Recent Trends in Tailored Treatments for Helicobacter pylori Infection

The efficacy of the standard triple eradication regimen for Helicobacter pylori (H. pylori) infection is gradually decreasing due to increased antibiotic resistance of H. pylori, which is represented by clarithromycin resistance. This is an important issue for clinicians. Tailored therapies for H. p...

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Main Authors: Hyungchul Park, Jeong Hoon Lee
Format: Article
Language:English
Published: Korean College of Helicobacter and Upper Gastrointestinal Research 2021-06-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://www.helicojournal.org/upload/pdf/kjhugr-2021-0005.pdf
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author Hyungchul Park
Jeong Hoon Lee
author_facet Hyungchul Park
Jeong Hoon Lee
author_sort Hyungchul Park
collection DOAJ
description The efficacy of the standard triple eradication regimen for Helicobacter pylori (H. pylori) infection is gradually decreasing due to increased antibiotic resistance of H. pylori, which is represented by clarithromycin resistance. This is an important issue for clinicians. Tailored therapies for H. pylori infection, including culture-based susceptibility testing and molecular methods detecting genetic mutations that increase resistance to antibiotics, have been introduced to overcome the high treatment failure rate of the standard triple regimen. The treatment results have been satisfactory. In addition to the H. pylori-related factors, the CYP2C19 gene polymorphism, in terms of host factors, affects the effectiveness of proton pump inhibitors. This article reviews the status of the tailored therapies for H. pylori infection along with the proven therapeutic effects and benefits of such treatments in Korea, where the resistance to antibiotics such as clarithromycin, metronidazole, and quinolone is prevalent.
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issn 1738-3331
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publisher Korean College of Helicobacter and Upper Gastrointestinal Research
record_format Article
series The Korean Journal of Helicobacter and Upper Gastrointestinal Research
spelling doaj-art-9b5e69328cf84128bcb7bc287eeee2162025-08-20T03:20:12ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312021-06-0121211512110.7704/kjhugr.2021.0005676Recent Trends in Tailored Treatments for Helicobacter pylori InfectionHyungchul Park0Jeong Hoon Lee1Department of Gastroenterology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaDepartment of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaThe efficacy of the standard triple eradication regimen for Helicobacter pylori (H. pylori) infection is gradually decreasing due to increased antibiotic resistance of H. pylori, which is represented by clarithromycin resistance. This is an important issue for clinicians. Tailored therapies for H. pylori infection, including culture-based susceptibility testing and molecular methods detecting genetic mutations that increase resistance to antibiotics, have been introduced to overcome the high treatment failure rate of the standard triple regimen. The treatment results have been satisfactory. In addition to the H. pylori-related factors, the CYP2C19 gene polymorphism, in terms of host factors, affects the effectiveness of proton pump inhibitors. This article reviews the status of the tailored therapies for H. pylori infection along with the proven therapeutic effects and benefits of such treatments in Korea, where the resistance to antibiotics such as clarithromycin, metronidazole, and quinolone is prevalent.http://www.helicojournal.org/upload/pdf/kjhugr-2021-0005.pdfdrug resistancetherapytherapeutics
spellingShingle Hyungchul Park
Jeong Hoon Lee
Recent Trends in Tailored Treatments for Helicobacter pylori Infection
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
drug resistance
therapy
therapeutics
title Recent Trends in Tailored Treatments for Helicobacter pylori Infection
title_full Recent Trends in Tailored Treatments for Helicobacter pylori Infection
title_fullStr Recent Trends in Tailored Treatments for Helicobacter pylori Infection
title_full_unstemmed Recent Trends in Tailored Treatments for Helicobacter pylori Infection
title_short Recent Trends in Tailored Treatments for Helicobacter pylori Infection
title_sort recent trends in tailored treatments for helicobacter pylori infection
topic drug resistance
therapy
therapeutics
url http://www.helicojournal.org/upload/pdf/kjhugr-2021-0005.pdf
work_keys_str_mv AT hyungchulpark recenttrendsintailoredtreatmentsforhelicobacterpyloriinfection
AT jeonghoonlee recenttrendsintailoredtreatmentsforhelicobacterpyloriinfection