علاج التهاب المعدة الضموري التحولي البيئي عند استمرار وجود H. pylori بعد العلاج الرباعي بالبزموت

References

• The umbrella term "salvage therapy" refers to any treatment provided to patients with persistent H. pylori infection despite initial therapy.
• Of the recommended and suggested salvage regimens, only optimized BQT is suitable for patients with a true penicillin allergy.
• In treatment-experienced patients with persistent H. pylori infection who have received BQT, rifabutin triple therapy is suggested (conditional recommendation; low quality of evidence).
• Based on the available evidence and expert consensus, we suggest rifabutin triple therapy for 14 days in treatment-experienced patients with persistent H. pylori infection who have previously received optimized BQT.
• All patients who are treated for H. pylori infection should undergo a test of cure with an appropriately conducted urea breath test, fecal antigen test, or biopsy-based test at least 4 weeks after completion of therapy.