Discrepancies between primary physician practice and treatment guidelines for Helicobacterpylori inf

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:wjsxyxjc
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AIM:To evaluate the attitude of primary care physiciansin the diagnosis and treatment of Helicobacter pylori(H pylori) infection.METHODS:Primary care physicians in the Seoulmetropolitan area answered self-administeredquestionnaire from January to March 2003.RESULTS:One hundred and eight doctors responded tothe questionnaire.The most frequent reasons for test-ing H pylori infection were gastric and duodenal ulcers(93.5% and 88.9%,respectively).For patients withHplori positive dyspepsia,28.7% of doctors always triedto eradicate the worm and 34.4% treated selectively.A large proportion (28.7%) of primary care physicianstreated H pylori on a patient’s request basis.Only 9.3%of primary care physicians always conducted follow-uptesting after treating H pylori infection.When H pyloriwas not cleared by the first treatment,40.7% of doctorsreused the same regimen,16.7% changed to anothertriple regimen and 25% to a quadruple regimen.CONCLUSION:It has been well documented that theissuance of guidelines alone has little impact on practice.Communication between primary care physicians andgastroenterologists in the form of continuous medicaleducation is required. AIM: To evaluate the attitude of primary care physicians in the diagnosis and treatment of Helicobacter pylori (H pylori) infection. METHODS: Primary care physicians in the Seoul metropolitan area answered self-administered question DNA from January to March 2003.RESULTS: One hundred and eight were answered by tothe questionnaire.The most frequent reasons for test-ing H pylori infection were gastric and duodenal ulcers (93.5% and 88.9%, respectively) .For patients with Hplori positive dyspepsia, 28.7% of the doctors always triedto eradicate the worm and 34.4% treated selectively. A large proportion (28.7%) of primary care physician staged H pylori on a patient’s request basis. Ofly 9.3% of primary care physicians always conducted follow-up testing after treating H pylori infection. Whilst H pylori was not cleared by the first treatment, 40.7% of doctorsreused the same regimen, 16.7% changed to anotheriple regimen and 25% to a quadruple regimen. CONCLUSION: It has been well documented that theissuance of guide lines alone has little impact on practice. Communication between primary care physicians and gastrotroenterologists in the form of continuous medicaleducation is required.
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