Question

A 36-year-old woman with dyspepsia tests positive for H. pylori by urea breath test. She has no macrolide exposure and no penicillin allergy. Which regimen is guideline-concordant first-line in the U.S. where clarithromycin resistance is common?

Accepted Answer

Bismuth quadruple therapy for 14 days

Answer

Clarithromycin triple therapy for 10 days

Answer

Metronidazole monotherapy for 14 days

Answer

Levofloxacin triple therapy for 7 days

Answer

PPI alone for 8 weeks then retest

Practice question

A 36-year-old woman with dyspepsia tests positive for H. pylori by urea breath test. She has no macrolide exposure and no penicillin allergy. Which regimen is guideline-concordant first-line in the U.S. where clarithromycin resistance is common?