National surveillance of Helicobacter pylori eradication therapy in Denmark. Results from registration of 34,582 prescriptions

Scand J Gastroenterol. 1998 Sep;33(9):928-32. doi: 10.1080/003655298750026930.

Abstract

Background: We wanted to characterize the use of Helicobacter pylori eradication therapy in Denmark (5,227,862 inhabitants).

Methods: All H. pylori eradication treatments from a nationwide database including all redeemed drug prescriptions in the period January 1994 to June 1996 were identified. So were all outpatients receiving a drug prescription for H. pylori eradication.

Results: We recorded 34,582 prescriptions for H. pylori eradication therapy given to 28,784 patients. The incidence of new consumers was 220 per 10(5) inhabitants per year, with a maximum at 70-79 years of age. Eighty-six per cent of the patients had only one treatment course. In 16% of the eradication therapies, nonsteroid anti-inflammatory drugs had been prescribed within the previous 3 months, and 45% had an anti-ulcer drug prescribed 1-12 months after the H. pylori eradication therapy. Consumption of antibiotics used for H. pylori eradication accounted for 1.4% of the total consumption of antibiotics.

Conclusions: The incidence of H. pylori eradication therapy was fairly stable but with changes in the pattern of drug regimens used. Anti-ulcer drugs were often given after H. pylori eradication therapy, suggesting an inappropriate use of treatment.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Amoxicillin / administration & dosage*
  • Antacids / administration & dosage*
  • Anti-Bacterial Agents / administration & dosage
  • Bismuth / administration & dosage*
  • Child
  • Denmark
  • Drug Prescriptions
  • Drug Therapy, Combination
  • Female
  • Health Care Surveys
  • Helicobacter Infections / drug therapy*
  • Helicobacter pylori*
  • Histamine H2 Antagonists / therapeutic use*
  • Humans
  • Imidazoles / administration & dosage
  • Macrolides
  • Male
  • Middle Aged
  • Penicillins / administration & dosage*
  • Proton Pump Inhibitors*
  • Tetracyclines / administration & dosage*

Substances

  • Antacids
  • Anti-Bacterial Agents
  • Histamine H2 Antagonists
  • Imidazoles
  • Macrolides
  • Penicillins
  • Proton Pump Inhibitors
  • Tetracyclines
  • Amoxicillin
  • Bismuth