The efficacy of a 1-week triple therapy for eradication of Helicobacter pylori infection in children

Arab J Gastroenterol. 2011 Mar;12(1):37-9. doi: 10.1016/j.ajg.2011.01.011. Epub 2011 Feb 5.

Abstract

Background and study aims: Poor compliance to therapy and antibiotic resistance are the main causes for failure of anti-Helicobacter pylori (H. pylori) therapy. The purpose of this study was to assess the effectiveness of omeprazole-based triple therapy in Iranian children.

Patients and methods: Fifty-seven children with H. pylori-related gastroduodenal disease received 1-week triple therapy with a combination of omeprazole, amoxicillin and clarithromycin (according to the susceptibility test). Success of eradication was assessed by (13)C-urea breath test and endoscopy.

Results: Sixty-four patients (mean age 11.3years; range 2.7-16years) were included. Eradication was successful in 84.2% (95% confidence interval, 72.8% intention to treat).

Conclusion: One-week triple therapy was effective for the eradication of H. pylori infection in children.

MeSH terms

  • Adolescent
  • Amoxicillin / administration & dosage
  • Amoxicillin / therapeutic use*
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Anti-Ulcer Agents / administration & dosage
  • Anti-Ulcer Agents / therapeutic use*
  • Biopsy
  • Breath Tests
  • Child
  • Child, Preschool
  • Clarithromycin / administration & dosage
  • Clarithromycin / therapeutic use*
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Endoscopy, Gastrointestinal
  • Female
  • Gastric Mucosa / pathology
  • Helicobacter Infections / drug therapy*
  • Helicobacter Infections / pathology
  • Humans
  • Male
  • Omeprazole / administration & dosage
  • Omeprazole / therapeutic use*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Anti-Ulcer Agents
  • Amoxicillin
  • Clarithromycin
  • Omeprazole