BMJ  2004;328 (13 March), doi:10.1136/bmj.328.7440.0-f

Filler

POEM*

One day treatment is as effective as seven to eradicate H pylori

The first 150 words of the full text of this article appear below.

Question Is a one day treatment of Helicobacter pylori as effective as a seven day regimen in patients with dyspepsia?

Synopsis The researchers recruited 160 adult patients with dyspepsia scoring 3 or higher (of a possible 20) on the Glasgow dyspepsia severity score (GDSS) and with a positive urea breath test (signifying the presence of H pylori). Patients were randomised to receive either a four drug cocktail for one day or treatment with three drugs for seven days. Allocation may not have been concealed from the enrolling researcher (patients randomised to receive the seven day treatment were an average seven years older than the other patients and less likely to smoke). The one day regimen consisted of two tablets of 262 mg bismuth subsalicylate (Pepto-Bismol), 500 mg metronidazole (Flagyl), and 2 g amoxicillin (suspension), all taken four times over the course of the day, along with 60 mg lansoprazole . . . [Full text of this article]


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