The evaluation of the effectiveness of treatment of ulcer disease in children depending on the level of parental compliance

Author(s):  A.V. Nalyotov, Dr., associate Professor, Donetsk National Medical Unirversity name M. Gorky, Donetsk, Donetsk People's Republic, nalyotov-a@mail.ru

A.S. Barinova, Donetsk National Medical Unirversity name M. Gorky, Donetsk, Russia

O.G. Gorshkov, candidate of Sciences, associate Professor, Donetsk National Medical Unirversity name M. Gorky, Donetsk, Russia

Issue:  Volume 41, № 3

Rubric:  Preventive Medicine

Annotation:  At the present time, the therapy of most diseases requires special attention not only from the treating physician, but also from the patient. In turn, in the treatment of children, the monitoring of compliance with the treatment is carried out not by the patient, but by his parents who control the regimen of taking medications. The aim of the study was to determine the efficacy of the traditional H. pylori regimens in the treatment of children suffering from ulcer disease, depending on the level of parental compliance. 80 children of school age suffering from peptic ulcer disease duodenal ulcer associated with H. pylori were examined. The traditional anti-H. pylori therapy scheme containing omeprazole, clarithromycin lasting 14 days was prescribed for all children with chronic gastroduodenal pathology. It is established that strict adherence to the regimen and duration of administration of prescribed drugs allows achieving a high level of eradication of H. pylori even with the use of the traditional anti-Helicobacter pylori. Conducting a "compliance training" before starting therapy is an important factor that increases the level of parental compliance in patients with inflammatory-destructive diseases of the stomach and duodenum. Establishment of interpersonal relationships in the "doctor-patient-parent" system, working with parents, aimed at explaining the essence of the disease, the consequences of the disease, treatment tactics are an important stage in the therapy of a sick child

Keywords:  compliance, anti-Helicobacter therapy, children, Helicobacter pylori

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