A 45-year-old treatment-naïve patient with dyspepsia tests positive for H. pylori. No prior antibiotics; no susceptibility testing available; no penic...

Question

A 45-year-old treatment-naïve patient with dyspepsia tests positive for H. pylori. No prior antibiotics; no susceptibility testing available; no penicillin allergy. What is the preferred empiric eradication regimen?

Accepted Answer

Optimized bismuth quadruple therapy for 14 days

Answer

PPI + clarithromycin + amoxicillin for 14 days

Answer

Levofloxacin triple therapy for 10 days

Answer

Rifabutin triple therapy as first-line

Answer

High-dose PPI + amoxicillin dual therapy for 7 days

us-usmle-step-2 MCQ (SBA): Helicobacter pylori Infection

A 45-year-old treatment-naïve patient with dyspepsia tests positive for H. pylori. No prior antibiotics; no susceptibility testing available; no penicillin allergy. What is the preferred empiric eradication regimen?