{"title":"关于消化性溃疡出血病幽门螺旋杆菌诊断和治疗状况的全国调查问卷","authors":"Zongdan Jiang, Yaokun Ding, Chao Li, Zhenyu Zhang","doi":"10.3389/fpubh.2024.1433139","DOIUrl":null,"url":null,"abstract":"Background and objectiveThe Maastricht VI/Florence Consensus and Chinese National Consensus Report provide comprehensive guidelines for treating <jats:italic>Helicobacter pylori</jats:italic> infection. This study aimed to assess physicians' understanding of and adherence to this consensus in different hospitals.MethodsChinese medical staff attending gastrointestinal conferences across various regions were selected for this study. The questionnaire included: 1. the number of patients with peptic ulcer bleeding in hospitals of different levels annually and the diagnostic methods used for <jats:italic>H. pylori</jats:italic>; 2. whether routine <jats:italic>H. pylori</jats:italic> examination was conducted and the specific methods employed; and 3. Treatment plans for <jats:italic>H. pylori</jats:italic> eradication; 4. The mean follow-up duration after treatment 5. Plans for re-eradication in cases of <jats:italic>H. pylori</jats:italic> treatment failure.ResultsAcross all levels of Chinese hospitals, the urea breath test was the most commonly used method for detecting <jats:italic>H. pylori</jats:italic> infection. Most primary (81.53%), secondary (89.49%), and tertiary (91.42%) centers opted for a 14-day quadruple regimen. The preferred antibiotic regimen at all hospital levels was amoxicillin+clarithromycin, with rates of 63.69, 58.08, and 59.27% in the primary, secondary, and tertiary hospitals, respectively. The rates of <jats:italic>H. pylori</jats:italic> re-examination were 68.15, 87.07, and 87.46% in the primary, secondary, and tertiary hospitals. If <jats:italic>H. pylori</jats:italic> eradication failed, hospitals at different levels choose to replace the initial plan.ConclusionThere is a need for an enhanced understanding of and adherence to guidelines for <jats:italic>H. pylori</jats:italic> among physicians in hospitals at all levels.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"National survey questionnaire on the diagnosis and treatment status of Helicobacter pylori in peptic ulcer bleeding disease\",\"authors\":\"Zongdan Jiang, Yaokun Ding, Chao Li, Zhenyu Zhang\",\"doi\":\"10.3389/fpubh.2024.1433139\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background and objectiveThe Maastricht VI/Florence Consensus and Chinese National Consensus Report provide comprehensive guidelines for treating <jats:italic>Helicobacter pylori</jats:italic> infection. This study aimed to assess physicians' understanding of and adherence to this consensus in different hospitals.MethodsChinese medical staff attending gastrointestinal conferences across various regions were selected for this study. The questionnaire included: 1. the number of patients with peptic ulcer bleeding in hospitals of different levels annually and the diagnostic methods used for <jats:italic>H. pylori</jats:italic>; 2. whether routine <jats:italic>H. pylori</jats:italic> examination was conducted and the specific methods employed; and 3. Treatment plans for <jats:italic>H. pylori</jats:italic> eradication; 4. The mean follow-up duration after treatment 5. Plans for re-eradication in cases of <jats:italic>H. pylori</jats:italic> treatment failure.ResultsAcross all levels of Chinese hospitals, the urea breath test was the most commonly used method for detecting <jats:italic>H. pylori</jats:italic> infection. Most primary (81.53%), secondary (89.49%), and tertiary (91.42%) centers opted for a 14-day quadruple regimen. The preferred antibiotic regimen at all hospital levels was amoxicillin+clarithromycin, with rates of 63.69, 58.08, and 59.27% in the primary, secondary, and tertiary hospitals, respectively. The rates of <jats:italic>H. pylori</jats:italic> re-examination were 68.15, 87.07, and 87.46% in the primary, secondary, and tertiary hospitals. If <jats:italic>H. pylori</jats:italic> eradication failed, hospitals at different levels choose to replace the initial plan.ConclusionThere is a need for an enhanced understanding of and adherence to guidelines for <jats:italic>H. pylori</jats:italic> among physicians in hospitals at all levels.\",\"PeriodicalId\":12548,\"journal\":{\"name\":\"Frontiers in Public Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fpubh.2024.1433139\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fpubh.2024.1433139","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
National survey questionnaire on the diagnosis and treatment status of Helicobacter pylori in peptic ulcer bleeding disease
Background and objectiveThe Maastricht VI/Florence Consensus and Chinese National Consensus Report provide comprehensive guidelines for treating Helicobacter pylori infection. This study aimed to assess physicians' understanding of and adherence to this consensus in different hospitals.MethodsChinese medical staff attending gastrointestinal conferences across various regions were selected for this study. The questionnaire included: 1. the number of patients with peptic ulcer bleeding in hospitals of different levels annually and the diagnostic methods used for H. pylori; 2. whether routine H. pylori examination was conducted and the specific methods employed; and 3. Treatment plans for H. pylori eradication; 4. The mean follow-up duration after treatment 5. Plans for re-eradication in cases of H. pylori treatment failure.ResultsAcross all levels of Chinese hospitals, the urea breath test was the most commonly used method for detecting H. pylori infection. Most primary (81.53%), secondary (89.49%), and tertiary (91.42%) centers opted for a 14-day quadruple regimen. The preferred antibiotic regimen at all hospital levels was amoxicillin+clarithromycin, with rates of 63.69, 58.08, and 59.27% in the primary, secondary, and tertiary hospitals, respectively. The rates of H. pylori re-examination were 68.15, 87.07, and 87.46% in the primary, secondary, and tertiary hospitals. If H. pylori eradication failed, hospitals at different levels choose to replace the initial plan.ConclusionThere is a need for an enhanced understanding of and adherence to guidelines for H. pylori among physicians in hospitals at all levels.
期刊介绍:
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
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