By vgreene, 27 August, 2018 Role of probiotics: Although probiotics for H. pylori infxn seem promising, questions remain re: optimal dose, time of dosing, and tx duration, notes ACG, who makes no specific recommendation;1 Maastricht/Florence concludes that certain probiotics may be
By vgreene, 27 August, 2018 Antimicrobial susceptibility testing provides the opportunity to tailor tx minimizing the emergence of future antibiotic resistance but evidence in support of the routine use of susceptibility guided tx after H pylori eradication failure is limited 3
By vgreene, 27 August, 2018 If pt received 1st line tx containing clarithro Optimized bismuth quadruple tx is preferred 1 nbsp nbsp If bismuth or tetracycline unavail Rifabutin triple tx is suitable alternative If pt can t take rifabutin e g due to true PCN allergy conduct susceptib
By vgreene, 27 August, 2018 When selecting salvage regimen Consider local antimicrobial resistance data and pt s previous exposure to abx avoid abx previously used 1 3
By vgreene, 27 August, 2018 Role of probiotics: Although probiotics for H. pylori infxn seem promising, questions remain re: optimal dose, time of dosing, and tx duration, notes ACG, who makes no specific recommendation;1 Maastricht/Florence concludes that certain probiotics may be
By vgreene, 27 August, 2018 Antimicrobial susceptibility testing provides the opportunity to tailor tx minimizing the emergence of future antibiotic resistance but evidence in support of the routine use of susceptibility guided tx after H pylori eradication failure is limited 3
By vgreene, 27 August, 2018 If bismuth or tetracycline unavail and PCN allergy Consider allergy testing 1 nbsp nbsp If true PCN allergy conduct susceptibility testing to guide further tx w salvage regimens nbsp nbsp If testing shows clarithro susceptibility PPI or PCAB clarithro tri
By vgreene, 27 August, 2018 When selecting salvage regimen Consider local antimicrobial resistance data and pt s previous exposure to abx avoid abx previously used 1 3
