PMID- 9764044 OWN - NLM STAT- MEDLINE DCOM- 19981013 LR - 20201209 IS - 0017-5749 (Print) IS - 1458-3288 (Electronic) IS - 0017-5749 (Linking) VI - 43 Suppl 1 IP - Suppl 1 DP - 1998 Jul TI - The European meeting on Helicobacter pylori: therapeutic news from Lisbon. PG - S66-9 AB - The current standard of Helicobacter pylori treatment has been confirmed by the studies presented at the Lisbon workshop--that is, one of three one week proton pump inhibitor (PPI) based triple therapies comprising a twice daily standard dose of a PPI in combination with two of the following antimicrobial agents: clarithromycin, amoxycillin, or a nitromidazole. This standard of treatment is also highly efficacious and cost-effective in routine community practice. The current data confirm the equivalence of ranitidine bismuth citrate to PPI, and of azithromycin to clarithromycin. The optimum dose for azithromycin has not yet been defined. There is some evidence that in certain regions treatment for more than one week may be advantageous. The reasons are still not clear. However, microbial resistance may be one important factor, as it has a substantial effect on treatment outcome and the prevalence of resistance varies considerably in different areas. The negative impact of resistance is increased by shortening the treatment time. At present, there is no general necessity to test for resistance before treatment. However, before selection of a second line treatment, testing for resistance is recommended. FAU - Peitz, U AU - Peitz U AD - Department of Gastroenterology, Hepatology and Infectiology, Otto-von Guericke-University Magdeburg, Germany. FAU - Menegatti, M AU - Menegatti M FAU - Vaira, D AU - Vaira D FAU - Malfertheiner, P AU - Malfertheiner P LA - eng PT - Congress PL - England TA - Gut JT - Gut JID - 2985108R RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Ulcer Agents) RN - 0 (Organometallic Compounds) RN - 0 (Proton Pump Inhibitors) RN - 884KT10YB7 (Ranitidine) RN - HS813P8QPX (bismuth tripotassium dicitrate) RN - U015TT5I8H (Bismuth) SB - IM MH - *Anti-Bacterial Agents MH - Anti-Ulcer Agents/therapeutic use MH - Bismuth/therapeutic use MH - Clinical Trials as Topic MH - Drug Therapy, Combination/*therapeutic use MH - Gastritis/drug therapy/*microbiology MH - Helicobacter Infections/*drug therapy MH - *Helicobacter pylori MH - Humans MH - Organometallic Compounds/therapeutic use MH - Portugal MH - *Proton Pump Inhibitors MH - Ranitidine/*therapeutic use PMC - PMC1766600 EDAT- 1998/10/09 00:00 MHDA- 1998/10/09 00:01 PMCR- 2001/07/01 CRDT- 1998/10/09 00:00 PHST- 1998/10/09 00:00 [pubmed] PHST- 1998/10/09 00:01 [medline] PHST- 1998/10/09 00:00 [entrez] PHST- 2001/07/01 00:00 [pmc-release] AID - 10.1136/gut.43.2008.s66 [doi] PST - ppublish SO - Gut. 1998 Jul;43 Suppl 1(Suppl 1):S66-9. doi: 10.1136/gut.43.2008.s66.