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.
  • a Department of Psychiatry, Michigan State University Colleges of Medicine, East Lansing, MI, United States
  • 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.

Author Keywords

Dyspepsia International students Helicobacter

Index Keywords

complication human Peptic Ulcer statistics and numerical data Internationality health service Student Health Services international cooperation Stomach Neoplasms United States student Humans Universities university standards organization and management Dyspepsia Helicobacter Infections Helicobacter pylori Disease Management Students pathogenicity

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