Friday, December 14, 2007

7-Day Rescue Therapy after H pylori Treatment Failure. Part 1

Backdrop: Quadruplet rescue therapy requires a coordination compound mental representation with four drugs.
Aim:
To evaluate the efficacy of ranitidine bismuth
citrate-tetracycline-metronidazole rescue regimen, and to compare two
different metronidazole dose schemes.
Methods: Prospective
multicentre sketch including proton-pump inhibitor + clarithromycin +
amoxicillin failures.
Rescue regimen included two 7-day communication: (i) ranitidine bismuth
citrate (400 mg b.d.)-tetracycline (500 mg q.d.s.)-metronidazole (500
mg t.d.s.; RTM1); or (ii) the same regimen but with metronidazole 250
mg q.d.s.
(RTM2).
Eradication was confirmed with 13 C -urea breathing spell test.
Results: A totality of 150 patients were included (58 RTM1, 92 RTM2).
All patients but two (one in each group) returned after care.
About 86% in mathematical group RTM1 and 95% in RTM2 correctly took all the medications ( P = 0.076).
Per-protocol eradication rates with RTM1 and RTM2 were 74 (95% CI: 6084) and 69% (5978).
The intention-to-treat eradication rates were 64 (5175) and 70% (5978; P > 0.05).
The type of regimen was not associated with eradication in the multivariate analytic thinking.
Adverse effects were more frequent with RTM1 (41%) than with RTM2 (30%; P > 0.05).
Close: Seven-day base hit rescue therapy with ranitidine bismuth citrate-tetracycline-metronidazole is effective for Helicobacter pylori
eradication, and represents an encouraging alternative to quartette
therapy, with the benefit of simmpleness.
The tenure of metronidazole every 6 h (together with tetracycline), and
at a low dose (250 mg), achieves similar efficacy and is probably
associated with a superordinate conformity and a lower relative
frequency of adverse effects.



This is a part of article 7-Day Rescue Therapy after H pylori Treatment Failure. Part 1 Taken from "Buy Amoxil" Information Blog

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