Question

A 58-year-old with H. pylori completed bismuth quadruple therapy. Four weeks later (and >= 2 weeks off PPI) the urea breath test is positive. Next step?

Accepted Answer

Treat with a different salvage regimen (e.g., levofloxacin- or rifabutin-based)

Answer

Repeat same therapy

Answer

No further therapy-partial response acceptable

Answer

Serology for confirmation

Answer

Start long-term PPI only

Practice question

A 58-year-old with H. pylori completed bismuth quadruple therapy. Four weeks later (and >= 2 weeks off PPI) the urea breath test is positive. Next step?