Unveiling Effective Gastritis Treatments: A Comprehensive Review

Treatment options for children

The treatment of H pylori infection in children has not been studied enough and is not as clearly established as in adult patients. There is currently no consensus about which is the best treatment for children, and whether or not treating an active infection that remains asymptomatic is still controversial in the literature.

There are isolated studies using triple therapies in children that include metronidazole, clarithromycin, and a protein pump inhibitor. Another study used amoxicillin, clarithromycin, and lansoprazole for seven days with a very high eradication rate. Others have found a very low eradication rate in patients taking the same combination for two weeks. Thus, the evidence is still inconclusive, and the treatment remains controversial.

In children, we should also consider the high rate of adverse effects and bismuth subsalicylate toxicity, which should not be used in children younger than 16 years old because they can sometimes trigger Reye syndrome.