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  1. How do clinicians practicing in the U.S. manage Helicobacter pylori-related gastrointestinal diseases ? A comparison of primary care and specialist physicians.

    Article - En anglais


    We sought to examine the extent to which physicians recognize H. pylori as a causal agent in peptic ulcer disease or as a potential cofactor in other gastrointestinal diseases, and to observe how this knowledge has influenced diagnostic and therapeutic practices.


    We used a national mail survey in the U.S. between February and May of 1996, querying 5994 U.S. physicians (family/general practitioners [FPs], internists [IMs], and gastroenterologists) selected at random from three different membership databases of professional associations.


    The response rate was 52%. More than 95% of physicians who treat symptoms empirically would prescribe acid suppressant therapy rather than anti-H. pylori therapy.

    Between 43% and 66% of physicians, varying in frequency by medical specialty, would treat the infection in H. pylori-positive patients with nonulcer dyspepsia.

    In confirmed peptic ulcer disease, between 88% and 100% of physicians would treat the H. pylori infection, depending on the physician group and whether or not the presentation of an ulcer was recurrent.

    Although 103 distinct anti-H. pylori regimens were reported, 89% of the gastroenterologists and 70% of the primary care physicians (PCPs) used combinations of antimicrobials with reported cure rates of at least 80%. Conclusions : General knowledge regarding H. pylori-associated diseases was widespread among primary care physicians and gastroenterologists.

    However, anti-H. (...)

    Mots-clés Pascal : Bactériose, Infection, Helicobacter pylori, Spirillaceae, Spirillales, Bactérie, Gastrointestinal, Ulcère, Gastroduodénal, Pathogénie, Cofacteur, Connaissance, Médecin généraliste, Spécialité médicale, Résultat, Homme, Appareil digestif pathologie, Oesophage pathologie, Estomac pathologie, Intestin pathologie

    Mots-clés Pascal anglais : Bacteriosis, Infection, Helicobacter pylori, Spirillaceae, Spirillales, Bacteria, Gastrointestinal, Ulcer, Gastroduodenal, Pathogenesis, Cofactor, Knowledge, General practitioner, Medical specialty, Result, Human, Digestive diseases, Esophageal disease, Gastric disease, Intestinal disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0248450

    Code Inist : 002B30A01C. Création : 11/09/1998.