When prescribing optimized bismuth quadruple therapy for H. pylori per ACG 2024, which plan is correct?...

Question

When prescribing optimized bismuth quadruple therapy for H. pylori per ACG 2024, which plan is correct?

Accepted Answer

Use tetracycline 500 mg QID + metronidazole 500 mg TID-QID + bismuth QID + PPI BID for 14 days

Answer

Substitute doxycycline for tetracycline to improve adherence

Answer

Use a 10-day duration to reduce pill burden

Answer

Add clarithromycin to increase efficacy in first-line therapy

Answer

Avoid bismuth due to side effects; use PPI + amoxicillin only

us-abfm MCQ (SBA): Helicobacter pylori Infection