A 50-year-old with confirmed H. pylori received optimized BQT for 14 days but still tests positive on urea breath test 6 weeks later. Next best treatm...

Question

A 50-year-old with confirmed H. pylori received optimized BQT for 14 days but still tests positive on urea breath test 6 weeks later. Next best treatment?

Accepted Answer

Rifabutin-based triple therapy for 14 days

Answer

Repeat BQT immediately for 7 days

Answer

Clarithromycin triple therapy empirically

Answer

No further therapy-reinfection expected

Answer

Vonoprazan-amoxicillin for 3 days

us-abim MCQ (SBA): Refractory H. pylori

A 50-year-old with confirmed H. pylori received optimized BQT for 14 days but still tests positive on urea breath test 6 weeks later. Next best treatment?