Evidence map›Paper›PMID 30464550›Full record

ArticleInfection and drug resistance2018

Efficacy of a 14-day quadruple-therapy regimen for third-line

Hsiang Tso Huang, Hsin-Ming Wang, Shih-Cheng Yang, Wei-Chen Tai, Chih-Ming Liang, Keng-Liang Wu, Chen-Hsiang Lee, Seng-Kee Chuah

Abstract read
In one paragraph

Article in Infection and drug resistance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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.

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, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. First regional consensus on the management ofWorld journal of gastroenterology · 2025
    Guideline
  3. Third-line and rescue therapy for refractoryWorld journal of gastroenterology · 2023
    Pooled it
  4. Article
  5. Treatment of refractoryFrontiers in microbiology · 2022
    Review
  6. Empirical vs. Susceptibility-Guided Treatment ofFrontiers in microbiology · 2022
    Article
  7. Empirical or susceptibility-guided treatment forTherapeutic advances in gastroenterology · 2020
    Review
  8. Trend of changes in antibiotic resistance inTherapeutic advances in gastroenterology · 2020
    Article
  9. 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

8 authors.

Hsiang Tso HuangDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan, gimy54861439@gmail.com.
Hsin-Ming WangDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan, gimy54861439@gmail.com.
Shih-Cheng YangDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan, gimy54861439@gmail.com.
Wei-Chen TaiDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan, gimy54861439@gmail.com.
Chih-Ming LiangDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan, gimy54861439@gmail.com.
Keng-Liang WuDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan, gimy54861439@gmail.com.
Chen-Hsiang LeeDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan.
Seng-Kee ChuahDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Niao-Song District, Kaohsiung 833, Taiwan, gimy54861439@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the efficacy of amoxicillin, tetracycline, high-dose metronidazole, and a proton-pump inhibitor for third-line

methodsWe enrolled 70 consecutive patients who had registered, failed to respond to two rounds of

resultsAntibiotic-resistance rates were 79.5% (clarithromycin), 94.9% (levofloxacin), 66.7% (metronidazole), 2.6% (amoxicillin), and 0 (tetracycline). Eradication rates attained by the cultured and empirical group were 89.7% (95% CI 72.7%-97.1%) and 58.3% (95% CI 36.6%-77.9%) in per-protocol analysis (

conclusionEmpirical 14-day modified quadruple therapy is not acceptable as an alternative third-line rescue

Indexed as

amoxicillin-resistanceculture-guided therapyempirical quadruple therapymetronidazole-resistance

Identifiers

PMID30464550
PMCPMC6214414

What OpenQuestion holds

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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 OpenQuestion graph.