Stellenbosch University - Scopus Tygerberg Hospital Publications
Permanent URI for this collection
Metadata of articles were exported on 14 May 2011 from Scopus. Full text to be attached and moved to relevant Research Articles Collections per Department - Inquiries: SUNScholar or Tel.: 021 808 9139/9046.
Browse
Browsing Stellenbosch University - Scopus Tygerberg Hospital Publications by Author "Abid, S."
Now showing 1 - 1 of 1
Results Per Page
Sort Options
- ItemTriple therapy with clarithromycin, omeprazole, and amoxicillin for eradication of Helicobacter pylori in duodenal ulcer patients in Asia and Africa(2000) Wong, B. C. Y.; Chang, F. Y.; Abid, S.; Abbas, Z.; Lin, B. R.; Van Rensburg, C.; Chen, P. C.; Schneider, H.; Simjee, A. E.; Hamid, S. S.; Seebaran, A.; Zhang, J.; Destefano, M.; Lam, S. K.Background: Studies assessing the efficacy of triple therapy containing clarithromycin and amoxicillin for the eradication of Helicobacter pylori infection and healing of duodenal ulcers in Asian and African countries are limited. Aim: To determine the efficacy and safety of 1-week triple therapy with omeprazole, amoxicillin and clarithromycin for eradicating H. pylori infection in patients with active duodenal ulcer living in Asian and African regions. Methods: This was an open-label, multicentre study in 11 centres in Asia and Africa. Patients with endoscopy-proven duodenal ulcer and who were H. pylori-positive were treated with clarithromycin 500 mg, omeprazole 20 mg, and amoxicillin 1000 mg, all given twice daily for 7 days. Upper endoscopy was repeated at week 6 to check for ulcer healing and H. pylori status. Results: A total of 117 patients were recruited. H. pylori eradication rates were 85% by per protocol analysis and 80% by intention-to-treat analysis. Ulcer healing was found in 94% of subjects (per protocol analysis). Clinical success, measured by change of pre-treatment ulcer symptoms, was strongly supported by complete resolution or improvement in 100% of the evaluable patients (per protocol analysis). Since treatment-related adverse events, when present, were largely mild or moderate, the triple therapy regimen was considered safe. Conclusion: Seven-day triple therapy with omeprazole, amoxicillin, and clarithromycin was efficacious for treating Asian and African patients with duodenal ulcer disease associated with H. pylori infection, and the treatment regimen was well-tolerated.