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Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Jul 21, 2014; 20(27): 8947-8956
Published online Jul 21, 2014. doi: 10.3748/wjg.v20.i27.8947
Table 1 Current recommendations for Helicobacter pylori eradication
TreatmentRegion with low clarithromycin prevalenceRegion with high clarithromycin prevalence
First linePPI - clarithromycin - amoxicillin/metronidazole or bismuth quadrupleBismuth quadruple1. If not available: non-bismuth quadruple (either sequential or concomitant)
Second lineBismuth quadruple1 or PPI - levofloxacin/amoxicillinPPI - levofloxacin/amoxicillin
Third lineBased on susceptibility testing only. Besides clarithromycin and levofloxacin, rifabutin is another candidate that may be used