Title:Moxifloxacin Based Triple Therapy as Alternative to Standard Therapy in Helicobacter Pylori Eradication
Volume: 19
Issue: 3
Author(s): Mohammed H. Ahmed, Sherief Abd-Elsalam*Aya M. Mahrous
Affiliation:
- Department of Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta,Egypt
Keywords:
Helicobacter pylori, moxifloxacin, clarithromycin, Proton Pump Inhibitors (PPI), eradication, metronidazole.
Abstract:
Introduction: Helicobacter pylori eradication remains a problematic issue. We are in an
urgent need for finding a treatment regimen that achieves eradication at a low cost and with less
side effect. Recent published results have shown a high rate of resistance with clarithromycinbased
treatment regimens. The aim of the study was to compare moxifloxacin therapy and classic
clarithromycin triple therapy in H. pylori eradication.
Methods: This was a pilot study that enrolled 60 patients with helicobacter pylori associated gastritis.
Diagnosis was done by assessment of H. pylori Ag in the stool. The patients were randomly assigned
to receive either moxifloxacin based therapy (Group A), or clarithromycin based therapy
(Group B) for two weeks. We stopped the treatment for another two weeks and then re-evaluation
for cure was done.
Results: 90% of patients had negative H. pylori Ag in the stool after 2 weeks of stoppage of the
treatment in group A versus 66.7% in Group B. None of the patients in both the groups had major
side effects.
Conclusion: Moxifloxacin-based therapy showed higher eradication power and less resistance
when compared to clarithromycin triple therapy.
