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This study aimed at comparing the efficacy of nitazoxanide-based triple therapy versus standard triple therapy for eradication of Helicobacter pylori infection in children at a tertiary care hospital.
The findings could guide clinical practice and influence guidelines, improving the management of H. pylori infections in the pediatric population. Not much local data also exists comparing the effectiveness of adding nitazoxanide to the standard triple therapy in children with H. pylori infection. If nitazoxanide-based therapy proves superior, it could reduce the incidence of antibiotic resistance associated with standard triple therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NTZ-based group | Experimental | Children in NTZ-based group were given triple regimen, i.e., nitazoxanide, PPI, and clarithromycin for 14 days. |
|
| MTZ-based group | Experimental | Children in MTZ-based triple regimen received metronidazole, PPI, and clarithromycin for 14 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nitazoxanide | Drug | Children were given nitazoxanide, PPI, and clarithromycin for 14 days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Treatment efficacy | The patients were considered clinically cured if they had a negative H. pylori stool Ag test and were free of symptoms at 6 weeks after starting treatment, or otherwise failure was labeled. | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shumaila Waseem | Ziauddin University Karachi | Principal Investigator |
| Heena Raees, FCPS | Ziauddin University Karachi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ziauddin University Hospital | Karachi | Sindh | 74700 | Pakistan |
Data can be shared on a reasonable request.
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| ID | Term |
|---|---|
| C041747 | nitazoxanide |
| D008795 | Metronidazole |
| D017291 | Clarithromycin |
| ID | Term |
|---|---|
| D009593 | Nitroimidazoles |
| D009574 | Nitro Compounds |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
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| Metronidazole | Drug | Children received MTZ, PPI, and clarithromycin for 14 days. |
|
| PPI | Drug | Children were given omeprazole for 14 days. |
|
| Clarithromycin | Drug | Children were given clarithromycin for 14 days. |
|
| D001393 |
| Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D004917 | Erythromycin |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |