We do not recommend routine antibiotic treatment of asymptomatic patients (i.e. those patients
who do not have any symptoms) who are found to have H. pylori.
The only exceptions are patients who are (1) relatives of persons with gastric cancer, (2) patients in whom intestinal
metaplasia has been detected on gastric biopsy, or (3) infected spouses of patients who have been reinfected with
H.pylori a second or third time after initial antibiotic treatment.
Diseases Associated with Helicobacter pylori