H. Pylori Flashcards
1
Q
what
A
gram negative bacterium
buries into gastric epithelium and releases urease which damages epithelium
2
Q
testing at endoscopy
A
rapid urease test
3
Q
guidance for patients pre-endoscopy
A
do not take antibx or bismuth products for 4wks before
no PPI 2wks before
4
Q
Mx
A
amoxicillin, clarithromycin and PPI BD for 7 days
if penicillin allergic - metronidazole can replace amoxicillin
re-test for h.pylori 4-8wks
5
Q
Mx - still present at re-test 4-8ws
A
another course of triple therapy with metronidazole or clarithromycin (whichever not used first time) , amoxicillin + PPI
