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In developing countries, systemic therapies are not usually successful due to elevated antibiotic resistance. Additionally, oral\n                      <jats:italic>H. pylori<\/jats:italic>\n                      infection and periodontal disease correlate with gastric treatment failures. This study aimed to explore the effect of an integral therapy, comprising oral hygiene and concomitant systemic treatment, to increase the eradication of gastric infection and recurrences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A prospective, randomized, four\u2010arm, parallel\u2010group, open\u2010label clinical trial was conducted to investigate the efficacy of integral therapy to eradicate gastric\n                      <jats:italic>H. pylori<\/jats:italic>\n                      infection and avoid recurrences in double\u2010positive (real\u2010time PCR oral and gastric infection) patients. Oral hygiene involved mouthwash with neutral electrolyzed water (NEW), with or without periodontal treatment.\u00a0One hundred patients were equally distributed into four groups: NS, NS\u2010PT, NEW, and NEW\u2010PT. All patients had concomitant systemic therapy and additionally, the following oral treatments: mouthwash with normal saline (NS), periodontal treatment and mouthwash with normal saline (NS\u2010PT), mouthwash with NEW (NEW), and periodontal treatment and mouthwash with NEW (NEW\u2010PT). Gastric and oral infection and symptoms were evaluated one and four months after treatments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Integral therapy with NEW\u2010PT increased gastric eradication rates compared with NS or NS\u2010PT (84%\u221296% vs. 20%\u221256%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Even more, a protective effect of 81.2% (RR\u2009=\u20090.1877; 95% CI: 0.0658\u22120.5355;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0018) against recurrences and 76.6% (RR\u2009=\u20090.2439; 95% CI: 0.1380\u22120.4310;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) against treatment failure (eradication of infection and associated symptoms) was observed in patients from the NEW and NEW\u2010PT groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementation of oral hygiene and systemic treatment can increase the eradication of gastric infection, associated symptoms, and recurrences. NEW is recommended as an antiseptic mouthwash due to its efficacy and short\u2010 and long\u2010term safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.927","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T02:20:59Z","timestamp":1720405259000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Oral Hygiene With Neutral Electrolyzed Water and Systemic Therapy Increases Gastric\n                    <i>Helicobacter pylori<\/i>\n                    Eradication and Reduces Recurrence"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5929-5160","authenticated-orcid":false,"given":"Victor Hugo","family":"Urrutia\u2010Baca","sequence":"first","affiliation":[{"name":"Facultad de Ciencias Biol\u00f3gicas Universidad Autonoma de Nuevo Leon  San Nicolas de los Garza Nuevo Leon Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7137-6505","authenticated-orcid":false,"given":"Brenda Astrid","family":"Paz\u2010Michel","sequence":"additional","affiliation":[{"name":"Department of Research Esteripharma S.A. de C.V.  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