TỶ LỆ VÀ KẾT QUẢ ĐIỀU TRỊ NHIỄM HELICOBACTER PYLORI Ở BỆNH NHÂN VIÊM LOÉT DẠ DÀY-TÁ TRÁNG KHÁM VÀ ĐIỀU TRỊ NGOẠI TRÚ TẠI BỆNH VIỆN ĐA KHOA TỈNH SÓC TRĂNG

Abstract

Background: Helicobacter Pylori (H.pylori) infection is one of the most common chronic bacterial infections in humans with peptic ulcer. Previous study showed that the rate of H.pylori positive through endoscopy to Test Urease quickly (Clotest) was 24.6%. Recent studies showed that the classic 3-drug regimen (OAC) was low effective. The alternative treatment of 4-drug regimens without bismuth was recommended. However, there are no studies evaluating the treatment results of this regimen. Objectives: Determine the rate of H.pylori infection in patients who were tested for Clotest through gastroduodenal endoscopy and assess the results of eradication treatment with a 4drug regimen without Bismuth. Materials and methods: Prospective descriptive study with 380 peptic ulcer patients treated as outpatients at Soc Trang General Hospital from June 2020 to May 2021. Results: Looking at a total of 380 patients participating in the study, we noted: The prevalence of H.pylori infection through endoscopy using Clotest test was 22.4%; The rate of successful eradication treatment is 88.24%. Conclusion: The prevalence of H.pylori infection through endoscopy in outpatients is relatively high, consistent with the epidemiological reports and the successful rate of treatment with a 4-drug regimen without bismuth that is still effective in Soc Trang.