Question

A 50-year-old with H. pylori infection fails 14-day bismuth quadruple therapy. No susceptibility testing is available. What is an appropriate salvage regimen?

Accepted Answer

Rifabutin-based triple therapy for 14 days

Answer

Repeat bismuth quadruple therapy

Answer

PPI + clarithromycin + amoxicillin for 7 days

Answer

Clarithromycin triple therapy for 14 days regardless of resistance

Answer

No further therapy; observe

Practice question

A 50-year-old with H. pylori infection fails 14-day bismuth quadruple therapy. No susceptibility testing is available. What is an appropriate salvage regimen?