J Korean Med Sci.  2006 Dec;21(6):1037-1040. 10.3346/jkms.2006.21.6.1037.

Efficacy of Two Triple Eradication Regimens in Children with Helicobacter pylori Infection

Affiliations
  • 1Department of Pediatrics, Asan Medical Center, University of Ulsan, 388-1 Pungnap-dong, Songpa-gu, Seoul, Korea. kmkim@amc.seoul.kr
  • 2Department of Pediatrics, Eulji University School of Medicine, Seoul, Korea.
  • 3Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Triple therapy with bismuth subsalicylate, amoxicillin, metronidazole (BAM) or with omeprazole, amoxicillin, clarithromycin (OAC) has been commonly used for the eradication of Helicobacter pylori infection. We compared the efficacy of these triple therapies in children with H. pylori infection. We retrospectively analyzed results in 233 children with H. pylori infection and treated with OAC (n=141) or BAM (n=92). Overall eradication rates of triple therapy with OAC and BAM were 74% and 85%, respectively, which showed no statistical difference. Our study showed that the triple therapy with BAM was more effective for the first-line eradication of H. pylori infection in Korean children, but has no statistical difference with OAC regimen.

Keyword

Helicobacter pylori, Treatment Outcome, Child; bismuth subsalicylate; Amoxicillin; Metronidazole

MeSH Terms

Treatment Outcome
Salicylates/*administration & dosage
Retrospective Studies
Organometallic Compounds/*administration & dosage
Omeprazole/*administration & dosage
Metronidazole/*administration & dosage
Male
Humans
Helicobacter pylori/*drug effects
Helicobacter Infections/*drug therapy
Female
Drug Combinations
Clarithromycin/*administration & dosage
Child, Preschool
Child
Bismuth/*administration & dosage
Anti-Bacterial Agents/administration & dosage
Amoxicillin/*administration & dosage
Adolescent

Figure

  • Fig. 1 Treatment strategies and outcomes of the study population. OAC, omeprazole+amoxicillin+clarithromycin; BAM, bismuth subsalicylate+amoxicillin+metronidazole; UBT, urea breath test.


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