PPI-AMO-MET. AMO, amoxicillin; CLA, clarithromycin; MET, metronidazole; PPI, proton pump inhibitor. In case of penicillin allergy: if the strain is
PPI plus amoxicillin plus 2 other antibiotics (usually, clarithromycin and metronidazole) for 7 days then; PPI plus amoxicillin for 3–7 days.
Relapse and previous metronidazole clarithromycin: use PPI amoxicillin either tetracycline or levofloxacin. Penicillin allergy: PPI
by DY Graham 2024 Cited by 489PPI þ amoxicillin therapya. 14. 50%. PPI metronidazole triple therapy. 7. 94%. PPI metronidazole triple therapy. 14. 97%. PPI-bismuth tetracycline
metronidazole) and quadruple therapy without bismuth (PPI, amoxicillin, clarithromycin, and metronidazole). The need for antimicrobial sensitivity testing
PPI plus amoxicillin plus 2 other antibiotics (usually, clarithromycin and metronidazole) for 7 days then; PPI plus amoxicillin for 3–7 days.
metronidazole) and second-line therapy is bismuth-based therapy (PPI, bismuth, metronidazole, and tetracycline).
Helicobacter pylori triple therapy use PPI PLUS clarithromycin PLUS metronidazole if previous clarithromycin, use PPI PLUS bismuth salt PLUS
Three prospective studies have reported success rates of 74% with a 10 d PPI-Bismuth-Tetracycline-Metronidazole combination, 84.8% with a 14 d PPI-Bismuth-Clarithromycin-Metronidazole regimen and 85.5% with a 14 d PPI-Bismuth-Levofloxacin-Cefuroxime treatment.
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