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
By vgreene, 24 February, 2021 When selecting rescue tx Consider abx susceptibility pt s age avail abx options 1 avoid abx used in initial tx
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 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
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 A study in adults suggests incr acid suppression and metronidazole dose may improve eradication 2 higher doses of PPI metronidazole may be considered in children 1 although dosing is not defined