Managing Helicobacter pylori in college health,with special considerations for international students |
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Authors: | James Randolph Hillard Suman Kashup |
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Institution: | 1. Department of Psychiatry, Michigan State University Colleges of Medicine, East Lansing, Michigan, USAjhillard@msu.edu;3. Olin Student Health Center, Michigan State University, East Lansing, Michigan, USA |
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Abstract: | ABSTRACTObjective: Helicobacter pylori infection is the major cause of dyspepsia, peptic ulcer disease, and gastric cancer. This paper will make specific recommendations for a diagnostic and treatment strategy tailored to the international student population. Participants/Methods: This paper is a case report and narrative review based on recent international epidemiologic studies and consensus conference recommendations identified in MEDLINE. Results: In the nations (mostly Asian) that send the largest number of students to the United States, the prevalence of H. pylori is generally 60% to 80%, whereas the prevalence in the United States is about 25%. The patterns of antibiotic resistance in those countries are also different than that in the general US population. Conclusions: Health care providers should have a higher index of suspicion for Helicobacter infection among international students with dyspepsia and need to use a different treatment regimen than is standard for the general US population. |
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Keywords: | Dyspepsia Helicobacter international students |
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