Helicobacter Pylori

Thomas Schulz, Margaret Kay, Sarah Cherian


  • Routine screening for Helicobacter pylori (H. pylori) infection is not recommended (EBR – C3).167
  • Screening with either stool antigen or breath test is recommended in adults from high-risk groups. High-risk groups include those with a family history of gastric cancer168,169 (EBR 1a, B), or, symptoms and signs of peptic ulcer disease, or dyspepsia (for both adults and children) (EBR 1b, A).167
  • Patients with H. pylori infection and dyspepsia who are aged over 50 years, or who have anorexia, weight loss, dysphagia, vomiting, GI bleeding or an abdominal mass could be considered for further assessment, including endoscopy irrespective of H. pylori status.
  • Treat as per Australian Therapeutic Guidelines Gastrointestinal.30
  • Follow up at least 4 weeks after treatment with repeat diagnostic test.
  • Patients with unsuccessful first line therapy need referral to a specialist to access second line medications.

Produced by

in consultation with

                  Refugee Health Network of Australia

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Funded by

The Australian Refugee Health Practice Guide was produced with funds from the Australian Government Department of Health.


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