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. 2021 Nov 26;71(2):238–253. doi: 10.1136/gutjnl-2021-325630

Table 3.

Helicobacter pylori infection control and management strategies

Strategies Characteristics Applications and limitations
1. Test and treat. Recommended for uninvestigated young patients with dyspeptic symptoms, but not for older patients or persons with alarm symptoms Not suitable for areas with high H. pylori infection rates and high incidences of GC
2. Screen and treat. Recommended for patients with family history of GC and alarm symptoms; not suitable for areas with low H. pylori infection rates Suitable for areas with high H. pylori infection rates and high incidences of GC
3. Family-based control and management. Targeting H. pylori-infected individuals within the family; screening, treating and following up H. pylori-infected family members within the household Application areas are not affected by H. pylori infection rates or incidences of GC.

GC, gastric cancer.