Recommendations for testing for H pylori infection following treatment (Part 2)

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1. Patients who have ongoing or recurrent dyspepsia symptoms following H pylori treatment should be tested by UBT (not serology) or undergo endoscopy with biopsies to determine whether H pylori is present.

Voting on recommendation (level/vote)

  • A/11
  • B/1
  • C to E/0

Level of evidence I

Classification of recommendation A

2. If the patient continues to test positive (not serology) for H pylori infection, retreatment with an alternative regimen should be given, for which quadruple therapy is the treatment of choice.

Voting on recommendation (level/vote)

  • A/11
  • B/1
  • C to E/0

Level of evidence III

Classification of recommendation C

3. If the patient retests negative, he or she should be treated as an H pylori-negative dyspepsia patient with acid suppression as defined in the CMT.

Voting on recommendation (level/vote)

  • A/3
  • B/9
  • C to E/0

Level of evidence III

Classification of recommendation C

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