Please use this identifier to cite or link to this item: https://space.mu.ac.zm/xmlui/handle/123456789/187
Title: Current global pespectives on the parmacotherapy of Helicobacter Pylori Infection: Therapeutic Implications for Sub-saharan Africa
Authors: Ezeale and Akapelwa, Christian C. Prof.
Keywords: Antibiotic resistance, global perspectives, H. pylori, prevalence, Sub-Saharan Africa, therapeutic guidelines
Issue Date: 2019
Series/Report no.: Medical Jouirnal of Zambia;Vol. 46 (3): 228 - 237
Abstract: Helicobacter pylori is associated with many clinical conditions including gastric and extra-gastric pathologies. Prevalence is high in most Sub-Saharan African countries where data is available. Its association with diseases is not fully established in the region. Due to emergence of antibiotic resistance, the conventional triple and quadruple therapies using proton pump inhibitors and antimicrobial agents are now obsolete. Many Western countries have revised their therapeutic guidelines with a common recommendation to determine prior patient exposure to antibiotics, determine local drug resistance patterns and eradication rates, use higher doses of proton pump inhibitors, and include bismuth sub-citrate if clarithromycin resistance is suspected. Sub-Saharan African countries lack data on these making it difficult to apply these recommendations. The countries in Sub-Saharan Africa need to recognize the growing clinical importance of H. pylori and initiate programs to determine its local epidemiology, drug resistance, and its association with diseases in the region. Collaborative effort is required to achieve these goals and establishment of regional reference laboratories for monitoring drug resistance may be helpful.
URI: https://space.mu.ac.zm/xmlui/handle/123456789/187
Appears in Collections:Internal Medicine

Files in This Item:
File Description SizeFormat 
Currentglobalperspectiveshp.pdfMain article147.41 kBAdobe PDFThumbnail
View/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.