By vgreene, 24 February, 2021 Test success of eradication tx Use urea breath test or fecal antigen test 4wk after tx completion and after withholding acid suppression tx x2wk1
By vgreene, 24 February, 2021 Do not replace tetracycline w doxycycline 4 doxycycline is not as effective as tetracycline for H pylori infections
By vgreene, 24 February, 2021 PCN allergy in pts 8 yo older May consider replacing amoxicillin w tetracycline in bismuth based regimen although tetracycline dosing in pediatric pts is not defined 1 alternative regimens lacking for PCN allergic pts
By vgreene, 24 February, 2021 PPI A higher degree of acid suppression improves success of amoxicillin clarithromycin based tx 1 younger children need a higher PPI dose kg to obtain sufficient acid suppression vs adolescents adults esomeprazole rabeprazole may be preferred due to decr
