Our findings suggest that obesity is associated with the risk of CDI. Further studies are needed to reveal the exact mechanisms underlying this association.
Summary
Background
The eradication rate of Helicobacter pylori with standard treatments are decreasing worldwide.
Aim
To determine whether adding simvastatin as adjuvant to triple regimen in patients with H. pylori infection will improve the eradication rate.
Methods
We conducted a double‐blind, placebo‐controlled, randomised clinical trial comparing a 7‐day, triple eradication regimen consisting of two antibiotics (clarithromycin 500 mg and amoxicillin 1 g, all twice per day) plus a proton pump inhibitor (omeprazole 20 mg twice daily) supplemented with simvastatin 20 mg (CAO + S) or a comparable placebo (CAO + P). Both the simvastatin and the placebo were taken orally twice daily for 1 week in 113 patients with H. pylori infection. The presence of H. pylori was determined by positive rapid urease test and histology. Eradication was confirmed by 13C‐urea breath test at least 1 month after treatment. Adverse effects were assessed by questionnaire.
Results
A total of 113 patients underwent randomisation. Intention‐to‐treat analysis (ITT; n = 113) eradication rates were: CAO + S (86%; 95% CI: 78–92%), CAO + P (69%; 95% CI: 64–74%). Per protocol analysis (PP; n = 108) eradication rates were: CAO + S (91%; 95% CI: 84–94%), CAO + P (72%; 95% CI: 65–78%). Eradication rates were higher with CAO + S than CAO + P in PP and ITT (P = 0.03, P = 0.04 respectively). No differences were demonstrated between the two groups concerning compliance or adverse effects.
Conclusion
In this randomised clinical trial simvastatin as adjuvant to standard therapy improves significantly the H. pylori eradication rate.
Statins reduce the 30-day in-hospital all-cause mortality of bacteraemic patients. Long-term statin use prior to the bacteraemia improves the survival of bacteraemic patients more than short-term statin use.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.