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MINERVA GASTROENTEROLOGICA E DIETOLOGICA
A Journal on Gastroenterology, Nutrition and Dietetics
Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index
FIRST WORKSHOP ON HELICOBACTER PYLORI
Minerva Gastroenterologica e Dietologica 2002 June;48(2):155-8
Impact of urea breath test (UBT) in the management of H. pylori infection in a primary care setting
Lombardo L., Lavagna A., Crocellà L., Masoero G., Della Monica P., Pera A.
Background. Aim of the present study was to evaluate the use of UBT in a primary care setting.
Methods. From September 1998 to July 1999 we studied 2810 consecutive patients, referred to the Department of Gastroenterology, Mauriziano Hospital, Torino. A structured questionnaire was used to record information on demographic characteristics and clinical history. 13C-UBT was performed by means of isotope ratio mass spectrometer.
Results. The results shown that: 1) the main indication to perform UBT was the evaluation of treatment success (72% of cases); 2) in patients aged less than 45 years and never assessed before for H. pylori infection, UBT was used as first line procedure in 68% of cases: this finding stand for an initial adoption of the ''test and treat'' strategy; 3) first line H. pylori eradication therapies reflect international guidelines.
Conclusions. The effectiveness of therapeutic regimens results to be decreased when translated into routine clinical practice.