Comparision of two quadriple regimen amoxicillin, bismuth subsalicylate, pantoprazole, clarythromycin and amoxicillin, bismuth subsalicylate, pantoprazole, gemifloxacin in eradication of H.pylori infection. This study is a randomized clinical trial in new patients with H.pylori infection.
Inclusion criteria: New cases of H.pylori infection; patients between 18 to 80 years old
Exclusion criteria: The pregnant and brest feeding women; gastric and esophagial malignancies; pylor stenosis; iiver cirrhosis; opium addicts; hypersensitivity to amoxicillin; bismuth subsalicylate; pantoprazole; clarythromycin; gemifloxacin; using cholestyramine; renal failure; history of sizzure; favism and hematologic disorders; incomplete treatment (under 80%); consent to continue treatment; history of H.pylori treatment.
One hundred eighty two patients divided to two groups. One group treated with cap amoxicillin 500 miligram two numbers every 12 hours, tab bismuth subsalicylate 120 miligram two numbers every 12 hours, tab pantoprazole 20 miligram one number daily, tab clarythromycin 500 miligram one number every 12 hours and the other group treated with cap amoxicillin 500 miligram two numbers every 12 hours, tab bismuth subsalicylate 120 miligram two numbers every 12 hours, tab pantoprazole 20 miligram one number daily, tab gemifloxacin 320 miligram one number daily for 10 days period. Eight to twelve weeks after completion of treatment, all of patients assessed about eradication of H.pylori infection through urease breath test (UBT) with 14 carbon. Finally, two groups are going to compare about succeeding in eradication of H.pylori infection.