H.pylori

Question 1

What is used to test for H.pylori?

Answer 1

Urea breath test
Stool antigen test

Question 2

When should testing be avoided?

Answer 2

within 2 weeks of treatment with a proton pump inhibitor or within 4 weeks of antibacterial treatment, as this can lead to false negatives.

Question 3

When should retesting occur?

Answer 3

Ideally 8 weeks after treatment regime, where there are persistent symptoms. The retest should use urea breath test Stool

Question 4

What is the drug treatment for H.pylori?

Answer 4

Triple therapy with proton pump inhibitor
Omeprazole/Lansoprazole
AND two antibacterial
Amoxicillin AND Clarithromycin/ metronidazole

Question 5

What should be used if initial treatment is not successful?

Answer 5

AFTER 7 DAYS
PPI
Amoxicillin and use either of clarithromycin or metronidazole which was not initially used

Question 6

What is alternative to clarithromycin and metronidazole second line?

Answer 6

PPI and amoxicillin and tetracycline

Question 7

What is third line?

Answer 7

PPI and bismuth and clarithromycin/tetracycline