The diagnosis and treatment of Helicobacter pylori infection in Arctic regions with a high prevalence of infection: Expert Commentary.
Identifieur interne : 000173 ( Main/Exploration ); précédent : 000172; suivant : 000174The diagnosis and treatment of Helicobacter pylori infection in Arctic regions with a high prevalence of infection: Expert Commentary.
Auteurs : B J Mcmahon [États-Unis] ; M G Bruce [États-Unis] ; A. Koch [Danemark] ; K J Goodman [Canada] ; V. Tsukanov [Russie] ; G. Mulvad ; M L Borresen [Danemark] ; F. Sacco [États-Unis] ; D. Barrett [États-Unis] ; S. Westby [États-Unis] ; A J Parkinson [États-Unis]Source :
- Epidemiology and infection [ 1469-4409 ] ; 2016.
English descriptors
- KwdEn :
- Arctic Regions (epidemiology), Dyspepsia (diagnosis), Dyspepsia (drug therapy), Dyspepsia (microbiology), Guidelines as Topic, Helicobacter Infections (diagnosis), Helicobacter Infections (drug therapy), Helicobacter Infections (epidemiology), Helicobacter Infections (microbiology), Helicobacter pylori (physiology), Humans, Lymphoma, B-Cell, Marginal Zone (diagnosis), Lymphoma, B-Cell, Marginal Zone (drug therapy), Lymphoma, B-Cell, Marginal Zone (microbiology), Peptic Ulcer (diagnosis), Peptic Ulcer (drug therapy), Peptic Ulcer (microbiology), Prevalence.
- MESH :
- geographic , epidemiology : Arctic Regions.
- diagnosis : Dyspepsia, Helicobacter Infections, Lymphoma, B-Cell, Marginal Zone, Peptic Ulcer.
- drug therapy : Dyspepsia, Helicobacter Infections, Lymphoma, B-Cell, Marginal Zone, Peptic Ulcer.
- epidemiology : Helicobacter Infections.
- microbiology : Dyspepsia, Helicobacter Infections, Lymphoma, B-Cell, Marginal Zone, Peptic Ulcer.
- physiology : Helicobacter pylori.
- Guidelines as Topic, Humans, Prevalence.
Abstract
Helicobacter pylori infection is a major cause of peptic ulcer and is also associated with chronic gastritis, mucosa-associated lymphoid tissue (MALT) lymphoma, and adenocarcinoma of the stomach. Guidelines have been developed in the United States and Europe (areas with low prevalence) for the diagnosis and management of this infection, including the recommendation to 'test and treat' those with dyspepsia. A group of international experts performed a targeted literature review and formulated an expert opinion for evidenced-based benefits and harms for screening and treatment of H. pylori in high-prevalence countries. They concluded that in Arctic countries where H. pylori prevalence exceeds 60%, treatment of persons with H. pylori infection should be limited only to instances where there is strong evidence of direct benefit in reduction of morbidity and mortality, associated peptic ulcer disease and MALT lymphoma and that the test-and-treat strategy may not be beneficial for those with dyspepsia.
DOI: 10.1017/S0950268815001181
PubMed: 26094936
Affiliations:
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Tsukanov</name><affiliation wicri:level="1"><nlm:affiliation>Department of State Medical Research Institute for Northern Problems,Siberian Division of Russian Academy of Medical Sciences,Krasnoyarsk,Russia.</nlm:affiliation><country xml:lang="fr">Russie</country><wicri:regionArea>Department of State Medical Research Institute for Northern Problems,Siberian Division of Russian Academy of Medical Sciences,Krasnoyarsk</wicri:regionArea><wicri:noRegion>Krasnoyarsk</wicri:noRegion></affiliation></author><author><name sortKey="Mulvad, G" sort="Mulvad, G" uniqKey="Mulvad G" first="G" last="Mulvad">G. Mulvad</name><affiliation><nlm:affiliation>Primary Health Care Clinic,Nuuk,Greenland.</nlm:affiliation><wicri:noCountry code="subField">Greenland</wicri:noCountry></affiliation></author><author><name sortKey="Borresen, M L" sort="Borresen, M L" uniqKey="Borresen M" first="M L" last="Borresen">M L Borresen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Epidemiology Research,Statens Serum Institute,Copenhagen,Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Epidemiology Research,Statens Serum Institute,Copenhagen</wicri:regionArea><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Sacco, F" sort="Sacco, F" uniqKey="Sacco F" first="F" last="Sacco">F. Sacco</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Internal Medicine and Surgery,Alaska Native Tribal Health Consortium,Anchorage,AK,USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Internal Medicine and Surgery,Alaska Native Tribal Health Consortium,Anchorage,AK</wicri:regionArea><placeName><region type="state">Alaska</region></placeName></affiliation></author><author><name sortKey="Barrett, D" sort="Barrett, D" uniqKey="Barrett D" first="D" last="Barrett">D. 