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Eradication of Helicobacter pylori infection in Hungary (1993-2002): a meta-analysis

Buzás GM

Orvosi hetilap, 2003

4 citations

Abstract

INTRODUCTION: Meta-analysis is a useful tool in obtaining sound data in evidence-based medicine. The guidelines of eradication have been proposed in the I. Maastricht consensus (1996), which was modified in 2000.

AIM OF STUDY: The scope of present paper is the meta-analysis of eradication studies performed in Hungary between 1993-2002.

METHODS: Articles/abstracts dealing with eradication, published in peer-reviewed Hungarian and international journals, meetings of the Hungarian Society of Gastroenterology and its Endoscopic Section and international congresses were identified from major databases and by manual search. The data were classified into groups based on eradication schedules, type of antibiotic used, and provenience of the study. The pooled eradication rates were calculated and compared with the international data.

RESULTS: The pooled eradication rate of proton pump inhibitor-based triple therapies was 82.9% (confidence interval: 72.1-93.7%); omeprazole, pantoprazole and lansoprazole-based therapies given b.i.d. were equally efficient. H2-blockers based triple combinations lasting 10-14 days obtained a pooled eradication rate of 86.3% (confidence interval: 72.2-99.8%), insignificantly higher (p = 0.07) than the rate obtained with proton pump inhibitors. Classical triple therapy's (bismuth + 2 antimicrobials) pooled eradication rate is significantly lower as that of proton pump inhibitor (p = 0.01) or H2 blocker-based combinations (p = 0.008). Clarithromycin,…

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