Abstract

had a follow up visit with gastroenterology following the diagnosis. 140 (78%) patients were treated for H.pylori infection. Forty-eight patients had confirmation of eradication; with biopsy (62%) being the most common test for confirmation. There were 15(23%) patients with bleeding ulcer who were not treated for H.pylori infection. Only 4 (3%) patients required retreatment for the infection. There is a statistically significant relationship between the method of patient notification and whether or not they were treated (p ,0.001). The highest rate of treatment occurred when patients were treated as inpatients or contacted by phone, PCP or via a follow-up GI visit (96.3%, 96.67%, 100% and 95.45%, respectively). Patients were less likely to be treated when they were contacted by mail (61.76%). Patients with follow up gastroenterology visit are significantly more likely to be treated (p=0.006). Conclusions: Patient notification by mail reduces the probability of treatment for H. pylori infection. Attending a gastroenterology follow up visit significantly increases the likelihood of treatment. Better communication, coordination of care and follow up will improve the rate of H.pylori eradication. Further studies should be undertaken to help standardize the care of patients with H.pylori infection.

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