Guidelines for the management of Helicobacter pylori infection in Italy: The III Working Group Consensus Report 2015.

• 影响指数: 5.165
• 发表时间: Nov 2015
• 来源期刊: Dig Liver Dis
• DOI: 10.1016/j.dld.2015.06.010
• PMID: 26253555
• 文章类型: Consensus Development Conference
• 中科院分区: Q2
• 方向: 医学
• 作者列表: Zagari RM,Romano M,Ojetti V,Stockbrugger R,Gullini S,Annibale B,Farinati F,Ierardi E,Maconi G,Rugge M,Calabrese C,Di Mario F,Luzza F,Pretolani S,Savio A,Gasbarrini G,Caselli M

关键词: Guidelines; Helicobacter pylori; Italy; Management

Mesh: Amoxicillin / therapeutic use; Antacids / therapeutic use; Anti-Bacterial Agents / therapeutic use; Anti-Inflammatory Agents, Non-Steroidal / therapeutic use; Antigens, Bacterial / analysis; Barrett Esophagus / complications; Bismuth / therapeutic use; Breath Tests; Clarithromycin / therapeutic use; Disease Management; Drug Therapy, Combination; Dyspepsia / complications; Feces; Gastroesophageal Reflux / complications; Helicobacter Infections / complications diagnosis drug therapy; Helicobacter pylori; Italy; Levofloxacin / therapeutic use; Metronidazole / therapeutic use; Proton Pump Inhibitors / therapeutic use; Stomach Neoplasms / prevention & control; Urea

Abstract

Knowledge on the role of Helicobacter pylori (HP) infection is continually evolving, and treatment is becoming more challenging due to increasing bacterial resistance. Since the management of HP infection is changing, an update of the national Italian guidelines delivered in 2007 was needed. In the III Working Group Consensus Report 2015, a panel of 17 experts from several Italian regions reviewed current evidence on different topics relating to HP infection. Four working groups examined the following topics: (1) \"open questions\" on HP diagnosis and treatment (focusing on dyspepsia, gastro-oesophageal reflux disease, non-steroidal anti-inflammatory drugs or aspirin use and extra-gastric diseases); (2) non-invasive and invasive diagnostic tests; (3) treatment of HP infection; (4) role of HP in the prevention of gastric cancer. Statements and recommendations were discussed and a consensus reached in a final plenary session held in February 2015 in Bologna. Recommendations are based on the best current evidence to help physicians manage HP infection in Italy. The guidelines have been endorsed by the Italian Society of Gastroenterology and the Italian Society of Digestive Endoscopy.