THE EFFICACY OF LEVOFLOXACIN CONTAINING QUADRUPLE THERAPY FOR THE FIRST-LINE TREATMENT OF HELICOBACTER PYLORI

Âu Thanh Thy Nguyễn , Thị Khánh Tường Trần

Main Article Content

Abstract

Background: Some domestic and foreign studies have shown high efficacy of levofloxacin containing quadruple therapy for the first-line treatment of H. pylori, especially in regions of high levofloxacin resisteance as in our country[4]. Currently, there are not many studies about efficacy of levofloxacin containing quadruple therapy for the first-line treatment of H. pylori infection. Objective: To determine H. pylori eradication rate of levofloxacin containing quadruple therapy and some factors related to the effectiveness of H. pylori eradication of this regimen. Method: The study was carried out on 164 patients infected with H. pylori has never been treated before. All patients received a levofloxacin containing quadruple therapy. Diagnosis of H. pylori infection by CLO-test or C13 urea-breath test. Four to twelve weeks after completion of therapy, H. pylori status was rechecked by CLO-test or C13 urea-breath test. Results: Eradication rates of levofloxacin containing quadruple therapy on per-protocol (PP) and intention to treat (ITT) is 89,4% and 87,2%. The eradication effect of the regimen is related to the cigarettes smoking and the patient’s compliance. Conclusion: The efficacy of levofloxacin containing quadruple therapy for the first-line treatment of H. pylori is high.

Article Details

References

1. Đặng Ngọc Quý Huệ, Trần Văn Huy và Nguyễn Thanh Hải (2016), "Viêm dạ dày mạn do Helicobacter Pylori: hiệu quả tiệt trừ của phác đồ bốn thuốc có bismuth (EBMT)", Tạp chí y dược học. 32, tr. 149-159.
2. Trần Thị Khánh Tường (2017), "Hiệu quả điều trị của phác đồ 4 thuốc có Bismuth trong điều trị nhiễm Helicobacter Pylori ", Tạp chí khoa học tiêu hóa Việt Nam. 49(IX), tr. 3067-3073.
3. Trần Thị Khánh Tường (2018), Hiệu quả của phác đồ 4 thuốc có levofloxacin cho bệnh nhân nhiễm Helicobacter pylori thất bại lần đầu với phác đồ 3 thuốc chuẩn, Trường Đại học Y khoa Phạm Ngọc Thạch, Hồ Chí Minh.
4. Trần Thị Khánh Tường (2020), "The Eradication Rate of Levofloxacin containing Quadruple therapy for the First-Line treatment of Helicobacter Pylori", Biomedical Journal of Scientific & Technical Research. 27(1).
5. P. Y. Chen và các cộng sự. (2016), "Systematic review with meta-analysis: the efficacy of levofloxacin triple therapy as the first- or second-line treatments of Helicobacter pylori infection", Aliment Pharmacol Ther. 44(5), tr. 427-37.
6. W. D. Chey và các cộng sự. (2017), "ACG Clinical Guideline: Treatment of Helicobacter pylori Infection", Am J Gastroenterol. 112(2), tr. 212-239.
7. J. Liao và các cộng sự. (2013), "Effect of fluoroquinolone resistance on 14-day levofloxacin triple and triple plus bismuth quadruple therapy", Helicobacter. 18(5), tr. 373-7.
8. P. Malfertheiner và các cộng sự. (2022), "Management of Helicobacter pylori infection: the Maastricht VI/Florence consensus report", Gut.
9. E. A. Marcus, G. Sachs và D. R. Scott (2015), "Colloidal bismuth subcitrate impedes proton entry into Helicobacter pylori and increases the efficacy of growth-dependent antibiotics", Aliment Pharmacol Ther. 42(7), tr. 922-33.
10. V. Stanghellini và các cộng sự. (2016), "Gastroduodenal Disorders", Gastroenterology. 150(6), tr. 1380-92.