Adherence to international guidelines for the management of<i>Helicobacter pylori</i>infection among gastroenterologists and gastroenterology fellows in Italy: A Survey of the Italian Federation of Digestive Diseases ‐ FISMAD

Zagari, Rocco Maurizio; Romano, Marco; Frazzoni, Leonardo; Marasco, Giovanni; Dajti, Elton; Arcidiacono, Paolo Giorgio; Armuzzi, Alessandro; Biagi, Federico; Cannizzaro, Renato; Cavestro, Giulia Martina; Ciacci, Carolina; Monica, Fabio; Peralta, Sergio; Radaelli, Franco; Bazzoli, Franco

doi:10.1111/hel.12862

Cited by 3 publications

(1 citation statement)

References 42 publications

(153 reference statements)

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“…However, these are challenging topics of interest that require further research in Jordan. A comparable study conducted in Italy found that Italian gastroenterologists adhere to international guidelines for the management of H. pylori infection [ 33 ]. The current study demonstrated unsatisfactory results regarding attitudes and practices among the Jordanian population, which is inconsistent with other studies done in the UAE and China [ 16 , 24 ], highlighting the pervasiveness of this global problem and the need to address it.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and Practices Regarding Helicobacter Pylori Infection Among the Public in Jordan: A Cross-Sectional Survey

Alaridah,

M. Joudeh,

F. Jarrar

et al. 2024

Cureus

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Background: Helicobacter pylori is a major infection that can cause a variety of complications, including stomach cancer and peptic ulcers. There is a scarcity of research on the awareness of H. pylori in the general population in Jordan. Because public awareness and behavioral changes are powerful tools in curbing transmission rates, this study evaluated Jordanians' beliefs and behaviors about H. pylori infection. Methods: The study was carried out in 2021 between May and July. Those who met the requirements for inclusion were asked to fill out a questionnaire through interviews. The questionnaire had three sections: sociodemographic data, participants’ attitudes regarding H. pylori infection, and daily practices that could affect H. pylori transmission. Results: Responses were collected from 767 participants, 50.7% were females, 65.8% were married, and 65.1% had a high educational level. Only 31.6% of the participants held a positive attitude. The female gender was significantly associated with better attitudes regarding H. pylori infection. One-third of the interviewed participants showed good practices. The female gender and being 50 years old and above were significantly associated with better practices. Conclusion: This study demonstrated that attitudes and practices regarding H. pylori infection in Jordan were unsatisfactory. Subsequently, public health efforts should be aimed at modifying those behaviors to decrease the disease burden.

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Section: Discussionmentioning

confidence: 99%

Attitudes and Practices Regarding Helicobacter Pylori Infection Among the Public in Jordan: A Cross-Sectional Survey

Alaridah,

M. Joudeh,

F. Jarrar

et al. 2024

Cureus

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Adherence to international guidelines for the management ofHelicobacter pyloriinfection among gastroenterologists and gastroenterology fellows in Italy: A Survey of the Italian Federation of Digestive Diseases ‐ FISMAD

et al. 2021

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Background Information on the management of Helicobacter (H.) pylori infection by gastroenterologists and gastroenterology fellows are scarce. We aimed to assess practice of gastroenterologists and gastroenterology fellows and their adherence to guidelines for diagnosis and treatment of H. pylori infection in Italy. Materials and Methods All gastroenterologists and gastroenterology fellows attending the National Congress of Digestive Diseases ‐ FISMAD were invited to fill‐in an on‐line questionnaire. The questionnaire included questions on the diagnosis and treatment of H. pylori infection. Results A total of 279 gastroenterologists and 61 gastroenterology fellows participated to the study. The 13C‐urea breath test was the most preferred method among gastroenterologists and fellows for the diagnosis of H. pylori infection (40.4% and 57.6%, respectively) and the confirmation of eradication (61.3% and 70%, respectively). Sequential therapy was the most preferred first‐line treatment of H. pylori for both gastroenterologists and gastroenterology fellows (31.8% and 44%, respectively), followed by bismuth quadruple therapy (31% and 27.6%, respectively) and clarithromycin triple therapy (26.8% and 22.4%, respectively). Only 30% of gastroenterologists and 38.5% of fellows used the clarithromycin triple therapy for the recommended duration of 14 days. Bismuth quadruple therapy was the most preferred second‐line therapy for both gastroenterologists and fellows. The majority of gastroenterologists and fellows would prefer an empirical therapy at third line (72.6% and 62.5%, respectively) and a susceptibility‐guided therapy at fourth line (46.7% and 71.4%, respectively). Conclusions Practices of gastroenterologists and gastroenterology fellows are in line with guidelines’ recommendations, apart for the first‐line treatment of H. pylori infection. Targeted educational interventions to improve adherence to guidelines are needed.

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Survey on the Knowledge and the Management of Helicobacter pylori Infection by Italian General Practitioners and Doctors in General Practice Training

Tosetti,

Ubaldi,

Benedetto

et al. 2024

Gastrointestinal Disorders

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The management of gastric Helicobacter pylori (H. pylori) infection represents a significant concern in primary healthcare. This survey evaluates the approaches, attitudes, and knowledge regarding gastric H. pylori infection among Italian general practitioners (GPs) and young doctors undergoing general practice training (ITGPs). The survey enrolled 466 GPs and 70 ITGPs. Among GPs, specialist recommendations and the Maastricht–Florence guidelines were frequently referenced sources, while ITGPs relied more on the Maastricht–Florence guidelines and internet resources. ITGPs demonstrated more proactive approaches than GPs in investigating and treating conditions such as gastric ulcers, atrophic gastritis, and iron-deficiency anemia. However, there was limited attention given to the role of H. pylori treatment in first-degree relatives of gastric cancer patients. The most used diagnostic methods were the urea breath test and fecal test. Triple therapy was the most frequently chosen initial treatment regimen, with quadruple bismuth therapy becoming the primary option after initial treatment failure, followed by quinolone therapy and concomitant therapy. This survey underscores a disparity between real-world practices and the recommendations outlined in current guidelines, indicating a need for improved understanding of H. pylori guidelines among both GPs and ITGPs.

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Adherence to international guidelines for the management ofHelicobacter pyloriinfection among gastroenterologists and gastroenterology fellows in Italy: A Survey of the Italian Federation of Digestive Diseases ‐ FISMAD

Cited by 3 publications

References 42 publications

Attitudes and Practices Regarding Helicobacter Pylori Infection Among the Public in Jordan: A Cross-Sectional Survey

Attitudes and Practices Regarding Helicobacter Pylori Infection Among the Public in Jordan: A Cross-Sectional Survey

Adherence to international guidelines for the management ofHelicobacter pyloriinfection among gastroenterologists and gastroenterology fellows in Italy: A Survey of the Italian Federation of Digestive Diseases ‐ FISMAD

Survey on the Knowledge and the Management of Helicobacter pylori Infection by Italian General Practitioners and Doctors in General Practice Training

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