A 45-year-old with dyspepsia tests positive for H. pylori and has no macrolide exposure but high local clarithromycin resistance (15%). Best regimen?...

Question

A 45-year-old with dyspepsia tests positive for H. pylori and has no macrolide exposure but high local clarithromycin resistance (>15%). Best regimen?

Accepted Answer

Bismuth quadruple therapy for 14 days

Answer

Clarithromycin triple therapy for 14 days

Answer

Levofloxacin triple therapy for 7 days

Answer

Rifabutin triple therapy for 7 days

Answer

PPI monotherapy for 8 weeks then retest

us-abim MCQ (SBA): Helicobacter pylori

A 45-year-old with dyspepsia tests positive for H. pylori and has no macrolide exposure but high local clarithromycin resistance (>15%). Best regimen?