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H Pylori new treatment consensus
Dr KK Aggarwal,  05 September 2018
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American College of Gastroenterology Clinical Guideline

Antibiotic Selection

There is increased resistance to clarithromycin, and traditional triple therapy (clarithromycin + amoxicillin + proton pump inhibitors [PPIs]) should not be prescribed unless the rates of clarithromycin resistance are known to be < 15%.

We should not use clarithromycin triple therapy.

Then what to use as First-Line Therapy

Quadruple therapy: Clarithromycin (500 mg),

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