Gunaratne, Anoja W. published the artcileCombinations of antibiotics and vonoprazan for the treatment of Helicobacter pylori infections-Exploratory study, Computed Properties of 55981-09-4, the main research area is Helicobacter infection vonoprazan amoxicillin rifabutin levofloxacin drug safety; Helicobacter pylori ; antibiotics; potassium-competitive acid blockers; proton pump inhibitors; urea breath test.
Vonoprazan fumarate is a novel potassium-competitive acid blocker more effective in suppressing acid production than proton pump inhibitors (PPIs) and when combined with antibiotics has been used to eradicate Helicobacter pylori (H. pylori) infection. However, it has not yet been examined in an Australian setting. This study aimed to report on the efficacy and safety of vonoprazan-containing antibiotic combination therapies in the eradication of H. pylori. A single-center, exploratory, clin. review of patients 18 years or over, pos. for H. pylori on Urea Breath Test (UBT), and/or histopathol. who underwent a 10-day treatment of combination antibiotics plus vonoprazan between Jan. 2017 and Sept. 2019 was conducted. Eleven different combinations of antibiotics that included 2-5 different antibiotics predominantly amoxicillin, rifabutin, levofloxacin, furazolidone, nitazoxanide, and tetracycline were included. The eradication success was based on neg. UBT results and/or histopathol. results after the treatment. Descriptive statistics were summarized. One hundred and fifty-three patients (Female n = 74, 48%) with a pos. for H. pylori were treated with vonoprazan-containing antibiotic combination therapy during the study period. Of the 153 patients, 48 (31%) had previously failed a PPI-based H. pylori treatment. Follow-up was available for 66/153 (43%) patients. In those who completed follow-up, overall eradication was achieved in 97% (64/66) of patients. In the subgroup of patients treated for the first time, eradication was achieved in 100% (44/44). In those who had failed prior, non-vonoprazan-containing treatment, eradication was achieved in 91% (20/22) of patients. Vonoprazan-containing antibiotic therapy is an effective H. pylori eradication treatment. It is capable of achieving 100% efficacy in patients treated for the first time and even 91% efficacy in patients with previous eradication failure. Subsequent studies utilizing a factorial design will be needed to optimize each regimen as most regimens contained more than two antibiotics.
Helicobacter published new progress about Antibiotics. 55981-09-4 belongs to class esters-buliding-blocks, name is 2-((5-Nitrothiazol-2-yl)carbamoyl)phenyl acetate, and the molecular formula is C12H9N3O5S, Computed Properties of 55981-09-4.
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