PMID- 12197909 OWN - NLM STAT- MEDLINE DCOM- 20021125 LR - 20191106 IS - 1083-4389 (Print) IS - 1083-4389 (Linking) VI - 7 Suppl 1 DP - 2002 TI - Helicobacter pylori: the challenge in therapy. PG - 43-9 AB - For the therapeutic management of Helicobacter pylori infection, the Maastricht 2-2000 Consensus Report have introduced the concept of the 'treatment package' that considers first- and second-line eradication therapies together. According to this consensus statement, the first-line therapy for H. pylori eradication is a combination of the proton pump inhibitors (PPI) or ranitidine bismuth citrate (RBC) and claritromycin plus either amoxicillin or metronidazole. The second-line treatment is suggested to be PPI-quadruple therapy for a minimum of 7 days. If bismuth compounds are not available, PPI-based triple therapy will have to be used as a second-line treatment only after susceptibility testing. Since no considerable progress has been made during the past year in treatment regimens, there is still a need for new compounds that are specific for H. pylori, which could constitute future therapies. FAU - Bazzoli, Franco AU - Bazzoli F AD - 2nd Department of Internal Medicine and Gastroenterology, University of Bologna, Italy. bazzoli@alma.unibo.it FAU - Pozzato, Paolo AU - Pozzato P FAU - Rokkas, Theodore AU - Rokkas T LA - eng PT - Journal Article PT - Review PL - England TA - Helicobacter JT - Helicobacter JID - 9605411 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Ulcer Agents) RN - 0 (Macrolides) RN - 0 (Penicillins) SB - IM MH - Anti-Bacterial Agents/*therapeutic use MH - Anti-Ulcer Agents/therapeutic use MH - Drug Resistance, Bacterial MH - Drug Therapy, Combination MH - Helicobacter Infections/*drug therapy MH - *Helicobacter pylori MH - Humans MH - Macrolides MH - Penicillins/*therapeutic use RF - 51 EDAT- 2002/08/29 10:00 MHDA- 2002/11/26 04:00 CRDT- 2002/08/29 10:00 PHST- 2002/08/29 10:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2002/08/29 10:00 [entrez] AID - 007 [pii] AID - 10.1046/j.1523-5378.7.s1.7.x [doi] PST - ppublish SO - Helicobacter. 2002;7 Suppl 1:43-9. doi: 10.1046/j.1523-5378.7.s1.7.x.