68 -12 (74) 2024 - Zakhidova M.Z. - ONCE AGAIN ABOUT HELICOBACTERIA: RECOMMENDATIONS OF THE MAASTRICHT VI/FLORENCE CONSENSUS ON THE TREATMENT OF HELICOBACTER PYLORI INFECTION

ONCE AGAIN ABOUT HELICOBACTERIA: RECOMMENDATIONS OF THE MAASTRICHT VI/FLORENCE CONSENSUS ON THE TREATMENT OF HELICOBACTER PYLORI INFECTION

Zakhidova M.Z. - Center for the Development of Professional Qualifications of Medical Workers under the Ministry of Health of the Republic of Uzbekistan

Resume

The new Maastricht VI/Florence Consensus clarifies a number of provisions that were previously under discussion. It has been postulated that Helicobacter pylori infection always causes gastritis, regardless of symptoms or complications. Before making a convincing diagnosis of functional dyspepsia, it is necessary to exclude Helicobacter’s gastritis. Some provisions of the consensus, such as the “test and treat” tactic, require elements of a critical attitude, taking into account Russian regional conditions. About 90% of stomach cancers are due to H. pylori. Eradication of H. pylori makes it possible to prevent gastric cancer at any age in adulthood, but the effectiveness of such cancer prevention decreases with age. Bismuth quadruple therapy is preferred in the eradication therapy algorithm. Decreased value of triple treatment with clarithromycin. There is a rapid increase in H. pylori resistance to fluoroquinolones. Triple therapy with rifabutin is called the final eradication protocol.

Keywords: Helicobacter pylori, proton pump inhibitors, eradication, triple therapy, bismuth quadruple therapy, resistance to antibiotics, antimicrobial drugs

First page

352

Last page

356

For citation:Zakhidova M.Z. - ONCE AGAIN ABOUT HELICOBACTERIA: RECOMMENDATIONS OF THE MAASTRICHT VI/FLORENCE CONSENSUS ON THE TREATMENT OF HELICOBACTER PYLORI INFECTION//New Day in Medicine 12(74)2024 352-356 https://https://newdayworldmedicine.com/en/new_day_medicine/12-74-2024

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