Kuesioner h.pylori

7/23/2019 Kuesioner h.pylori

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Questionnaire Helicobacter pylori infection: Approach of primary care physicians in a developing

countryDemographic information

1) Age in years ( )2) Gender

Male ( ), Female ( )3) Number of years of practicing ( )

) !oute of transmission for "# pylori infection$ %&ore than one can be true)

4. a) Contaminated water yes ( ) No ( )4. b) Iatrogenic spread via Contaminated endoscopes yes ( ) No ( )

4.c ) Throgh blood prodcts yes ( ) No ( )

4.d ) Throgh needle in!ries yes ( ) No ( )

') (hat are the indications for testing H. pylori$ %&ore than one can be true)

". a) #yspepsia yes ( ) No ( )

". b) $astric M%&Toma yes ( ) No ( )

". c) $astro esophageal re'le disease yes ( ) No ( )". d) Family history o' gastric cancer yes ( ) No ( )

". e) n patient*s re+est yes ( ) No ( )

". ') $astritis yes ( ) No ( )". g ) #odenal lcer yes ( ) No ( )

". h) $astric lcers yes ( ) No ( )

". i) -atients on long term -roton -mp Inhibitor yes ( ) No ( )

". ) idiopathic thrombocytopenic prpra yes ( ) No ( )". /) neplained iron de'iciency anemia yes ( ) No ( )

) (hat is the most appropriate test for detection of active H. Pylori infection$ %*elect only one

+ption)

0. a) 1ndoscopy with rapid rease testing yes ( ) No ( )

0. b) 1ndoscopic biopsy 'or histology yes ( ) No ( )

0. c) rea breath test yes ( ) No ( )0. d) 2erology ( %ntibodies) yes ( ) No ( )

0. e) 2tool antigen test yes ( ) No ( )

,)# -reatment indications for H. pylori infection$ %&ore than one can be true)

3.a) #yspepsia yes ( ) No ( )

3.b) #odenal lcer yes ( ) No ( )

3.c) $astric lcer yes ( ) No ( )3.d) Complicated peptic lcer disease yes ( ) No ( )

3.e) M%&Toma yes ( ) No ( )

3.') %trophic gastritis yes ( ) No ( )3.g) -ost gastric cancer resection yes ( ) No ( )3.h) neplained iron de'iciency anemia yes ( ) No ( )

3.i) Idiopathic thrombocytopenic prpra yes ( ) No ( )



.)# (hich eradication regimen /ill you chose as first line treatment$ %*elect only one option)

.a) -roton pmp inhibitors 5 Clarithromycin 5 %moicillin yes ( ) No ( )

.b) -roton pmp inhibitors 5 Clarithromycin 5 Metronida6ole yes ( ) No ( )

.c) 7ismth citrate 5 Clarithromycin 5Fra6olidone yes ( ) No ( )

.d) Fra6olidone5%moicillin5--I5 7ismth citrate yes ( ) No ( )

.e) 2e+ential therapy (" days --I5 %moicillin

'ollowed by " days --I5 Clarithromycin5 Tinida6ole) yes ( ) No ( )

0) (hat is the appropriate duration for treating H. pylori infection$ %*elect only one option)

8.a) ne wee/ yes ( ) No ( )

8.b) 9: days yes ( ) No ( )

8.c) two wee/s yes ( ) No ( )

8.d) more than ; wee/s yes ( ) No ( )

1) (ill you confirm H. pylori eradication$ %*elect only one option)

99.a) Mostly yes ( ) No ( )

99.b) 2electively yes ( ) No ( )99.c) Never yes ( ) No ( )

99.d) %lways yes ( ) No ( )

11) (hat test /ill you order to document H. pylori eradication$ %*elect only one option)

9;.a) 1ndoscopy with rapid rease testing yes ( ) No ( )

9;.b)1ndoscopic biopsy 'or histology yes ( ) No ( )

9;.c) rea breath test yes ( ) No ( )

9;.d) 2erology ( %ntibodies) yes ( ) No ( )9;.e) 2tool antigen test yes ( ) No ( )

12) -reatment plan after failure to eradicate H pylori$ %*elect only one option)

9<.a) =epeat o' triple therapy yes ( ) No ( )9<.b) Triple therapy with change o' antibiotics yes ( ) No ( )

9<.c) >adrple therapy yes ( ) No ( )

9<.d) bservation withot treatment yes ( ) No ( )

9<.e) =e'er to gastroenterologist yes ( ) No ( )

13) Do you prescribe H. pylori eradication in non ulcer dyspepsia %ND) $ %*elect only one option)

94.a) %lways yes ( ) No ( )

94.b) 2ometimes yes ( ) No ( )94.c) ?hen re+ested yes ( ) No ( )

94.d) Never yes ( ) No ( )

1) (hat is the most common sources of information about H. Pylori $ %*elect only one option)90.a) Medical !ornals yes ( ) No ( )

90.b) -harmacetical company@sponsored symposia yes ( ) No ( )

90.c) Tetboo/s yes ( ) No ( )

90.d) Con'erences yes ( ) No ( )

90.e) n@line sites yes ( ) No ( )

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Kuesioner h.pylori