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 A study in adults suggests incr acid suppression metronidazole dose may improve eradiation 5 higher doses of PPI metronidazole may be considered in children 1 although dosing is not defined
By vgreene, 24 February, 2021 PCN allergy Tx options for pts initially tx w metronidazole and clarithromycin are not defined1 3 4
By vgreene, 24 February, 2021 Do not replace tetracycline w doxycycline 2 doxycycline is not as effective as tetracycline for H pylori infections
By vgreene, 24 February, 2021 Adolescents May consider tetracycline or levofloxacin as part of the regimen 1 though dosing in adolescents for H pylori infection is not defined
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
