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ORIGINAL RESEARCH article

Front. Public Health
Sec. Infectious Diseases: Epidemiology and Prevention
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1433139
This article is part of the Research Topic Gastrointestinal Tract Infections: A Global Perspective View all 13 articles

National survey questionnaire on the diagnosis and treatment status of Helicobacter pylori in peptic ulcer bleeding disease

Provisionally accepted
Zongdan Jiang Zongdan Jiang 1*Yaokun Ding Yaokun Ding 2Chao Li Chao Li 1Zhenyu Zhang Zhenyu Zhang 1
  • 1 Department of Gastroenterology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Liaoning Province, China
  • 2 Department of Emergency, Nanjing First Hospital, Nanjing Medical University, nanjing, China

The final, formatted version of the article will be published soon.

    The 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.Chinese 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.Across 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%) centres 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.There is a need for an enhanced understanding of and adherence to guidelines for H. pylori among physicians in hospitals at all levels.

    Keywords: Peptic ulcer bleeding, Helicobacter pylori, questionnaire, consensus, different level hospitals

    Received: 15 May 2024; Accepted: 28 Aug 2024.

    Copyright: © 2024 Jiang, Ding, Li and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zongdan Jiang, Department of Gastroenterology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Liaoning Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.