MANEJO DE H PYLORI MEXICO VS EE UU

70.5% of Mexicans are infected with Helicobacter pylori, and 40-80% carry the much more virulent CagA+ cytotoxin. Classical triple therapy is no longer effective in Mexico (36% resistance to clarithromycin). In this video, I explain the correct strategy based on the Fifth Mexican Consensus, compared point by point with the US guidelines. KEY POINTS YOU WILL LEARN Why Mexico needs a mass screening approach, unlike the US. The golden rule: 14 days of treatment in ALL empirical regimens. When to use PCABs instead of PPIs to ensure eradication. How to avoid false negatives by respecting drug washout. The importance of the urea breath test or stool antigen test for cure. Clarithromycin resistance in Mexico: 36% Levofloxacin resistance: 46.5% Bismuth resistance: 0% Efficacy of triple therapy with PCAB and doxycycline: over 91% NNT for dyspepsia relief in Mexico: 14 Leave your question in the comments: Do you still use triple therapy in your practice? Have you had access to Vonoprazan or bismuth at your institution? Tell me about your clinical experience. BIBLIOGRAPHY: 1. Fifth Mexican Consensus on the Diagnosis and Treatment of Helicobacter pylori Infection https://www.revistagastroenterologiam...