Evidence map›Paper›PMID 22350696›Full record

ArticleJournal of gastroenterology2012

Reinfection rate of Helicobacter pylori after eradication treatment: a long-term prospective study in Japan.

Susumu Take, Motowo Mizuno, Kuniharu Ishiki, Takayuki Imada, Tetsuji Okuno, Tomowo Yoshida, Kenji Yokota, Keiji Oguma, Masahide Kita, Hiroyuki Okada and 1 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02674802 (Reinfection After Eradication of Helicobacter Pylori Infection in Adult), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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.

NCT02674802 unknown statusnot on this mapstarted 2015, after this paper: background citation

Reinfection After Eradication of Helicobacter Pylori Infection in Adult :A National Multicentre Study

TypeobservationalSponsorThe First Affiliated Hospital of Nanchang UniversityRan2015 to 2016Enrolled3,500ConditionsBacterial Infection Due to Helicobacter Pylori (H. Pylori), Eradication Therapy of Helicobacter Pylori, Detection of Helicobacter Pylori
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. The updated JSPGHAN guidelines for the management of Helicobacter pylori infection in childhood.Pediatrics international : official journal of the Japan Pediatric Society · 2020
    Guideline
  3. Trial
  4. Review
  5. Atypical acuteFujita medical journal · 2026
    Article
  6. Current status ofFujita medical journal · 2026
    Article
  7. International journal of molecular sciences · 2025
    Review
  8. Article
  9. Cancers · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Long-term follow-up ofEmerging microbes & infections · 2020
    Observational
  15. Article
  16. Observational
  17. Article
  18. Novel and Effective Therapeutic Regimens forFrontiers in cellular and infection microbiology · 2017
    Review
  19. Review
  20. Article
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

11 authors.

Susumu TakeDepartment of Internal Medicine, Fukuwatari Municipal Hospital, Okayama, Japan.
Motowo Mizuno
Kuniharu Ishiki
Takayuki Imada
Tetsuji Okuno
Tomowo Yoshida
Kenji Yokota
Keiji Oguma
Masahide Kita
Hiroyuki Okada
Kazuhide Yamamoto

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe previously reported that the reinfection rate with Helicobacter pylori in Japan was low despite a high prevalence of infection. In the present study, we extended our previous work to more accurately determine the reinfection rate.

methodsWe enrolled 1625 patients (219 women and 1406 men, mean age 50.8 years) who had received H. pylori eradication therapy. After documentation of eradication, bacterial culture and urea breath test were carried out yearly. H. pylori strains were analyzed by using random amplification of polymorphic DNA fingerprinting.

resultsA total of 1609 patients were followed for up to 12.5 years (mean 4.7 years); H. pylori became re-positive in 26 patients. In 13 of the 26 patients, H. pylori became positive at the first-year follow up. Stored H. pylori isolates were available for analysis from ten of the 13 patients; four of the isolates were genetically different from the initial strain, but the other six were identical to the initial strain. In the other 13 patients, H. pylori became positive at later follow up (mean 4.8 years; range 1.8-8.0 years). In all of the four of these patients whose isolates could be analyzed, the H. pylori strains were different from the initial strain. Assuming that reinfection occurred in the four patients positive for different strains of H. pylori at the first-year follow up and in the 13 positive at later follow up, the reinfection rate was 0.22% per year.

conclusionsWhen probable recrudescence (H. pylori positivity with identical strains) was excluded, the reinfection rate of H. pylori in this Japanese population was very low, but we note that reinfection can occur over many years.

Indexed as

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsBacterial Typing TechniquesBreath TestsDNA, BacterialDNA FingerprintingFemaleFollow-Up StudiesHelicobacter InfectionsHelicobacter pyloriHumansJapanKaplan-Meier EstimateAnti-Bacterial AgentsDNA, Bacterial

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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 OpenQuestion graph.