Chinese Consensus Report on Family-Based Helicobacter pylori Infection Control and Management (2021 Edition),Gut

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Chinese Consensus Report on Family-Based Helicobacter pylori Infection Control and Management (2021 Edition)
Gut ( IF 23.0 ) Pub Date : 2022-02-01 , DOI: 10.1136/gutjnl-2021-325630
Song-Ze Ding _{1,

2} , Yi-Qi Du ₃ , Hong Lu ₄ , Wei-Hong Wang ₅ , Hong Cheng ₅ , Shi-Yao Chen ₆ , Min-Hu Chen ₇ , Wei-Chang Chen ₈ , Ye Chen ₉ , Jing-Yuan Fang ₁₀ , Heng-Jun Gao ₁₁ , Ming-Zhou Guo ₁₂ , Ying Han ₁₃ , Xiao-Hua Hou ₁₄ , Fu-Lian Hu ₅ , Bo Jiang ₁₅ , Hai-Xing Jiang ₁₆ , Chun-Hui Lan ₁₇ , Jing-Nan Li ₁₈ , Yan Li ₁₉ , Yan-Qing Li ₂₀ , Jie Liu ₂₁ , You-Ming Li ₂₂ , Bin Lyu ₂₃ , You-Yong Lu ₂₄ , Ying-Lei Miao ₂₅ , Yong-Zhan Nie ₂₆ , Jia-Ming Qian ₁₈ , Jian-Qiu Sheng ₂₇ , Cheng-Wei Tang ₂₈ , Fen Wang _{29,

30} , Hua-Hong Wang ₅ , Jiang-Bin Wang ₃₁ , Jing-Tong Wang ₃₂ , Jun-Ping Wang ₃₃ , Xue-Hong Wang ₃₄ , Kai-Chun Wu ₃₅ , Xing-Zhou Xia ₃₆ , Wei-Fen Xie ₃₇ , Yong Xie ₃₈ , Jian-Ming Xu ₃₉ , Chang-Qing Yang ₄₀ , Gui-Bin Yang ₄₁ , Yuan Yuan ₄₂ , Zhi-Rong Zeng ₄₃ , Bing-Yong Zhang ₄₄ , Gui-Ying Zhang ₄₅ , Guo-Xin Zhang ₄₆ , Jian-Zhong Zhang ₄₇ , Zhen-Yu Zhang ₄₈ , Peng-Yuan Zheng ₃₆ , Yin Zhu ₄₉ , Xiu-Li Zuo ₅₀ , Li-Ya Zhou ₃₂ , Nong-Hua Lyu ₃₈ , Yun-Sheng Yang ₁₂ , Zhao-Shen Li ₅₁ ,

Affiliation

Department of Gastroenterology and Hepatology, People's Hospital, Zhengzhou University, Zhengzhou, Henan, China
Department of Gastroenterology and Hepatology, People's Hospital, Henan University, Kaifeng, Henan, China.
Gastroenterology Division, Changhai Hospital, Naval Medical University, Shanghai, China.
GI Division, Renji Hospital, Shanghai Institution of Digestive Diseas, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Gastroenterology and Hepatology, Peking University First Hospital, Beijing, China.
Department of Gastroenterology and Hepatology, Zhongshan Hospital, Fudan University, Shanghai, China.
Division of Gastroenterology and Hepatology, Sun Yat-Sen University First Affiliated Hospital, Guangzhou, Guangdong, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Department of Gastroenterology and Hepatology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Renji Hospital, Gastroenterology Division, Shanghai Jiao Tong University, Shanghai, China.
Department of Gastroenterology and Hepatology, School of Medicine, Tongji University, Shanghai, China.
Department of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Department of Gastroenterology and Hepatology, The Seventh Medical Center, Chinese PLA General Hospital, Beijing, China.
Department of Gastroenterology and Hepatology, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Department of Gastroenterology and Hepatology, Changgeng Hospital, Tsinghua University, Beijing, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi, China.
Department of Gastroenterology and Hepatology, Daping Hospital, Army Medical University, Chongqing, China.
Department of Gastroenterology and Hepatology, Peking Union Medical College Hospital, Beijing, China.
Department of Gastroenterology and Hepatology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Department of Gastroenterology and Hepatology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
Department of Gastroenterology and Hepatology, Huashan Hospital, Fudan University, Shanghai, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Laboratory of Molecular Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital, Beijing, China.
Department of Gastroenterology and Hepatology, First Affilliated Hospital, Kunming Medical University, Kunming, Yunnan, China.
State Key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases, Xijing Hospital, Air Force Medical University, Xian, Shaanxi, China.
Department of Gastroenterology, The Seventh Medical Center, Chinese PLA General Hospital, Beijing, China.
Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Gastroenterology and Hepatology, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Hunan Key Laboratory of Nonresolving Inflammation and Cancer, Changsha, Hunan, China.
Department of Gastroenterology and Hepatology, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Department of Gastroenterology and Hepatology, Peking University Third Hospital, Beijing, China.
Department of Gastroenterology and Hepatology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Department of Gastroenterology and Hepatology, Qinghai University Hospital, Qinghai University, Xining, Qinghai, China.
Department of Gastroenterology and Hepatology, Xijing Hospital, Air Force Medical University, Xian, Shaanxi, China.
Department of Gastroenterology and Hepatology, The Fifth Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan, China.
Department of Gastroenterology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Division of Gastroenterology and Hepatology, Tongji Hospital, Tongji University, Shanghai, China.
Department of Gastroenterology and Hepatology, Aerospace Central Hospital, Beijing, China.
Key Laboratory of GI Cancer Etiology and Prevention in Liaoning Province, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital, Zhongshan University, Guangzhou, Guangdong, China.
Department of Gastroenterology and Hepatology, People's Hospital, Zhengzhou University, Zhengzhou, Henan, China.
Department of Gastroenterology and Hepatology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Department of Gastroenterology and Hepatology, First Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Department of Communicable Disease Diagnostics(DCDD), National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Department of Gastroenterology and Hepatology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Department of Gastroenterology, First Affiliated Hospital, Nanchang University, Nanchang, Jiangxi, China.
Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, Shandong, China.
Department of Gastroenterology and Hepatology, Changhai Hospital, Naval Medical University, Shanghai, China

Objective Helicobacter pylori infection 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-based H. pylori infection 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-based H. pylori infection transmission, control and management, and reached consensus on 16 statements. The final report consists of three parts: (1) H. pylori infection and transmission among family members, (2) prevention and management of H. pylori infection in children and elderly people within households, and (3) strategies for prevention and management of H. pylori infection for family members. In addition to the ‘test-and-treat’ and ‘screen-and-treat’ strategies, this consensus also introduced a novel third ‘family-based H. pylori infection control and management’ strategy to prevent its intrafamilial transmission and development of related diseases. Conclusion H. pylori is transmissible from person to person, and among family members. A family-based H. pylori prevention 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.

更新日期：2022-01-11

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