Question

A 35-year-old with dyspepsia tests positive for H. pylori (no prior treatment, no macrolide exposure, penicillin tolerant). Which regimen is recommended first-line in the U.S.?

Accepted Answer

Bismuth quadruple therapy for 14 days (PPI bid, bismuth, tetracycline, metronidazole)

Answer

Clarithromycin triple therapy for 7 days

Answer

Levofloxacin triple therapy for 7 days

Answer

Rifabutin triple therapy first-line

Answer

PPI monotherapy

Practice question

A 35-year-old with dyspepsia tests positive for H. pylori (no prior treatment, no macrolide exposure, penicillin tolerant). Which regimen is recommended first-line in the U.S.?