Simon Stephan, Neele Engelmann, Michael R Waldmann
The perceived dilution of causal strength
Cognitive psychology
low middleincome countries high prevalence helicobacter pylori infection hpi cameroon majority hpis diagnosed treated primary care physicians pcps sought assess knowledge practices pcps diagnosis management hpi cameroon hospitalbased crosssectional study carried four randomly selected regions cameroon november 2021 june 2022 selected regions pcps recruited nonprobability convenience sampling interviewed using prestructured questionnaire chisquared fishers exact students ttests performed descriptive analyses multivariable logistic regression used examine associations knowledge practice model adjusted age pcp geographic region number patients years practice analysis performed sas version 94 sas institute cary nc usa total 382 pcps included analysis majority 600 males ages 2029 641 pcps 809 reported hpi cause gastroesophageal reflux disease 418 reported hpi main cause dyspeptic symptoms dominant diagnostic tests used hpi serology 528 stool antigen 309 frequently used firstline therapies amoxicillin amx clarithromycin cla metronidazole mnz proton pump inhibitor ppi concomitant therapy 322 amxclappi triple therapy 186 amxmnzppi triple therapy 131 half practitioners 486 treat hpi empirically without positive h pylori testing half pcps 48 request laboratory confirmation h pylori eradication following treatment inadequate knowledge significant differences clinical approach towards hpi among pcps cameroon recommend teaching programs continuous medical education hpi