Abstract | BACKGROUND: METHODS: The aim of this open-label monocenter trial, involving 30 intention-to-treat patients with peptic ulcer disease or functional dyspepsia, was to assess the H. pylori cure rate after a 7-day triple therapy with pantoprazole (40 mg bid) plus metronidazole (500 mg bid) and amoxicillin (1 g bid). The H. pylori status was assessed by rapid urease test, histological examination and culture at the initial examination and by histological examination and culture at the study end 4 weeks after ending all therapy. RESULTS: At the end of the trial H. pylori was eradicated in 21 of 27 per protocol patients (78%; 95% CI 58-91%) and in 21 of 30 patients included in the trial (70%; 95% CI 51-85%). In 15 of 16 per protocol patients with metronidazole-sensitive strain (94%; 95% CI 70-100%) the infection was cured, but in contrast eradication was accomplished in only one of 3 patients with a metronidazole-resistant H. pylori strain. Post-treatment resistance to metronidazole was observed in 6 cases, although 4 of them had had H. pylori strains sensitive to metronidazole at the initial visit. The gastritis had clearly been improved, and the activity of gastritis had completely disappeared 4 weeks after treatment. Seven adverse events were observed in 7 patients, the intensity of which was moderate in 6 cases. CONCLUSIONS:
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Authors | R J Adamek, B Pfaffenbach, C Szymanski |
Journal | Helicobacter
(Helicobacter)
Vol. 3
Issue 3
Pg. 206-11
(Sep 1998)
ISSN: 1083-4389 [Print] England |
PMID | 9731993
(Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- 2-Pyridinylmethylsulfinylbenzimidazoles
- Anti-Bacterial Agents
- Anti-Ulcer Agents
- Benzimidazoles
- Penicillins
- Sulfoxides
- Metronidazole
- Amoxicillin
- Pantoprazole
- Omeprazole
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Topics |
- 2-Pyridinylmethylsulfinylbenzimidazoles
- Adolescent
- Adult
- Aged
- Amoxicillin
(administration & dosage, adverse effects, therapeutic use)
- Anti-Bacterial Agents
(administration & dosage, adverse effects, therapeutic use)
- Anti-Ulcer Agents
(administration & dosage, adverse effects, therapeutic use)
- Benzimidazoles
(administration & dosage, adverse effects, therapeutic use)
- Drug Therapy, Combination
- Dyspepsia
(drug therapy, microbiology)
- Helicobacter Infections
(drug therapy)
- Helicobacter pylori
- Humans
- Metronidazole
(administration & dosage, adverse effects, therapeutic use)
- Middle Aged
- Omeprazole
(analogs & derivatives)
- Pantoprazole
- Patient Compliance
- Penicillins
(administration & dosage, adverse effects, therapeutic use)
- Peptic Ulcer
(drug therapy, microbiology)
- Sulfoxides
(administration & dosage, adverse effects, therapeutic use)
- Treatment Outcome
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