authors: Pop
authors: Medical Affairs, Dr. Reddy's Laboratories, Hyderabad 500034, India.
authors: Amit
authors: 0000-0002-6599-4910
authors: A
authors: Garg