medicina47巻10号

2010年10月発行

今月の主題 Helicobacter pylori―関連疾患と除菌療法のインパクト

特殊なH. pyloriの除菌療法

長期NSAIDs内服予定者の除菌について

著者： 辻晋吾¹

所属機関： ¹大阪船員保険病院内科

ページ範囲：P.1779 - P.1783

文献概要

ポイント

★高齢，消化性潰瘍の既往などのあるH. pylori感染者では，NSAIDs・低用量アスピリンの連用に先立ち除菌治療を行うことが望ましい．

★潰瘍の既往が不明なH. pylori感染者についても除菌治療がNSAIDs潰瘍の発症リスクを低減する報告がある．

★潰瘍既往歴のないH. pylori感染者に対しアスピリン連用に先立ち除菌を積極的に行うべき根拠は現時点ではない．

参考文献

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