Need ONE Response Per Each Discussion Total 3 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 100 Words, APA Format.One Reference Per Each Discussion

Idalmis Lopez

Florida National University

March 18, 2020

The recent guideline by the American College of the Gastroenterology (ACG) which was published provides the updated guideline for the treatment of the Helicobacter pylori infection. Two types of regimens focus on the management of the patient with the infection. The first-line therapy according to the recommendation by the ACG is the bismuth-based quadruple which contains the bismuth, tetracycline, metronidazole, and the PPI which is taken for two weeks (Randel, 2018).

When first-line therapy fails to help the patient improve, then the second regimen is recommended. Second-line therapy involves the use of concomitant therapy that involves the use of clarithromycin, amoxicillin, metronidazole, and the PPI for 10 to 14 days. This type of therapy is a clarithromycin triple therapy with the addition of the metronidazole (Randel, 2018).

The effectiveness of these drugs is depending on the proper assessment of the patients. Therefore, the physician needs to assess the patient and inquire whether the patient has been exposed to the macrolide antibiotic and whether the patient is allergic to penicillin. It is also important to consider the local antibiotic resistant pattern (Randel, 2018).

Patient education

The patient needs to be educated on the importance of revealing full details of the drugs that have been used in the past. This is important in the prevention of possible complications such as allergic reactions. It also helps in changing the medication in case the previously used failed to work effectively towards the healing of the patient. The patient is also taught on the importance of adherence to the full regimen to prevent the possibility of failure in the eradication of the bacteria as a result of the antibiotic-resistant. The patient is also taught to avoid alcoholic beverages since there is alcohol interaction with the metronidazole. The patient is also taught to avoid some foods such as spicy since they increase the survival of the bacteria i.e. the acidic environment for the bacteria in the stomach. Foods such as meat with high-fat content must also be avoided by the patient to help in self-care management during the treatment process (Myran & Zarbock, 2018).

References

Myran, L., & Zarbock, S. (2018). H. pylori Infection: ACG Updates Treatment Recommendations. Gastroenterology, 43 (4), 27-32. Randel, A. (2018). H. pylori Infection: ACG Updates Treatment Recommendations. American Family Physician, 97 (2), 135-137.