Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?

Compliance with therapy is the single most important factor in Helicobacter pylori (H. pylori) eradication. Poorer levels of compliance with therapy are associated with significantly lower levels of eradication. Numerous factors can contribute to achieving good levels of compliance. These include th...

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Main Authors: John P. Anthony O'Connor, Ikue Taneike, Colm O'Morain
Format: Article
Language:English
Published: SAGE Publishing 2009-09-01
Series:Therapeutic Advances in Gastroenterology
Online Access:https://doi.org/10.1177/1756283X09337342
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author John P. Anthony O'Connor
Ikue Taneike
Colm O'Morain
author_facet John P. Anthony O'Connor
Ikue Taneike
Colm O'Morain
author_sort John P. Anthony O'Connor
collection DOAJ
description Compliance with therapy is the single most important factor in Helicobacter pylori (H. pylori) eradication. Poorer levels of compliance with therapy are associated with significantly lower levels of eradication. Numerous factors can contribute to achieving good levels of compliance. These include the complexity and duration of treatment. It is also important that the physician is motivated to ensure eradication is confirmed and the patient is sufficiently informed to empower him or her to achieve high levels of compliance. Compliance is also contingent on medication regimes that are simple, safe, tolerable and efficacious. The opportunity to improve compliance exists at every point of contact between the patient and the medical services. Experts and opinion leaders in the field can play a role by ensuring that physicians are educated and motivated enough to encourage and support compliance with H. pylori eradication therapy. Both patients and physicians need to be aware of the importance of the bacterium in causing disease. The importance of the doctor—patient relationship is paramount. Pragmatic strategies that may be of assistance may come in the form of polypills, combined Blister Packs, adjuvant therapies and modified release compounds. Colleagues such as pharmacists and nurse specialists can also play an important role and should be actively engaged. Structured aftercare and follow up offers the best chance for ensuring compliance and subsequent eradication of the H. pylori pathogen.
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spelling doaj.art-1f654e5636904896aa08ada66c49459c2022-12-21T18:21:53ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-283X2009-09-01210.1177/1756283X09337342Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?John P. Anthony O'ConnorIkue TaneikeColm O'MorainCompliance with therapy is the single most important factor in Helicobacter pylori (H. pylori) eradication. Poorer levels of compliance with therapy are associated with significantly lower levels of eradication. Numerous factors can contribute to achieving good levels of compliance. These include the complexity and duration of treatment. It is also important that the physician is motivated to ensure eradication is confirmed and the patient is sufficiently informed to empower him or her to achieve high levels of compliance. Compliance is also contingent on medication regimes that are simple, safe, tolerable and efficacious. The opportunity to improve compliance exists at every point of contact between the patient and the medical services. Experts and opinion leaders in the field can play a role by ensuring that physicians are educated and motivated enough to encourage and support compliance with H. pylori eradication therapy. Both patients and physicians need to be aware of the importance of the bacterium in causing disease. The importance of the doctor—patient relationship is paramount. Pragmatic strategies that may be of assistance may come in the form of polypills, combined Blister Packs, adjuvant therapies and modified release compounds. Colleagues such as pharmacists and nurse specialists can also play an important role and should be actively engaged. Structured aftercare and follow up offers the best chance for ensuring compliance and subsequent eradication of the H. pylori pathogen.https://doi.org/10.1177/1756283X09337342
spellingShingle John P. Anthony O'Connor
Ikue Taneike
Colm O'Morain
Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?
Therapeutic Advances in Gastroenterology
title Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?
title_full Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?
title_fullStr Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?
title_full_unstemmed Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?
title_short Review: Improving compliance with Helicobacter pylori eradication therapy: when and how?
title_sort review improving compliance with helicobacter pylori eradication therapy when and how
url https://doi.org/10.1177/1756283X09337342
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