H Pylori new treatment consensus
American College of Gastroenterology Clinical GuidelineAntibiotic SelectionThere 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 TherapyQuadruple therapy: Clarithromycin (500 mg), amoxicillin (1 g), metronidazole (500 mg)
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