Question

A 72-year-old with H. pylori treatment failure after 14-day optimized BQT (adherent) has persistent positive stool antigen. No susceptibility data. Next empiric regimen?

Accepted Answer

Rifabutin-based triple therapy for 14 days

Answer

Repeat optimized BQT

Answer

PPI-clarithromycin-amoxicillin for 14 days

Answer

Levofloxacin-based triple therapy empirically

Answer

Metronidazole + amoxicillin dual therapy

Practice question

A 72-year-old with H. pylori treatment failure after 14-day optimized BQT (adherent) has persistent positive stool antigen. No susceptibility data. Next empiric regimen?