According to guidelines for the management of dyspepsia, the Americam College of Gastroenterology has recommended either test and treat for H.pylori or an empirical treatment with PPI.The test-and-treat strategy was preferred in populations with a moderate to high prevalence of H.pylori infection (_>10%). Therefore, our finding helps confirm Thai physician to continue choosing the test-and treat regimen in a facility with available resource.
To our knowledge,this study is one of the largest descriptive studies of H.pylori infection in Thai people with more than 3000 patients’ data reviewed. Since the data was from two years, whether the prevalence of H.pylori infection has been decreasing or not cannot be certain. In the future, it is interesting to conduct a study retrieving data from longer time period. By the way, we are well aware that our study method has some imitations including an inability to retrieve some information such as patients’ health behavior and concurrent medications around the same time of endoscopy. A prospective study of H. pylori infection and gastric disease or risk factors should be done to further investigate the relationship between them.
According to guidelines for the management of dyspepsia, the Americam College of Gastroenterology has recommended either test and treat for H.pylori or an empirical treatment with PPI.The test-and-treat strategy was preferred in populations with a moderate to high prevalence of H.pylori infection (_>10%). Therefore, our finding helps confirm Thai physician to continue choosing the test-and treat regimen in a facility with available resource.
To our knowledge,this study is one of the largest descriptive studies of H.pylori infection in Thai people with more than 3000 patients’ data reviewed. Since the data was from two years, whether the prevalence of H.pylori infection has been decreasing or not cannot be certain. In the future, it is interesting to conduct a study retrieving data from longer time period. By the way, we are well aware that our study method has some imitations including an inability to retrieve some information such as patients’ health behavior and concurrent medications around the same time of endoscopy. A prospective study of H. pylori infection and gastric disease or risk factors should be done to further investigate the relationship between them.
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