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[The physician's attitude towards infection by Helicobacter pylori in clinical practice]
Pedro Andrés Montes Teves1, Jaime Ismael Soria Medina, Zer Ima Gamarra Espinoza
1Medico SERUMS.
Aim:
To study the attitude of general practitioners and internists towards the infection with helicobacter pylori.
Methods Used:
Interviews were conducted among 170 physicians. Proportions were compared using the Z test.
Results:
Out of 170 interviewed, 152 questionnaires were completed correctly: 80.9% were general practitioners and 19% internists. All of the GPs and 84.6% of internists chose the oral-fecal as the route of transmission. Gastric ulcer was thought to be associated by 60.8% of GPs and 72.4% of internists. The least well known association was with MALT lymphoma (8.1%). Biopsy was reported as the best way to make diagnosis (54 and 72.4%). GPs reported they would treat recurring ulcers as Helicobacter pylori, while internists would treat them since the first episode. Sixty point 2 percent (60.2%) of GPs and 69% of internists are using inadequate schemes for treating Hp infections. The combination of omeprazol, amoxicillin, bismuth salts or clarithromycin was the most frequently used.
Conclusions:
Current knowledge regarding Helicobacter pylori infection among GPs and internists is not sufficiently understood.