Question

A 45-year-old with confirmed H. pylori after a 14-day bismuth quadruple therapy still has a positive stool antigen 6 weeks later after stopping PPI for 2 weeks. What is the next step?

Accepted Answer

Use rifabutin-based triple therapy for 14 days

Answer

Repeat same regimen

Answer

Use clarithromycin triple empirically

Answer

Stop PPI for 6 months

Answer

No further treatment

Practice question

A 45-year-old with confirmed H. pylori after a 14-day bismuth quadruple therapy still has a positive stool antigen 6 weeks later after stopping PPI for 2 weeks. What is the next step?