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Westby</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Internal Medicine and Surgery,Alaska Native Tribal Health Consortium,Anchorage,AK,USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Internal Medicine and Surgery,Alaska Native Tribal Health Consortium,Anchorage,AK</wicri:regionArea><placeName><region type="state">Alaska</region></placeName></affiliation></author><author><name sortKey="Parkinson, A J" sort="Parkinson, A J" uniqKey="Parkinson A" first="A J" last="Parkinson">A J Parkinson</name><affiliation wicri:level="2"><nlm:affiliation>Arctic Investigations Program,Division of Preparedness and Emerging Infections,National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention,Anchorage,AK,USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Arctic Investigations Program,Division of Preparedness and Emerging Infections,National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention,Anchorage,AK</wicri:regionArea><placeName><region type="state">Alaska</region></placeName></affiliation></author></analytic><series><title level="j">Epidemiology and infection</title><idno type="eISSN">1469-4409</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arctic Regions (epidemiology)</term><term>Dyspepsia (diagnosis)</term><term>Dyspepsia (drug therapy)</term><term>Dyspepsia (microbiology)</term><term>Guidelines as Topic</term><term>Helicobacter Infections (diagnosis)</term><term>Helicobacter Infections (drug therapy)</term><term>Helicobacter Infections (epidemiology)</term><term>Helicobacter Infections (microbiology)</term><term>Helicobacter pylori (physiology)</term><term>Humans</term><term>Lymphoma, B-Cell, Marginal Zone (diagnosis)</term><term>Lymphoma, B-Cell, Marginal Zone (drug therapy)</term><term>Lymphoma, B-Cell, Marginal Zone (microbiology)</term><term>Peptic Ulcer (diagnosis)</term><term>Peptic Ulcer (drug therapy)</term><term>Peptic Ulcer (microbiology)</term><term>Prevalence</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Arctic Regions</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dyspepsia</term><term>Helicobacter Infections</term><term>Lymphoma, B-Cell, Marginal Zone</term><term>Peptic Ulcer</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Dyspepsia</term><term>Helicobacter Infections</term><term>Lymphoma, B-Cell, Marginal Zone</term><term>Peptic Ulcer</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Helicobacter Infections</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Dyspepsia</term><term>Helicobacter Infections</term><term>Lymphoma, B-Cell, Marginal Zone</term><term>Peptic Ulcer</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Helicobacter pylori</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Guidelines as Topic</term><term>Humans</term><term>Prevalence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Helicobacter pylori infection is a major cause of peptic ulcer and is also associated with chronic gastritis, mucosa-associated lymphoid tissue (MALT) lymphoma, and adenocarcinoma of the stomach. Guidelines have been developed in the United States and Europe (areas with low prevalence) for the diagnosis and management of this infection, including the recommendation to 'test and treat' those with dyspepsia. A group of international experts performed a targeted literature review and formulated an expert opinion for evidenced-based benefits and harms for screening and treatment of H. pylori in high-prevalence countries. They concluded that in Arctic countries where H. pylori prevalence exceeds 60%, treatment of persons with H. pylori infection should be limited only to instances where there is strong evidence of direct benefit in reduction of morbidity and mortality, associated peptic ulcer disease and MALT lymphoma and that the test-and-treat strategy may not be beneficial for those with dyspepsia.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Danemark</li><li>Russie</li><li>États-Unis</li></country><region><li>Alaska</li><li>Hovedstaden</li></region><settlement><li>Copenhague</li></settlement></list><tree><noCountry><name sortKey="Mulvad, G" sort="Mulvad, G" uniqKey="Mulvad G" first="G" last="Mulvad">G. Mulvad</name></noCountry><country name="États-Unis"><region name="Alaska"><name sortKey="Mcmahon, B J" sort="Mcmahon, B J" uniqKey="Mcmahon B" first="B J" last="Mcmahon">B J Mcmahon</name></region><name sortKey="Barrett, D" sort="Barrett, D" uniqKey="Barrett D" first="D" last="Barrett">D. Barrett</name><name sortKey="Bruce, M G" sort="Bruce, M G" uniqKey="Bruce M" first="M G" last="Bruce">M G Bruce</name><name sortKey="Parkinson, A J" sort="Parkinson, A J" uniqKey="Parkinson A" first="A J" last="Parkinson">A J Parkinson</name><name sortKey="Sacco, F" sort="Sacco, F" uniqKey="Sacco F" first="F" last="Sacco">F. Sacco</name><name sortKey="Westby, S" sort="Westby, S" uniqKey="Westby S" first="S" last="Westby">S. Westby</name></country><country name="Danemark"><region name="Hovedstaden"><name sortKey="Koch, A" sort="Koch, A" uniqKey="Koch A" first="A" last="Koch">A. Koch</name></region><name sortKey="Borresen, M L" sort="Borresen, M L" uniqKey="Borresen M" first="M L" last="Borresen">M L Borresen</name></country><country name="Canada"><noRegion><name sortKey="Goodman, K J" sort="Goodman, K J" uniqKey="Goodman K" first="K J" last="Goodman">K J Goodman</name></noRegion></country><country name="Russie"><noRegion><name sortKey="Tsukanov, V" sort="Tsukanov, V" uniqKey="Tsukanov V" first="V" last="Tsukanov">V. Tsukanov</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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