A 44-year-old with dyspepsia has positive urea breath test and no antibiotic susceptibility data. He previously failed PPI-clarithromycin-amoxicillin....

Question

A 44-year-old with dyspepsia has positive urea breath test and no antibiotic susceptibility data. He previously failed PPI-clarithromycin-amoxicillin. Best next-line regimen?

Accepted Answer

Bismuth quadruple therapy for 14 days

Answer

PPI + amoxicillin + clarithromycin for 10 days

Answer

High-dose dual therapy PPI + amoxicillin 5 days

Answer

Levofloxacin triple therapy for 7 days

Answer

No treatment; repeat testing in 6 months

us-abfm MCQ (SBA): H. pylori

A 44-year-old with dyspepsia has positive urea breath test and no antibiotic susceptibility data. He previously failed PPI-clarithromycin-amoxicillin. Best next-line regimen?