Question

A 46-year-old treatment-naïve patient with confirmed H. pylori infection and no macrolide exposure asks for first-line therapy. Regional clarithromycin resistance is >15%. Best regimen?

Accepted Answer

Optimized bismuth quadruple therapy for 14 days

Answer

Clarithromycin triple therapy for 10 days

Answer

Concomitant therapy for 10 days

Answer

Levofloxacin triple therapy for 7 days

Answer

PPI monotherapy with diet

Practice question

A 46-year-old treatment-naïve patient with confirmed H. pylori infection and no macrolide exposure asks for first-line therapy. Regional clarithromycin resistance is >15%. Best regimen?