A 45-year-old man presents with dyspepsia and positive stool antigen for H. pylori after failure of clarithromycin triple therapy. No susceptibility d...

Question

A 45-year-old man presents with dyspepsia and positive stool antigen for H. pylori after failure of clarithromycin triple therapy. No susceptibility data. Best salvage regimen?

Accepted Answer

Optimized bismuth quadruple therapy for 14 days

Answer

Repeat clarithromycin triple therapy for 14 days

Answer

Levofloxacin triple therapy without testing

Answer

Amoxicillin monotherapy for 14 days

Answer

Stop therapy and retest in 6 months

us-abfm MCQ (SBA): H. pylori Treatment Failure

A 45-year-old man presents with dyspepsia and positive stool antigen for H. pylori after failure of clarithromycin triple therapy. No susceptibility data. Best salvage regimen?