Original articles

Investigation on mastery status of standardized diagnosis and treatment of Helicobacter pylori(Hp) infection in general practitioners in Pudong New Aera, Shanghai

Expand
  • 1. Department of General Practice, Huinan Community Health Severice Center of Pudong New District, Shanghai 201300, China
    2. Department of General Practice, Datuan Community Health Severice Center of Pudong New District, Shanghai 201311, China
    3. Department of Gerontology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2021-12-28

  Online published: 2022-08-17

Abstract

Objective: To investigate the mastery status of standard diagnosis and treatment of Helicobacter pylori (Hp) infection among general practitioners in Pudong New Area of Shanghai and its influencing factors. Methods: From January to May in 2021, 348 general practitioners from 24 community health service centers in Pudong New Area were selected by using stratified random sampling method. A self-made questionnaire (full score of 30) was used to investigate the general practitioners′ mastery of Hp infection diagnosis, treatment and prevention. According to the scores, they were divided into poor mastery group (0-10 points), moderate mastery group (11-20 points) and good mastery group (21-30 points), and the differences among the groups were compared. Results: A total of 320 valid questionnaires were collected in this survey, and the general practitioners′ mastery of standard diagnosis and treatment of Hp infection was at a high level, with an average score of 21.69. There were 116 people in the moderate mastery group, accounting for 36.25%, with an average score of 17.53 points. There were 204 people in the good mastery group, accounting for 63.75%, with an average score of 24.05 points, and 0 people in the poor mastery group. For diagnosis of current Hp infection, only 50.0% of general practitioners knew that fecal Hp antigen positive was one of diagnostic criteria, while 66.6% of general practi-tioners mistakenly believed that serum Hp antibody positive could be used for diagnosing Hp infection. In terms of indications for eradication treatment of Hp infection, only 41.9% of general practitioners believed that "confirmation of Hp infection" was the indication of eradication treatment. There were significant differences in educational background and working years between the moderate mastery group and the good mastery group. In terms of standardized treatment, fol-lowup and prevention of Hp infection, there were significant differences in other options between the two groups except for the choice of antibiotics (P<0.05). Logistic regression analysis showed that the working years was the influencing factors for the general practitioners′ mastery of the standardized diagnosis and treatment of Hp infection, which was inversely proportional to the mastery. Conclusions: The general practitioners in Pudong New Area do not have enough knowledge about the current infection of Hp and the indications of eradication treatment. It is necessary to strengthen the training on the indications of diagnosis and eradication treatment of Hp infection among all general practitioners, especially senior general practitioners.

Cite this article

RUAN Yufeng, HU Liping, CHEN Shirong, YIN Jun, SUN Jing . Investigation on mastery status of standardized diagnosis and treatment of Helicobacter pylori(Hp) infection in general practitioners in Pudong New Aera, Shanghai[J]. Journal of Diagnostics Concepts & Practice, 2022 , 21(03) : 399 -404 . DOI: 10.16150/j.1671-2870.2022.03.019

References

[1] 中华医学会, 中华医学会杂志社, 中华医学会全科医学分会, 等. 幽门螺杆菌感染基层诊疗指南(2019年)[J]. 中华全科医师杂志, 2020, 19(5):397-402.
[1] Chinese Medical Association, Journal of Chinese Medical Association, general medicine branch of Chinese Medical Association, et al. Guidelines for primary diagnosis and treatment of Helicobacter pylori infection (2019)[J]. Chin J Gen Pract, 2020, 19(5):397-402.
[2] Sugano K, Tack J, Kuipers EJ, et al. Kyoto global consensus report on Helicobacter pylori gastritis[J]. Gut, 2015, 64(9):1353-1367.
[3] Malfertheiner P, Megraud F, O′Morain CA, et al. Management of Helicobacter pylori infection-the Maastricht V/Florence Consensus Report[J]. Gut, 2017, 66(1):6-30.
[4] 中华医学会消化病学分会幽门螺杆菌和消化性溃疡学组, 全国幽门螺杆菌研究协作组, 刘文忠, 等. 第五次全国幽门螺杆菌感染处理共识报告[J]. 中国实用内科杂志, 2017, 37(6):509-524.
[4] Helicobacter pylori and peptic ulcer group of Gastroenterology branch of Chinese Medical Association, national Helicobacter pylori research cooperation group, Liu Wenzhong, et al. The fifth national consensus report on the treatment of Helicobacter pylori infection[J]. Chin J Pract Intern Med, 2017, 37(6):509-524.
[5] Song C, Xie C, Zhu Y, et al. Management of Helicobacter pylori infection by clinicians: A nationwide survey in a developing country[J]. Helicobacter, 2019, 24(6):e12656.
[6] 谢川, 祝荫. 重视基层医生对幽门螺杆菌感染的规范化诊治[J]. 中华全科医师杂志, 2020, 19(5):394-396.
[6] Xie C, Zhu Y. Standardized diagnosis and treatment of Helicobacter pylori infection by grass-roots doctors[J]Chin J Gen Pract, 2020, 19(5):394-396.
[7] Song Z, Chen Y, Lu H, et al. Diagnosis and treatment of Helicobacter pylori infection by physicians in China: A nationwide cross-sectional study[J]. Helicobacter, 2022:e12889.
[8] 国家消化系疾病临床医学研究中心(上海), 中华医学会健康管理学分会, 中华医学会核医学分会. 幽门螺杆菌-尿素呼气试验临床应用专家共识(2020年)[J]. 中华消化杂志, 2020, 40(12):797-802.
[8] National Center for clinical medicine of digestive disea-ses(Shanghai), health management branch of Chinese Medical Association, nuclear medicine branch of Chinese Medical Association. Expert consensus on clinical application of Helicobacter pylori urea breath test(2020)[J]. Chin J Digestion, 2020, 40 (12):797-802.
[9] 丁松泽. 重视全家庭幽门螺杆菌感染及相关胃黏膜癌前变的诊治管理和临研究[J]. 中华医学杂志, 2019(19):1446-1448.
[9] Ding SZ. Pay attention to the diagnosis, treatment, mana-gement and clinical research of Helicobacter pylori infection and related precancerous changes of gastric mucosa in the whole family[J]. Chin J Med, 2019(19):1446-1448.
[10] 国家消化系疾病临床医学研究中心上海, 国家消化道早癌防治中心联盟, 中华医学会消化病学分会幽门螺杆菌和消化性溃疡学组, 等. 中国居民家庭幽门螺杆菌感染的防控和管理专家共识(2021年)[J]. 中华消化杂志, 2021, 41(4):221-233.
[10] National Center for clinical medicine of digestive disea-ses (Shanghai), National Alliance of early cancer pre-vention and treatment centers of digestive tract, Helicobacter pylori and peptic ulcer group of Gastroenterology branch of Chinese Medical Association, et al. Expert consensus on prevention, control and management of Helicobacter pylori infection in Chinese households (2021)[J]. Chin J Digestion, 2021, 41(4):221-233.
[11] 谢川, 吕农华. 中国幽门螺杆菌感染的现状[J]. 疾病监测, 2018, 33(4):272-275.
[11] Xie C, Lu NH. Current situation of Helicobacter pylori infection in China[J]. Dis Surveill, 2018, 33(4):272-275.
Outlines

/