Helicobacter pylori eradication therapy for children.

Q2 Pharmacology, Toxicology and Pharmaceutics Drug metabolism and personalized therapy Pub Date : 2024-07-15 eCollection Date: 2024-06-01 DOI:10.1515/dmpt-2024-0029
Kairat Rysbekov, Sagira Abrakhmanova, Rashida Satybaeva, Yekaterina Starosvetova, Almagul Kushugulova
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Abstract

Objectives: The research aims to investigate the effect of vitamin D supplementation on the efficacy of Helicobacter pylori eradication therapy and to find new drug combinations for the eradication of the bacterium.

Methods: A total of 128 children participated in the research. They were distributed under the following criteria: group A were children who tested positive for H. pylori and were treated with the standard so-called triple therapy including vitamin D; group B were children who tested positive for H. pylori and received the standard triple therapy without including vitamin D in the treatment; and group C were children who tested negative for H. pylori. After endoscopic examination, additional venous blood samples were taken from the children to determine vitamin D levels. A controlled study was carried out 45 days after the initial treatment.

Results: The overall success rate of eradication therapy was 84.1 %. In group A, the success rate of treatment was 93.5 %, contrary to group B, where the success rate was 75 %. Although there was a difference in the percentage of H. pylori eradication therapy in the main group compared to the control group, there was no significant difference in group B. The success rate of eradication is p=0.082.

Conclusions: Following the research results, the addition of vitamin D to the standard triple therapy regimen for H. pylori had no effect. It can therefore be concluded that vitamin D does not significantly increase the efficacy of eradication therapy.

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儿童幽门螺旋杆菌根除疗法。
研究目的研究旨在探讨补充维生素 D 对幽门螺旋杆菌根除疗法疗效的影响,并寻找根除幽门螺旋杆菌的新药物组合:共有 128 名儿童参与研究。这些儿童按以下标准分配:A组为幽门螺杆菌检测呈阳性的儿童,接受包括维生素D在内的所谓标准三联疗法治疗;B组为幽门螺杆菌检测呈阳性的儿童,接受标准三联疗法治疗,但不包括维生素D;C组为幽门螺杆菌检测呈阴性的儿童。在进行内窥镜检查后,又从患儿身上抽取了静脉血样本,以测定维生素 D 的水平。初次治疗 45 天后进行了对照研究:结果:根除治疗的总成功率为 84.1%。A 组的治疗成功率为 93.5%,而 B 组的成功率为 75%。虽然与对照组相比,主治组的幽门螺杆菌根除治疗比例有差异,但 B 组的根除成功率没有明显差异,P=0.082.结论:根据研究结果,在幽门螺杆菌标准三联疗法方案中添加维生素 D 没有效果。因此可以得出结论,维生素 D 并不能显著提高根除疗法的疗效。
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来源期刊
Drug metabolism and personalized therapy
Drug metabolism and personalized therapy Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)
CiteScore
2.30
自引率
0.00%
发文量
35
期刊介绍: Drug Metabolism and Personalized Therapy (DMPT) is a peer-reviewed journal, and is abstracted/indexed in relevant major Abstracting Services. It provides up-to-date research articles, reviews and opinion papers in the wide field of drug metabolism research, covering established, new and potential drugs, environmentally toxic chemicals, the mechanisms by which drugs may interact with each other and with biological systems, and the pharmacological and toxicological consequences of these interactions and drug metabolism and excretion. Topics: drug metabolizing enzymes, pharmacogenetics and pharmacogenomics, biochemical pharmacology, molecular pathology, clinical pharmacology, pharmacokinetics and drug-drug interactions, immunopharmacology, neuropsychopharmacology.
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