Evidence map›Paper›PMID 33583603›Full record

ArticleArchives of medical research2021

Prevalence of Helicobacter pylori Antimicrobial Resistance Among Chilean Patients.

Patricio González-Hormazábal, Alex Arenas, Carolina Serrano, Margarita Pizarro, Eduardo Fuentes-López, Jorge Arnold, Zoltan Berger, Maher Musleh, Héctor Valladares, Enrique Lanzarini and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Archives of medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05664685 (Optimized Bismuth Quadruple Therapy vs Triple Standard Therapy for Helicobacter Pylori Eradication), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% of its field
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.

NCT05664685 phase4completednot on this mapstarted 2022, after this paper: background citation

Optimized Bismuth Quadruple Therapy vs Triple Standard Therapy for Helicobacter Pylori Eradication: Clinical Efficacy Randomized Trial

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2022 to 2024Enrolled127ConditionsHelicobacter Pylori InfectionArmsOptimized bismuth quadruple therapy, Control
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Association of Resistance-AssociatedAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Prevalence ofInfection and drug resistance · 2023
    Article
  7. Anti-Foods (Basel, Switzerland) · 2021
    Article
  8. Acta gastroenterologica Latinoamericana
    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

14 authors at 4 institutions in 2 countries.

Patricio González-HormazábalProgram de Genética Humana, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile. Electronic address: patriciogonzalez@uchile.cl.
Alex ArenasHospital Dr. Sótero del Río, Santiago, Chile; Departamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile.
Carolina SerranoDepartamento de Gastroenterología y Nutrición Pediátrica. Escuela de Medicina, Pontificia Universidad Católica de Chile.
Margarita PizarroDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile.
Eduardo Fuentes-LópezDepartamento de Ciencias de la Salud, Facultad de Medicina. Pontificia Universidad Católica de Chile.
Jorge ArnoldDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile.
Zoltan BergerSección de Gastroenterología, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Maher MuslehDepartamento de Cirugía, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Héctor ValladaresDepartamento de Cirugía, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Enrique LanzariniDepartamento de Cirugía, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Lilian JaraProgram de Genética Humana, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile.
V Gonzalo CastroProgram de Genética Humana, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile.
M Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, USA.
Arnoldo RiquelmeDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile; Departamento de Ciencias de la Salud, Facultad de Medicina. Pontificia Universidad Católica de Chile.
Pontificia Universidad Católica de Chile · CLHospital Clínico de la Universidad de Chile · CLUniversity of Chile · CLNational Cancer Institute · US

Funding

Upper Gastrointestinal Cancer StudiesZIACP000185 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ABNET, CHRISTIAN · 2009 to 2025
$25.6M
Intramural NIH HHS ZIA CP000185
6 · The paper itself

Abstract

backgroundTreatments for Helicobacter pylori (H. pylori) eradication include the use of antibiotics and a proton-pump inhibitor. Antibiotic resistance is a major concern for two drugs: levofloxacin and clarithromycin. The aim was to determine the prevalence of levofloxacin resistance (LevoR) and clarithromycin resistance (ClaR) in an urban population in Santiago, Chile.

methodsGastric mucosa biopsies were obtained for DNA isolation from 143 H. pylori-positive individuals aged 18-80 years. Direct sequencing of the quinolone-resistance determining region (QRDR) of the gyrA gene was used to determine LevoR. ClaR was determined using restriction-fragment length polymorphism or 5'exonuclease assay.

resultsThe prevalences of LevoR and ClaR were 29 and 27%, respectively. LevoR was higher in women than in men (39 vs. 13%, p <0.001), while no sex difference was observed for ClaR (p = 0.123). The prevalence of LevoR increased with age (p-trend = 0.004) but not for ClaR (p-trend = 0.054). In sex-stratified analyses, both LevoR and ClaR increased with age only among women. Older women (>50 years) had a higher probability to carry LevoR strains as compared to men. The prevalence of dual LevoR and ClaR was 12.6%.

conclusionsThe prevalence of ClaR and LevoR is high in Santiago, according to International guidelines that recommend avoiding schemes with antibiotic resistance >15%. Our findings provide evidence to re-evaluate current therapies and guide empirical first- and second-line eradication treatments in Chile.

Indexed as

Drug Resistance, BacterialHelicobacter InfectionsAgedAnti-Bacterial AgentsChileClarithromycinFemaleHelicobacter pyloriHumansLevofloxacinMaleMicrobial Sensitivity TestsMiddle AgedPrevalenceAnti-Bacterial AgentsClarithromycinLevofloxacinAgeClarithromycinHelicobacter pyloriLevofloxacinResistance

Identifiers

PMID33583603
PMCPMC8520490
OpenAlexW3129627081

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.