Helicobacter pylori
infection often occurs in early childhood, and can last a lifetime if not treated with medication.
H. pylori
infection can also cause a variety of stomach diseases, which can only be treated with a combination of antibiotics. Combinations of antibiotics can cure
H. pylori
infection, but it is easy to relapse and develop drug resistance. Therefore, a vaccine is a promising strategy for prevention and therapy for the infection of
H. pylori
. After decades of research and development, there has been no appearance of any
H. pylori
vaccine reaching the market, unfortunately. This review summarizes the aspects of candidate antigens, immunoadjuvants, and delivery systems in the long journey of
H. pylori
vaccine research, and also introduces some clinical trials that have displayed encouraging or depressing results. Possible reasons for the inability of an
H. pylori
vaccine to be available over the counter are cautiously discussed and some propositions for the future of
H. pylori
vaccines are outlined.