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ACCUSTOMING TO HELICOBACTER PYLORI BACTERIUM IN FAMILY PRACTICE

MARIJA VRCA BOTICA ; Sveučilište u Zagrebu, Medicinski fakultet, Škola narodnog zdravlja „Andrija Štampar“, Katedra obiteljske medicine, Zagreb, Hrvatska
INES ZELIĆ ; Specijalistička ordinacija obiteljske medicine, Bukovje, Hrvatska
IVA BOROVEČKI ŽUTI ; Dom zdravlja Zagrebačke županije, Zagreb, Hrvatska
IVA BOTICA ; Klinički bolnički centar Zagreb, Zagreb, Hrvatska
ANJA GAČINA ; Dom zdravlja Zagrebačke županije, Zagreb, Hrvatska
DIJANA HARALOVIĆ ; Dom zdravlja Zagrebačke županije, Zagreb, Hrvatska

Sažetak

Today, antibiotic resistance of Helicobacter pylori (HP) is a worldwide problem. The ‘test and treat’ strategy is the recommended approach in family medicine, as family medicine doctors make decisions on treating gastrointestinal conditions without endoscopic fi ndings or HP testing. In treatment strategy, family medicine doctor has to answer several questions: whether the patient has HP infection, is it necessary to evaluate HP infection, which diagnostic test to use in evaluation of HP infection, should he proscribe antibiotic, and which antibiotic to prescribe. In this article, we present three common clinical cases to determine which approach to use in daily practice: dyspepsia, gastroesophageal refl ux disease (GERD), and extragastric diseases associated with HP infection. Serology test, stool antigen test and urea breath test are described. It is required from family medicine doctors not only to rationalize antibiotic prescription but also to eradicate HP infection at the same time. We need to have in mind that disease is a result of the host-agent (bacterium) interaction that varies in time and possible damage/impairment from the disease.

Ključne riječi

Helicobacter pylori; antibiotic resistance; test; treatment

Hrčak ID:

154185

URI

https://hrcak.srce.hr/154185

Datum izdavanja:

12.3.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 9.127 *