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Information Journal Paper

Title

THE EFFICACY OF LEVOFLOXACIN-BASED TRIPLE THERAPY FOR HELICOBACTER PYLORI ERADICATION AFTER FAILURE WITH CLARITHROMYCIN-CONTAINING REGIMENS

Pages

  261-265

Abstract

 Background:Clinical trials and meta-analyses have reported about 20% failure rates in first-line HELICOBACTER PYLORI (H. pylori) ERADICATION.This reflects the need for effective SECOND-LINE ERADICATION regimens.Materials and Methods:61 patients with H. pylori infection who had failed previous non-bismuth CLARITHROMYCIN-containing first line therapies entered thestudy. They were given a 14-day LEVOFLOXACIN-containing triple regimen consisted of pantoprazole 40 mg, amoxicillin 1gr, and LEVOFLOXACIN500mg, each given twice daily. Eight weeks after the treatment, H. pylori ERADICATION was assessed by 14C-urea breath test.Results:All patients completed the study. The ERADICATION rate was 91.8% (95% confidence interval = 84.9% – 98.6%) by both intentionto treat and per-protocol analyses. Side effects of therapy were reported by eight patients (13.1%), but they were severe in onlytwo patients (3.2%).Conclusion:According to the high H. pylori ERADICATION rate and the very low rate of severe adverse effects, LEVOFLOXACIN-containing tripletherapy seems to be a suitable SECOND-LINE option in case of previous failure by CLARITHROMYCIN-containing therapies. We suggestfurther studies with shorter duration of treatment or lower dose of LEVOFLOXACIN.

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    APA: Copy

    FAKHERI, HAFEZ, BARI, ZOHREH, TAGHVAEI, TARANG, HOSSEINI, VAHID, MALEKI, IRADJ, VALIZADEH, SEYED MOHAMMAD, & Kazemi, Arash. (2018). THE EFFICACY OF LEVOFLOXACIN-BASED TRIPLE THERAPY FOR HELICOBACTER PYLORI ERADICATION AFTER FAILURE WITH CLARITHROMYCIN-CONTAINING REGIMENS. GOVARESH JOURNAL, 22(4 ), 261-265. SID. https://sid.ir/paper/713858/en

    Vancouver: Copy

    FAKHERI HAFEZ, BARI ZOHREH, TAGHVAEI TARANG, HOSSEINI VAHID, MALEKI IRADJ, VALIZADEH SEYED MOHAMMAD, Kazemi Arash. THE EFFICACY OF LEVOFLOXACIN-BASED TRIPLE THERAPY FOR HELICOBACTER PYLORI ERADICATION AFTER FAILURE WITH CLARITHROMYCIN-CONTAINING REGIMENS. GOVARESH JOURNAL[Internet]. 2018;22(4 ):261-265. Available from: https://sid.ir/paper/713858/en

    IEEE: Copy

    HAFEZ FAKHERI, ZOHREH BARI, TARANG TAGHVAEI, VAHID HOSSEINI, IRADJ MALEKI, SEYED MOHAMMAD VALIZADEH, and Arash Kazemi, “THE EFFICACY OF LEVOFLOXACIN-BASED TRIPLE THERAPY FOR HELICOBACTER PYLORI ERADICATION AFTER FAILURE WITH CLARITHROMYCIN-CONTAINING REGIMENS,” GOVARESH JOURNAL, vol. 22, no. 4 , pp. 261–265, 2018, [Online]. Available: https://sid.ir/paper/713858/en

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