Guidelines for penicillin allergy in patients with H. pylori infection: Difference between revisions

Revision as of 19:28, 1 December 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2], Sargun Singh Walia M.B.B.S.[3]

Strong recommendation
Most patients with a history of penicillin allergy do not have true penicillin hypersensitivity. After failure of fi rst-line therapy, such patients should be considered for referral for allergy testing since the vast majority can ultimately be safely given amoxicillin-containing salvage regimens

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{CMG}}; {{AE}} {{MKK}}, {{SSW}}
 ==2017 ACG Guidelines for penicillin allergy in patients with H. pylori infection==
@@ Line 7: / Line 8: @@
 | colspan="1" style="text-align:center; background:LightGreen" |Strong recommendation
 |-
-| bgcolor="LightGreen" |1.Bismuth quadruple therapy consisting of a PPI, bismuth, tetracycline, and a nitroimidazole for 10–14 days is a recommended fi rst-line treatment option.
+| bgcolor="LightGreen" |Most patients with a history of penicillin allergy do not have true penicillin hypersensitivity. After failure of fi rst-line therapy, such patients should be considered
-Bismuth quadruple therapy is particularly attractive in patients with any previous macrolide exposure or who are allergic to penicillin
+for referral for allergy testing since the vast majority can ultimately be safely given amoxicillin-containing salvage regimens
-|-
-| bgcolor="LightGreen" |2.Concomitant therapy consisting of a PPI, clarithromycin, amoxicillin and a nitroimidazole for 10–14 days is a recommended fi rst-line treatment option
 |-
 |}