Evidence map›Paper›PMID 20485704›Full record

ArticleCanadian journal of gastroenterology = Journal canadien de gastroenterologie2010

Rescue therapy using a rifabutin-based regimen is effective for cure of Helicobacter pylori infection.

Sander Veldhuyzen van Zanten, Snehal Desai, Linda Best, Geraldine Cooper-Lesins, Dickran Malatjalian, David Haldane, Kevork Peltekian

Abstract readComparative Study
In one paragraph

Article in Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Do the new ACGJournal of the Canadian Association of Gastroenterology · 2025
    Article
  2. Success ofJournal of the Canadian Association of Gastroenterology · 2024
    Article
  3. Article
  4. Rifabutin for the Treatment ofPathogens (Basel, Switzerland) · 2020
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sander Veldhuyzen van ZantenDivision of Gastroenterology, University of Alberta, Edmonton Centre, Edmonton, Alberta. vanzanten@ualberta.ca
Snehal Desai
Linda Best
Geraldine Cooper-Lesins
Dickran Malatjalian
David Haldane
Kevork Peltekian

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of rescue therapy using rifabutin, amoxicillin and a proton pump inhibitor (PPI) in the eradication of Helicobacter pylori in patients who have failed at least one course of PPI-based triple therapy.

methodsThe present study was a single-centre case series of 16 consecutive patients who had received at least one course of standard eradication therapy. Pretreatment evaluation included endoscopy with biopsies for histology and culture for H pylori infection. Treatment consisted of a one-week regimen containing a PPI twice daily, amoxicillin (A) 1 g twice daily and rifabutin (R) 300 mg once daily (PPI-AR). Post-treatment evaluation consisted of a repeat endoscopy with biopsy for histology and culture, or a validated urea breath test at least four weeks after treatment was completed. Pretreatment antibiotic susceptibility to metronidazole, clarithromycin and A was evaluated using a validated epsilometer test.

resultsOf the 16 patients, four had previously received one course of triple therapy, 10 had received two courses and two had received more than two courses. The overall success rate of PPI-AR was 63% (10 of 16). Resistance to A was 0% (0 of 13), metronidazole 77% (10 of 13), clarithromycin 70% (seven of 10), and both metronidazole and clarithromycin 60% (six of 10). There was no correlation between resistance patterns and cure rate.

conclusionsAn R-containing regimen such as PPI-AR is a viable option as rescue therapy for H pylori infection.

Indexed as

AdultAgedAmoxicillinAnti-Bacterial AgentsBiopsyDose-Response Relationship, DrugDrug Administration ScheduleDrug Therapy, CombinationEndoscopy, GastrointestinalFemaleFollow-Up StudiesGastric MucosaGastritisHelicobacter InfectionsHelicobacter pyloriHumansAmoxicillinAnti-Bacterial AgentsOmeprazoleProton Pump InhibitorsRifabutin

Identifiers

PMID20485704
PMCPMC2886571

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.