Knowledge and Practices of Helicobacter pylori Infection Management Among Physicians in Gansu Province, China: A Cross-Sectional Study

IF 4.3 2区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Helicobacter Pub Date : 2024-09-27 DOI:10.1111/hel.13137

Na Liu, Qian Luo, Lingzhu Gou, Xiping Shen, Dekui Zhang

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Abstract

Background and Aims

Physicians' knowledge and practices regarding the diagnosis, treatment, and follow-up of Helicobacter pylori (H. pylori) infection can impact the effectiveness of eradication therapy. This study aimed to investigate the current state of knowledge and practices concerning H. pylori infection management among physicians in Gansu Province, northwest China.

Materials and Methods

From October to November 2023, 557 physicians from 14 cities and prefectures in Gansu Province participated in this multicenter cross-sectional study and completed a survey questionnaire.

Results

A total of 519 valid questionnaires were collected. 43.2% of the physicians supported H. pylori screening for high-risk populations or individuals with H. pylori–related diseases. The awareness of target screening populations varied among these physicians, ranging from 69.6% to 98.2%. Most physicians preferred the urea breath test (UBT) as the method for diagnosing H. pylori infection (98.3%) and for follow-up after eradication therapy (98.5%). 89.6% of the physicians preferred bismuth-containing quadruple therapy for initial eradication, with amoxicillin and clarithromycin being the most commonly used antibiotic combination (56.3%). In addition, 84.6% of the physicians indicated that they would inquire about the antibiotic usage history for most patients before treatment, 93.8% would ask patients about their previous eradication history, and 94.2% would inform patients about treatment-related considerations. However, only 43.5%, 27.7%, and 29.7% of the physicians were aware of the high resistance rates of H. pylori to clarithromycin, levofloxacin, and metronidazole, respectively, in Gansu Province. Subgroup analysis revealed that the performance of gastroenterologists, nongastroenterologists, and physicians from different levels of hospitals differed in the diagnosis, treatment, and follow-up of H. pylori infection.

Conclusions

Knowledge and practices regarding H. pylori infection management among physicians in Gansu Province, China, need further improvement. Strengthening targeted continuing education to increase the overall management level of H. pylori infection is recommended.

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中国甘肃省医生对幽门螺杆菌感染管理的认识和实践：横断面研究

背景和目的医生对幽门螺杆菌（H. pylori）感染的诊断、治疗和随访方面的知识和实践会影响根除治疗的效果。本研究旨在调查中国西北部甘肃省医生对幽门螺杆菌感染管理的知识和实践现状。材料与方法 2023年10月至11月，来自甘肃省14个地市的557名医生参与了这项多中心横断面研究，并填写了调查问卷。结果共回收有效问卷 519 份。43.2%的医生支持对幽门螺杆菌高危人群或幽门螺杆菌相关疾病患者进行筛查。这些医生对目标筛查人群的了解程度各不相同，从 69.6% 到 98.2% 不等。大多数医生首选尿素呼气试验（UBT）作为诊断幽门螺杆菌感染的方法（98.3%）和根除治疗后的随访方法（98.5%）。89.6%的医生首选含铋四联疗法进行初始根除，阿莫西林和克拉霉素是最常用的抗生素组合（56.3%）。此外，84.6% 的医生表示会在治疗前询问大多数患者的抗生素使用史，93.8% 的医生会询问患者之前的根除史，94.2% 的医生会告知患者治疗相关注意事项。然而，只有 43.5%、27.7% 和 29.7% 的医生知道甘肃省幽门螺杆菌对克拉霉素、左氧氟沙星和甲硝唑的耐药率较高。分组分析显示，消化内科医生、非消化内科医生和不同级别医院的医生在幽门螺杆菌感染的诊断、治疗和随访方面的表现存在差异。结论中国甘肃省医生在幽门螺杆菌感染管理方面的知识和实践有待进一步提高。建议加强有针对性的继续教育，提高幽门螺杆菌感染的整体管理水平。

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来源期刊

Helicobacter 医学-微生物学

CiteScore

8.40

自引率

9.10%

发文量

审稿时长

2 months

期刊介绍： Helicobacter is edited by Professor David Y Graham. The editorial and peer review process is an independent process. Whenever there is a conflict of interest, the editor and editorial board will declare their interests and affiliations. Helicobacter recognises the critical role that has been established for Helicobacter pylori in peptic ulcer, gastric adenocarcinoma, and primary gastric lymphoma. As new helicobacter species are now regularly being discovered, Helicobacter covers the entire range of helicobacter research, increasing communication among the fields of gastroenterology; microbiology; vaccine development; laboratory animal science.