Volume 20, Number 3 (Scientific Journal of Hamadan University of Medical Sciences-Autumn 2013)                   Sci J Hamadan Univ Med Sci 2013, 20(3): 184-193 | Back to browse issues page


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Kaboli S A, Garmrudi B, Roshanaei G, Majlesi A, Khalilian A, Aghajanimir M S. Comparison of Sequential Regimen and Standard Therapy for Helicobacter pylori Eradication in Patients with Dyspepsia. Sci J Hamadan Univ Med Sci . 2013; 20 (3) :184-193
URL: http://sjh.umsha.ac.ir/article-1-123-en.html

Resident, Department of Internal Medicine, School of Medicine, Hamadan University of Medical Sciences & Health Services, Hamadan, Iran. , garmrudib@yahoo.com
Abstract:   (1244 Views)

Introduction & Objective: Some studies have reported successful eradication rates using se-quential therapy but more recent studies performed in Asia did not find a similar benefit. Due to inconsistencies in the comparison of standard triple drugs therapy and sequential regimen, in the previous researches we decided to compare these treatments in Persian patients.

Materials & Methods: This study is a randomized clinical trial, performed in one hundred and forty patients suffering from dyspepsia with indication for H. pylori eradication between No-vember 2010 and March 2012.Patients were randomized in two equal groups. The patients in the first group (standard) were treated by omeprazole capsule 20 mg BID, amoxicillin cap-sule 1 gr BID, clarithromycin tablet 500mg BID for 14 days while the patients in the second group (sequential) were treated by omeprazole capsule 20 mg for 10 days, amoxicillin cap-sule 1 gr BID for 5 days, then clarithromycin tablet 500 mg and tinidazole tablet 500 mg BID for other 5 days. 4-6 weeks after the treatment, we compared the eradication of H.pylori be-tween the two groups by urease breathe test with C14.

Results: H. pylori infection was successfully cured in 57/70 (81.43%) with a 10-day sequen-tial therapy, in 60/70 (85.75%) with the standard fourteen-day triple therapy, respectively.

Conclusion: We detected no significant differences between the 10-day sequential eradication therapy for H. pylori and 14-day standard triple treatment among the patients.

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Type of Study: Original | Subject: Special

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