Knowledge, attitudes, and practice styles of North American pediatric gastroenterologists: Helicobacter pylori infection.
Knowledge, attitudes, and practice styles of North American pediatric gastroenterologists: Helicobacter pylori infection.
复制标题
北美儿科胃肠病学家的知识、态度和实践风格：幽门螺杆菌感染。
DOI：
10.1097/00005176-200302000-00015
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发表时间：
2003
影响因子：
2.9
通讯作者：
Gold,BenjaminD
中科院分区：
文献类型：
--
作者：
Chang,HowardY;Sharma,VirenderK;Howden,ColinW;Gold,BenjaminD
大多数幽门螺杆菌感染是在儿童时期获得的。北美儿科胃肠病学、肝病学和营养学会（NASPGHAN）最近发表了儿科H。幽门感染在这篇文章发表之前，作者进行了一项调查，以评估儿科胃肠病学家对H。方法514名NASPGHAN成员中的109名完成了基于互联网的关于H.结果82%的受访者进行了门诊H。幽门。其中，只有31%的国家限制对5岁以上的儿童进行检测。最受欢迎的H测试在指南推荐的条件下治疗幽门螺杆菌;有些人不会治疗感染的患者。97%的人会检测H。在新发十二指肠溃疡（DU）儿童中，幽门螺杆菌感染率为79%，在有DU病史的儿童中为79%，在新发胃溃疡儿童中为91%。然而，只有86%，60%和91%，分别将治疗H。pylori感染在这些条件下基于质子泵抑制剂（PPI）的三联方案是78%受访者的首选治疗。阿莫西林、克拉霉素、甲硝唑和四环素耐药率的正确估计值分别为10%、17%、43%和12%。86%的人认为对H的研究不足。结论北美儿科胃肠病学家似乎对H.幽门螺杆菌感染的儿童，尽管在调查时缺乏出版的指南。对抗生素耐药率的认识不足。大多数人提供了一些门诊H。pylori，并将测试患有溃疡病的儿童。然而，有些人不会根据阳性结果治疗患者。
ObjectiveMost Helicobacter pylori infections are acquired during childhood. The North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) recently published practice guidelines for managing pediatric H. pylori infection. Before this publication, the authors conducted a survey to assess pediatric gastroenterologists' knowledge and practices regarding H. pylori.MethodsOne hundred nine of 514 NASPGHAN members completed an Internet-based questionnaire on H. pylori infection.ResultsEighty-two percent of respondents performed outpatient testing for H. pylori. Of these, only 31% restricted testing to children aged> 5 years. Most recommended testing for H. pylori in guideline-recommended conditions; some would not treat infected patients. Ninety-seven percent would test for H. pylori in a child with new duodenal ulcer (DU), 79% in a child with a history of DU, and 91% in a child with new gastric ulcer. However, only 86%, 60%, and 91%, respectively, would treat H. pylori infection in those conditions. A proton pump inhibitor (PPI)-based triple regimen was the first-choice therapy for 78% of respondents. Correct estimates of rates of resistance to amoxicillin, clarithromycin, metronidazole, and tetracycline were 10%, 17%, 43%, and 12%, respectively. Eighty-six percent believed there was insufficient research on H. pylori in children.ConclusionsNorth American pediatric gastroenterologists seem well informed about H. pylori infection in children despite the lack of published guidelines at the time of survey. Knowledge about antibiotic resistance rates was deficient. Most offered some outpatient testing for H. pylori and would test children with ulcer disease. However, some would not treat patients based on a positive result.