A survey on the knowledge of Helicobacter pylori infection diagnosis and treatment among medical staff from general hospitals in Hainan Province
Objective To investigate the knowledge of Sixth Chinese national consensus report on the management of Helicobacter pylori infection(treatment excluded)(hereinafter referred to as sixth national consensus)and 2022 Chinese national clinical practice guideline on Helicobacter pylori eradication treatment(hereinafter referred to as the guideline)among medical staff from general hospitals in Hainan.Methods From February 20 to May 7,2023,a questionnaire survey on the diagnosis and treatment of Helicobacter pylori(H.pylori)infection was conducted among 1 463 medical staff from 15 general hospitals in Hainan Province.The questionnaire was drawn up according to the sixth national consensus and the guideline,covering knowledge of 6 sections,induding H.pylori related diseases,detection of H.pylori,eradication,prevention and influence factors of eradication of H.pylori,etc.Chi-square test was used for statistical analysis.Results A total of 1 463 valid questionnaires were collected with the effective responsive rate of 100.00％.The 1 463 subjects included 225 gastroenterologists and 1 238 other medical staff(including 503 physicians from other departments,264 surgeons and 471 medical technologists and pharmacists).About 78.67％(177/225)of gastroenterologists agreed that the overall infection rate of H.pylori in China was more than 20％,the awareness rate was higher than that of other medical staff(physicians from other departments 65.41％(329/503),surgeons 61.74％(163/264),medical technologists and pharmacists 60.30％(284/471);the following datas were sorted by this position),and the difference was statistically significant(x2=30.97,P＜0.001).About 51.11％(115/225)of gastroenterologists considered that H.pylori serological antibody test could not be used as a diagnostic method for current infection,the awareness rate was higher than that of other medical staff(22.07％(111/503),14.02％(37/264),12.31％(58/471)),and the difference was statistically significant(x2=152.66,P＜0.001).Proton pump inhibitor and potassium-competitive acid blocker should be discontinued for 2 weeks,and antibiotics and bismuth should be discontinued for 4 weeks before urea breath test,and the awareness rates of gastroenterologists were higher than those of other medical staff(38.67％(87/225)vs.23.26％(117/503),19.70％(52/264),18.47％(87/471);60.89％(137/225)vs.26.64％(134/503),25.76％(68/264),23.78％(112/471)),and the differences were statistically significant(x2=133.70 and 165.51,both P＜0.001).For refractory H.pylori infection,98.67％(222/225)of gastroenterologists agreed with the individualized diagnosis and treatment of H.pylori infection should be guided by bacterial culture,antibiotic susceptibility test or drug resistance gene test,and the awareness rate was higher than that of other medical staff(91.85％(462/503),93.56％(247/264),93.21％(439/471)),and the difference was statistically significant(x2=20.55,P=0.002).About 70.67％(159/225)of gastroenterologists recommended a bismuth containing quadruple regimen,80.44％(181/225)supported a 10 to 14 day H.pylori eradication course,and the awareness rates were higher than other medical staff(46.92％(236/503),33.33％(88/264),32.91％(155/471);67.20％(338/503),59.09％(156/264),53.93％(254/471)),and the differences were statistically significant(X2=111.25 and 59.99,both P＜0.001).The understanding rates of the sixth national consensus and the guideline in gastroenterologists was 85.33％(192/225),which was higher than that of other medical staff(64.21％(323/503),66.67％(176/264),57.96％(273/471)),and the difference was statistically significant(x2=85.47,P＜0.001).Conclusions Gastroenterologists from general hospitals in Hainan Province have a better understanding of the sixth national consensus and the guideline than other medical staff.However,there is still a lack of deep understanding of the sixth national consensus and the guideline,and it is necessary to further strengthen the learning and application of the sixth national consensus and the guideline.
Helicobacter pyloriCognitionConsensusSurveys and questionnairesPhysiciansHainan
NETL
NSTL
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