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 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 w initial tx w sequential tx May consider tetracycline or levofloxacin as part of the regimen 1 although dosing in adolescents for H pylori infection is not defined
By vgreene, 24 February, 2021 If initial tx w sequential tx consider repeat endoscopy Use results to tailor tx x14 days1
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 and avail abx options 1 avoid abx used in initial therapy
