A 47-year-old with obesity and reflux has H. pylori infection. He smokes and cannot tolerate tetracycline. What alternative first-line regimen is acce...

Question

A 47-year-old with obesity and reflux has H. pylori infection. He smokes and cannot tolerate tetracycline. What alternative first-line regimen is acceptable?

Accepted Answer

Concomitant non-bismuth quadruple therapy (PPI + amoxicillin + clarithromycin + metronidazole) for 14 days if low macrolide resistance

Answer

Clarithromycin triple therapy 7 days

Answer

Metronidazole monotherapy

Answer

Short 10-day triple therapy without susceptibility data

Answer

No treatment; lifestyle only

us-abim MCQ (SBA): H. pylori Therapy Alternatives

A 47-year-old with obesity and reflux has H. pylori infection. He smokes and cannot tolerate tetracycline. What alternative first-line regimen is acceptable?