Adherence to Maastricht V/Florence consensus report for the management of Helicobacter pylori infection among primary care physicians and medical students in Croatia: A cross‐sectional study
- Resource Type
- Authors
- Doris Rusic; Jonatan Vukovic; Josko Bozic; Ana Šešelja Perišin; Josipa Bukic; Darko Modun; Dario Leskur; Ivana Jukić
- Source
- Helicobacter. 26
- Subject
- medicine.medical_specialty
Helicobacter pylori infection
Students, Medical
Croatia
Cross-sectional study
health care facilities, manpower, and services
education
Primary care
Asymptomatic
Physicians, Primary Care
Helicobacter Infections
03 medical and health sciences
0302 clinical medicine
Clarithromycin
health services administration
medicine
Humans
health care economics and organizations
Helicobacter pylori
biology
business.industry
Gastroenterology
Primary care physician
Amoxicillin
Proton Pump Inhibitors
General Medicine
H pylori infection
biology.organism_classification
Anti-Bacterial Agents
Cross-Sectional Studies
Infectious Diseases
030220 oncology & carcinogenesis
Family medicine
Drug Therapy, Combination
030211 gastroenterology & hepatology
Maastricht V/Florence consensus
medical students
primary care physician
questionnaire
treatment guidelines
medicine.symptom
business
Bismuth
medicine.drug
- Language
- ISSN
- 1523-5378
1083-4389
Background Helicobacter pylori (H pylori) eradication is becoming increasingly difficult. The aim of our study was to determine the knowledge of current guidelines and attitude in the diagnosis and treatment of H pylori infection in primary care physicians (PCPs) and medical students in Croatia. Materials and methods A study was conducted among PCPs and medical students to evaluate adherence to Maastricht V consensus guidelines. Questionnaire was distributed by e-mail to 2338 PCPs offices in Croatia and to the medical students from the University of Split School of Medicine. Responses were collected electronically from June 22 to August 22, 2020. Results Two hundred forty-nine PCPs and 169 medical students were included in the study. Bismuth or non-bismuth-based quadruple therapy as first-line treatment for H pylori was the choice of 4.8% of PCPs and 13% of students, while 66.3% PCPs and 79.9% students would choose clarithromycin-based triple therapy. Bismuth-based quadruple therapy was the most preferred second line of treatment for 45.4% of PCPs and 34.9% of students. Only 2.8% PCPs and 7.1% of students would correctly recommend first and second line of treatment for H. pylori infection. A larger proportion of students than PCPs would prefer C13-urea breath test (50.3% vs 6.4%). Only 59.0% PCPs would treat for H pylori in all patients including the asymptomatic ones. Students more frequently recognized the link between H pylori and gastric cancer compared with PCPs (92.9% vs 73.5%). Conclusions Primary care physicians and medical students' knowledge of H pylori guidelines are insufficient in Croatia and ask for additional training.