What is the most effective management for H pylori gastritis?
What is the most effective management for H pylori gastritis? Bottom line: The most effective treatments include 7-14 days of quadruple therapy, 10-14 days of standard triple therapy plus probiotics, and 10-14 days of levofloxacin plus amoxicillin/ clarithromycin plus a proton-pump inhibitor (PPI) (SOR: A, meta-analyses of RCTs). In areas where resistance to either metronidazole or clarithromycin is >80%, clarithromycin, amoxicillin, metronidazole, and a PPI for 10 days preserves eradication rates (SOR: A, meta-analysis of RCTs).
Evidence-based practice 20, no. 9 (2017): 15.