The Maastricht recommendations and their impact on general practice.

摘要: At a meeting organized in Maastricht by the European Helicobacter Pylori Study Group, consensus guidelines for treatment of Helicobacterpyloriwere established determining what relevant information from research could be translated into clinical practice. Many patients infected with H. pylori can diagnosed and treated primary care setting. Dyspeptic under 45 years age, no alarm symptoms or risk gastric oesophageal malignancy, tested non-invasively For diagnosis, validated non-invasive method is recommended, such as 13 C-urea breath test laboratory-based serology if properly region which it used. The strongly recommended that all peptic ulcer are eradication therapy. Patients over age those should referred hesitation to specialist After full consideration treatments used date, was proton-pump inhibitor-based triple therapy, consisting inhibitor two following : clarithromycin, nitroimidazole (metronidazole tinidazole) amoxycillin. evidence supporting use these therapies has been substantiated large trials were recently completed.