Cognition And Application Of Helicobacter Pylori Infection Among Medical Specialist In Anhui

Objective:To survey the cognition and application of Helicobacter pylori(Hp)infection among medical specialist in Anhui.Methods:A questionnaire survey was conducted among 1200 medical specialist in Anhui,including 281 gastroenterologists(GI),588 general practitioners(GP),and 256 gastroenterology nurses(GN),from May 2018 to October 2018.The questionnaire was designed according to the Fifth Helicobacter Pylori Infection Treatment Consensus Report of China(the Consensus).There were 5 parts and31 questions in the questionnaire,including the knowledge and performance of the Consensus(9 questions),the indications of Hp eradication(6 questions),detection methods of Hp infection(8 questions),the therapy of Hp eradication(5 questions)and how to treat the screening and negative effects of Hp eradication therapy(3 questions).The questionnaires were sent out face to face and checked by data processing personnel for statistical analysis.Results:Total 1125 valid questionnaires were received with a response rate of93.8%(1125/1200).The awareness rate of the Consensus in GI,GP and GN groups was 80.4%(226/281),55.9%(329/588)and27.3%(70/256),respectively(?~2=152.956,P=0.000).Confirmed Hp infection,peptic ulcer,family history of gastric cancer,post-resection or subtotal resection of the stomach patients of early gastric cancer,chronic gastritis with gastric mucosal atrophy and erosion,gastric mucosa-associated lymphoid malignancies and others were more recognized as Hp eradication indications(all P<0.05).91.1%(256/281)GI,68.2%(401/588)GP and 67.2%(172/256)GN groups considered that�confirmed Hp infection�was the indications of Hp eradication therapy,respectively(?~2=72.021,P=0.000).The most commonly used detection methods is C~144 or C~133 urea breathing test,98.9%(278/281)GI,47.8%(281/588)GP and 82.8%(212/256)GN groups,respectively(?~2=261.950,P=0.000).In part of HP eradication therapy the response of GI,GP and GN groups in recommended bismuth quadru ple therapy were 72.2%(203/281),45.9%(270/588)and 40.2%(103/256),respect ively(?~2=68.681,P=0.000).70.8%(199/281)GI,45.2%(266/588)GP and 41.4%(106/256)GN groups recommended the implementation of Hp�screening a nd treatment�strategy in areas with high incidence of gastric cancer,respectively(?~2=61.368,P=0.000).20.6%(58/281)GI,50.9%(299/588)GP and39.5%(101/256)GN groups were scrupulous of eradicating the negative effects of Hp in clinical diagnosis and treatment,respectively(?~2=72.108,P=0.000).Conclusion:The fifth consensus has not been fully applied to the clinical diagnosis and treatment by medical specialist in Anhui Province.There is still a certain gap between practice and consensus.Gastroenterologists are more likely to adhere with the Consensus than general practitioners and gastroenterological nurses in the management of Hp infection.We need to further strengthen the learning and training of medical specialist on consensus.