Helicobacter pylori is a bacterium that parasitizes the gastric mucosa and can be treated by triple or quadruple therapy, i.e., 2 antibiotics such as amoxicillin and clarithromycin plus a proton pump inhibitor such as omeprazole with or without bismuth.
Infection with Helicobacter pylori can be treated by triple therapy, i.e., by 1 proton pump inhibitor + 2 antibiotics, 1 proton pump inhibitor can be used such as omeprazole, lansoprazole, rabeprazole, etc., and the 2 antibiotics can be used such as hydroxybenzylpenicillin, clarithromycin, and metronidazole.
Quadruple therapy can choose 1 proton pump inhibitor + 2 antibiotics + 1 bismuth agent to carry out the treatment, the choice of proton pump inhibitor and antibiotics is as above, and the bismuth agent can choose bismuth pectin, tripotassium bismuth dicarbamate and so on. The course of treatment using triple or quadruple therapy is often 10 to 14 days.
Review may be done 1 month after stopping the medication for the eradication of H. pylori to confirm the eradication. There is still a risk of re-infection with H. pylori after eradication, so care should be taken to avoid eating with people who have H. pylori infection. For H. pylori eradication, please follow your doctor’s instructions.