Journal of American College Health
Volume 64, Issue 5, 2016, Pages 404-408
Managing Helicobacter pylori in college health, with special considerations for international students (Article)
Hillard J.R.* ,
Kashup S.
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a
Department of Psychiatry, Michigan State University Colleges of Medicine, East Lansing, MI, United States
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b
Olin Student Health Center, Michigan State University, East Lansing, MI, United States
Abstract
Objective: 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. © 2016 Taylor & Francis.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84966712986&doi=10.1080%2f07448481.2015.1085053&partnerID=40&md5=088ded16a77c230cf25672f89ca3d13d
DOI: 10.1080/07448481.2015.1085053
ISSN: 07448481
Cited by: 1
Original Language: English