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. 2023 Aug-Sep;101(8-9):657-669.

Tunisian consensus on the management of Helicobacter Pylori infection

[Article in French]
Affiliations

Tunisian consensus on the management of Helicobacter Pylori infection

[Article in French]
Mouna Medhioub et al. Tunis Med. 2023 Aug-Sep.

Abstract

Helicobacter pylori infection is the most common infectious disease worldwide. It is associated with duodenal and gastric ulcer disease and the risk of gastric neoplasia. The management of helicobacter pylori infection currently represents a real challenge for clinicians, given the ever-increasing rate of resistance of Helicobacter pyolori to various antibiotics. In this consensus document, we present recommendations adapted to the Tunisian context, including indications for the detection of helicobacter pylori infection, indications for the use of different diagnostic methods, and a therapeutic strategy for the management of Helicobacter pylori infection.

L’infection à Helicobacter pylori est la maladie infectieuse la plus répondue dans le monde. Elle est associée à la maladie ulcéreuse duodénale et gastrique et au risque de survenue de néoplasie gastrique. La prise en charge de l’infection à Helicobacter pylori représente actuellement un vrai challenge pour le clinicien, vu la perpétuelle augmentation du taux de résistance de Helicobacter pylori aux différents antibiotiques. Nous présentons dans ce consensus, des recommandations adaptées au contexte tunisien des indications de la recherche de l’infection à Hélicobacter pylori, des indications de l’utilisation des différents moyens diagnostiques ainsi que la stratégie thérapeutique de la prise en charge de l’infection à Helicobacter pylori.

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Figures

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Figure 1. Stratégie empirique de l’éradication de H. pylori
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Figure 2. La stratégie thérapeutique guidée pour l’éradication de H. pylori sensible à la clarythromycine
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Figure 3. Stratégie thérapeutique guidée pour l’éradication de H. pylori resistant à la clarythromycine
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References

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