Evidence map›Paper›PMID 31924273›Full record

ArticleBMC research notes2020

E-test versus agar dilution for antibiotic susceptibility testing of Helicobacter pylori: a comparison study.

Muhammad Miftahussurur, Kartika Afrida Fauzia, Iswan Abbas Nusi, Poernomo Boedi Setiawan, Ari Fahrial Syam, Langgeng Agung Waskito, Dalla Doohan, Neneng Ratnasari, Ali Khomsan, I Ketut Adnyana and 2 more

Abstract readComparative Study
In one paragraph

Article in BMC research notes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Tailored therapy forFrontiers in pharmacology · 2022
    Pooled it
  4. Article
  5. Review
  6. Overcoming antibiotic-resistantWorld journal of gastroenterology · 2025
    Review
  7. Review
  8. Clinical evaluation of a novelFrontiers in cellular and infection microbiology · 2025
    Observational
  9. Role of high-dose amoxicillin dual therapy forWorld journal of clinical cases · 2024
    Article
  10. Antimicrobial susceptibility of clinicalMicrobiology spectrum · 2024
    Article
  11. Article
  12. Testing forJournal of clinical microbiology · 2024
    Review
  13. Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2023
    Article
  14. [Comparison of Epsilometer test and agar dilution method in detecting the sensitivity ofBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    Article
  15. Drug-ResistantDiagnostics (Basel, Switzerland) · 2023
    Review
  16. Antibiotic Resistance, Susceptibility Testing and Stewardship inInternational journal of molecular sciences · 2023
    Review
  17. International journal of molecular sciences · 2023
    Review
  18. 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

12 authors.

Muhammad MiftahussururDivision of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Jalan Mayjend Prof. Dr. Moestopo No. 6-8 Surabaya, Surabaya, 60131, Indonesia. muhammad-m@fk.unair.ac.id.
Kartika Afrida FauziaInstitute of Tropical Disease, Universitas Airlangga, Surabaya, 60115, Indonesia.
Iswan Abbas NusiDivision of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Jalan Mayjend Prof. Dr. Moestopo No. 6-8 Surabaya, Surabaya, 60131, Indonesia.
Poernomo Boedi SetiawanDivision of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Jalan Mayjend Prof. Dr. Moestopo No. 6-8 Surabaya, Surabaya, 60131, Indonesia.
Ari Fahrial SyamDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta, 10430, Indonesia.
Langgeng Agung WaskitoInstitute of Tropical Disease, Universitas Airlangga, Surabaya, 60115, Indonesia.
Dalla DoohanInstitute of Tropical Disease, Universitas Airlangga, Surabaya, 60115, Indonesia.
Neneng RatnasariDepartment of Internal Medicine, Faculty of Medicine Gadjah, Mada University-Dr. Sardjito, Yogyakarta, 55281, Indonesia.
Ali KhomsanDepartment of Community Nutrition, Bogor Agriculture University, Bogor, 16680, Indonesia.
I Ketut AdnyanaSchool of Pharmacy, Bandung Institute of Technology, Bandung, 40132, Indonesia.
Junko AkadaDepartment of Environmental and Preventive Medicine, Oita University Faculty of Medicine, Yufu, Oita, 879-5593, Japan.
Yoshio YamaokaDivision of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Jalan Mayjend Prof. Dr. Moestopo No. 6-8 Surabaya, Surabaya, 60131, Indonesia. yyamaoka@oita-u.ac.jp.

Funding

REGULATION OF CXC CHEMOKINE EXPRESSION BY H. PYLORIR01DK062813 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI YAMAOKA, YOSHIO · 2004 to 2013
$3.0M
NIDDK NIH HHS R01 DK062813NIH HHS DK62813
6 · The paper itself

Abstract

objectiveFor evaluating the antibiotic resistance of Helicobacter pylori, the agar dilution method is the gold standard; however, using this method in daily practice is laborious. E-test has been proposed to be an uncomplicated method. This study was aimed at validating the E-test and detecting the presence of any bias between the agar dilution method and E-test.

resultsThe agar dilution method and E-test were performed using five antibiotics for 72 strains of H. pylori obtained from clinical patients in Indonesia. The E-test's results showed a higher prevalence of resistance to all the antibiotics tested but the difference was not significant. Results showed high essential agreement (> 90.0%) for all the antibiotics, but only 84.7% for metronidazole. The agreement for MIC value was acceptable for levofloxacin, clarithromycin, and metronidazole. For amoxicillin, it showed only fair agreement (0.25) by the Kappa analysis and significant difference by Passing-Bablok regression. Even though some discrepancies were found, the E-test has an acceptable agreement for levofloxacin, metronidazole, tetracycline, and clarithromycin but further confirmation may be necessary for amoxicillin.

Indexed as

AgarBiasDrug Resistance, BacterialHelicobacter pyloriMicrobial Sensitivity TestsAgarAgar dilutionAntibiotic susceptibility testE-testHelicobacter pylori

Identifiers

PMID31924273
PMCPMC6954499

What OpenQuestion holds

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LicenceCC BY
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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.