• Dig. Dis. Sci. · Aug 2009

    Randomized Controlled Trial

    Efficacy of the standard quadruple therapy versus triple therapies containing proton pump inhibitor plus amoxicillin and clarithromycin or amoxicillin-clavulanic acid and metronidazole for Helicobacter pylori eradication in children.

    • Seyed Mohsen Dehghani, Asma Erjaee, Mohammad Hadi Imanieh, and Mahmood Haghighat.
    • Gastroenterohepatology Research Center, Pediatric Gastroenterology Department, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, 71937-11351, Iran. dehghanism@sums.ac.ir
    • Dig. Dis. Sci. 2009 Aug 1; 54 (8): 1720-4.

    ObjectivesHelicobacter pylori (H. pylori) cure rates vary in different geographical regions because of differences in hosts as well as in H. pylori strains. In this study we evaluated the efficacy of different treatment regimens for eradication of H. pylori infection in children, in order to select a treatment regimen that is most effective with the least adverse effects and cost.MethodThrough a randomized clinical trial study we enrolled 120 pediatric patients (age ResultsA total of 117 patients with a mean age of 12 +/- 4 years completed the study. Eradication rate was 91.9% in group A, compared with 82.1% in group B, and 80.5% in group C (P = 0.33).ConclusionConsidering these data we suggest quadruple therapy as the first line of therapy for eradication of H. pylori infection in children in our geographic area (Iran).

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