PMID- 21600165 OWN - NLM STAT- MEDLINE DCOM- 20111128 LR - 20201209 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 91 IP - 12 DP - 2011 Mar 29 TI - [Effect of furazolidone quadruple regimen plus dental plaque removal procedures as rescue treatment of refractory Helicobacter pylori infection]. PG - 836-9 AB - OBJECTIVE: To observe the effect of furazolidone quadruple regimen plus dental plaque removal procedures as rescue treatment of refractory H. pylori infection. METHODS: A total of 104 patients with H. pylori positive [(13)C-urea breath test (UBT) or rapid urease test positive] failing in previous treatment two or more were enrolled and divided into 2 groups. One group (n = 64) were given quadruple regimen [proton pump inhibitor (PPI) + bismuth + amoxicillin + furazolidone, 10 days] treatment and dental plaque removal treatment. And the others (n = 40) received only quadruple regimen treatment. The status of H. pylori was detected by (13)C-UBT at 4 weeks post-therapy and the eradication rates of two groups were compared. RESULTS: The eradication rate of quadruple regimen + dental treatment group was 85.9% (55/64) while that of the other group 72.5% (29/40) (P = 0.091). CONCLUSION: The PPI + bismuth quadruple regimen plus dental plaque removal procedures as rescue treatment may boost the eradication rate of refractory H. pylori infection patients. And the furazolidone quadruple therapy can be chosen for the treatment of refractory H. pylori infection. Oral H. pylori infection may play a role in the failure of H. pylori infection treatment. FAU - Gao, Wen AU - Gao W AD - Department of Gastroenterology, Peking University First Hospital, Beijing 100034, China. FAU - Hu, Fu-lian AU - Hu FL FAU - Wang, Xiao-min AU - Wang XM LA - chi PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Antacids) RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Ulcer Agents) RN - 5J9CPU3RE0 (Furazolidone) RN - 804826J2HU (Amoxicillin) RN - U015TT5I8H (Bismuth) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Amoxicillin/therapeutic use MH - Antacids/therapeutic use MH - Anti-Bacterial Agents/*therapeutic use MH - Anti-Ulcer Agents/therapeutic use MH - Bismuth/therapeutic use MH - Dental Plaque/*microbiology/*therapy MH - Drug Therapy, Combination MH - Female MH - Furazolidone/administration & dosage/*therapeutic use MH - Helicobacter Infections/*drug therapy MH - Helicobacter pylori/drug effects MH - Humans MH - Male MH - Middle Aged MH - Treatment Failure MH - Young Adult EDAT- 2011/05/24 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/05/24 06:00 PHST- 2011/05/24 06:00 [entrez] PHST- 2011/05/24 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2011 Mar 29;91(12):836-9.