Question

A 36-year-old man with persistent H. pylori after first-line triple therapy (PPI + amoxicillin + clarithromycin) asks about next step. No allergies. Best second-line?

Accepted Answer

PPI + amoxicillin + metronidazole for 7 days

Answer

Repeat the same regimen

Answer

PPI + levofloxacin + amoxicillin first

Answer

PPI alone

Answer

Bismuth quadruple therapy immediately in primary care for all cases

Practice question

A 36-year-old man with persistent H. pylori after first-line triple therapy (PPI + amoxicillin + clarithromycin) asks about next step. No allergies. Best second-line?