Treatment and Follow-Up of Patients With Helicobacter pylori Infection in Primary Health Care: A Retrospective Multicenter Study

Primary care physicians in northern Portugal are progressively prescribing guideline-recommended BQ therapy, which demonstrated HP eradication rates above the accepted 90% benchmark. However, CT therapy remains widely used despite high antibiotic resistance and suboptimal eradication rates, and follow-up eradication testing is underutilized, underscoring important gaps in clinical practice. Updating national guidelines, reinforcing antibiotic resistance surveillance, and standardizing follow-up protocols are essential to optimize HP management in primary care.