Chinese Consensus Report on Family-BasedHelicobacter
pyloriInfection Control and Management (2021 Edition)
Author:
Ding Song-ZeORCID, Du Yi-QiORCID, Lu HongORCID, Wang Wei-HongORCID, Cheng Hong, Chen Shi-Yao, Chen Min-Hu, Chen Wei-Chang, Chen Ye, Fang Jing-YuanORCID, Gao Heng-Jun, Guo Ming-ZhouORCID, Han Ying, Hou Xiao-HuaORCID, Hu Fu-Lian, Jiang Bo, Jiang Hai-Xing, Lan Chun-HuiORCID, Li Jing-Nan, Li Yan, Li Yan-QingORCID, Liu Jie, LI You-Ming, Lyu Bin, Lu You-Yong, Miao Ying-Lei, Nie Yong-ZhanORCID, Qian Jia-Ming, Sheng Jian-QiuORCID, Tang Cheng-WeiORCID, Wang FenORCID, Wang Hua-Hong, Wang Jiang-Bin, Wang Jing-Tong, Wang Jun-Ping, Wang Xue-Hong, Wu Kai-Chun, Xia Xing-Zhou, Xie Wei-FenORCID, Xie YongORCID, Xu Jian-Ming, Yang Chang-Qing, Yang Gui-BinORCID, Yuan Yuan, Zeng Zhi-Rong, Zhang Bing-Yong, Zhang Gui-Ying, Zhang Guo-XinORCID, Zhang Jian-ZhongORCID, Zhang Zhen-YuORCID, Zheng Peng-Yuan, Zhu Yin, Zuo Xiu-Li, Zhou Li-Ya, Lyu Nong-Hua, Yang Yun-ShengORCID, Li Zhao-ShenORCID
Abstract
Objective
Helicobacter pyloriinfection is mostly a
family-based infectious disease. To facilitate its prevention and
management, a national consensus meeting was held to review current
evidence and propose strategies for population-wide and
family-basedH. pyloriinfection control
and management to reduce the related disease burden.
Methods
Fifty-seven experts from 41 major universities and institutions in
20 provinces/regions of mainland China were invited to review evidence
and modify statements using Delphi process and grading of
recommendations assessment, development and evaluation system. The
consensus level was defined as ≥80% for agreement on the proposed
statements.
Results
Experts discussed and modified the original 23 statements on
family-basedH. pyloriinfection
transmission, control and management, and reached consensus on 16
statements. The final report consists of three parts: (1)H.
pyloriinfection and transmission among family members,
(2) prevention and management ofH.
pyloriinfection in children and elderly people within
households, and (3) strategies for prevention and management
ofH. pyloriinfection for family members.
In addition to the ‘test-and-treat’ and ‘screen-and-treat’ strategies,
this consensus also introduced a novel third
‘family-basedH. pyloriinfection control
and management’ strategy to prevent its intrafamilial transmission and
development of related diseases.
Conclusion
H. pyloriis transmissible from person to
person, and among family members. A family-basedH.
pyloriprevention and eradication strategy would be a
suitable approach to prevent its intra-familial transmission and related
diseases. The notion and practice would be beneficial not only for
Chinese residents but also valuable as a reference for other highly
infected areas.
Cited by
69 articles.
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