Bir Kanıta Dayalı Tıp Uygulaması: Helicobacter Pylori Gastriti Tedavisinde Uygun Yaklaşım Nasıl Olmalı?

Abstract

ABSTRACT Introduction: Evidence-Based Medicine Program, which is a part of Phase III education program of Yüksek İhtisas University Faculty of Medicine, was held between 12.10.2021 and 16.11.2021 in six divided sessions, as a total of 13 hours. Material and Method: Our study group students, together with the facilitator lecturer, divided the work among ourselves for the problems of the case chosen and obtained literature information to find out the solution by using the evidence pyramid. Results: By working on the information obtained in the practice of evidence-based medicine, the students developed solutions for the problems of a patient diagnosed with Helicobacter pylori gastritis, who was given traditional triple therapy (clarithromycin, amoxicillin, lansoprazole) and had problems during the treatment. Conclusion: It was thought that the patient was not treated appropriately. Quadruple bismuth or dual amoxicillin therapy has been suggested. Proton pump inhibitor should be given bid and the patient should comply with the 14-day treatment period. In addition to drug treatment, probiotic supplement (Lactobacillus derivatives) may also be recommended to the patient. Keywords: Evidence-based medicine, Helicobacter pylori, gastritis, treatment, dietary supplement