What are the medication schemes for eradicating Helicobacter pylori?

If we want to eradicate Helicobacter pylori, we should first treat the infected duodenal ulcer and gastric ulcer, because eradicating infection can prevent the recurrence of ulcer and effectively cure the disease. The use of anti-Helicobacter pylori in the treatment of non-ulcerative dyspepsia is still controversial and needs further study. Although there is strong indirect evidence that Helicobacter pylori is related to gastric cancer, it is still too early to advocate Helicobacter pylori treatment as primary prevention of tumors.

Triple therapy can eradicate Helicobacter pylori in more than 90% cases, but this multi-drug regimen is not ideal because of its side effects, possible non-compliance and drug-resistant infection. The combination of proton pump inhibitors and antibiotics is the most promising alternative to triple therapy, with few side effects and good compliance, but the most effective combination is uncertain.

After successful eradication of Helicobacter pylori, it is rarely reinfected (every year

According to a large number of published clinical trials, it can be seen that triple therapy containing one ketone can be effectively used as the first-line therapy for Helicobacter pylori infection, and the eradication rate of triple therapy containing another drug is 72% ~ 96%. For those with clarithromycin resistance greater than 15%-20% and ketone resistance less than 10%, this scheme can be considered. However, because of the concern about the rising infection rate of keto-resistant Helicobacter pylori, keto-containing triple therapy is usually not recommended as the first-line treatment at present. In addition, more use of ketone drugs may lead to more ketone-resistant pathogens, leading to respiratory and genitourinary tract infections. According to your physical condition, follow the doctor's advice and prescribe the right medicine.