Question

A 64-year-old with H. pylori, no penicillin allergy, asks about clarithromycin triple therapy. Local macrolide resistance is high and susceptibility unknown. Best answer?

Accepted Answer

Avoid clarithromycin triple; use optimized bismuth quadruple 14 days

Answer

Clarithromycin triple is acceptable empirically

Answer

Levofloxacin triple preferred empirically

Answer

PPI alone is sufficient

Answer

Stop therapy if asymptomatic

Practice question

A 64-year-old with H. pylori, no penicillin allergy, asks about clarithromycin triple therapy. Local macrolide resistance is high and susceptibility unknown. Best answer?