Evidence map›Paper›PMID 33228552›Full record

ArticleBMC gastroenterology2020

Assessment of a novel method to detect clarithromycin-resistant Helicobacter pylori using a stool antigen test reagent.

Toshihiko Kakiuchi, Kazutoshi Hashiguchi, Ichiro Imamura, Aiko Nakayama, Ayako Takamori, Masumi Okuda, Muneaki Matsuo

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. The State of the Art of Molecular Fecal Investigations forInternational journal of molecular sciences · 2023
    Review
  5. Article
  6. Commentary: Tailored therapy forFrontiers in pharmacology · 2022
    Article
  7. Article
  8. Diagnosis ofDiagnostics (Basel, Switzerland) · 2021
    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 at 3 institutions in 1 country.

Toshihiko KakiuchiDepartment of Pediatrics, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan. kakiucht@cc.saga-u.ac.jp.ORCID http://orcid.org/0000-0002-9995-5522
Kazutoshi HashiguchiDivision of Gastroenterology, Department of Internal Medicine, Imamura Hospital, Tosu, Japan.
Ichiro ImamuraDivision of Gastroenterology, Department of Internal Medicine, Imamura Hospital, Tosu, Japan.
Aiko NakayamaDepartment of Pediatrics, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
Ayako TakamoriDivision of Clinical Research Center, Saga University Hospital, Saga, Japan.
Masumi OkudaDepartment of Pediatrics, Hyogo College of Medicine, Nishinomiya, Japan.
Muneaki MatsuoDepartment of Pediatrics, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga-shi, Saga, 849-8501, Japan.
Saga University · JPImamura Hospital · JPHyogo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe resistance rate of Helicobacter pylori to clarithromycin (CAM) is high among infected children in Japan. Therefore, a new method for detecting CAM-resistant H. pylori using a minimally invasive technique is strongly desired. We aimed to investigate the clinical usefulness of our newly developed nested polymerase chain reaction-quenching probe (Nested PCR-QP) method using stool specimens.

methodsWe first evaluated our method using a residual solution of the H. pylori stool antigen test for adolescents. Then, we evaluated our method using culture testing for adults.

resultsAmong 57 middle school students with H. pylori, the Nested PCR-QP test results of 53 (90.3%) were able to be analyzed. A total of 28 students had CAM resistance mutations. We found a genetic mutation in 28 students and no mutation in 23 students, and these results were consistent with those of PCR-direct sequencing. In the 23 adults who were diagnosed with H. pylori infection using the rapid urease test and culture testing, we were able to use Nested PCR-QP for analyzing 21 adults who tested positive in the stool H. pylori antigen test. The results obtained for all 21 adults were consistent with those obtained via the drug susceptibility test.

conclusionsOur novel method could be useful for non-invasively detecting CAM resistance mutations in H. pylori. This may help select a drug to reduce eradication failure rates against H. pylori. Trial registration This study was registered with the University Hospital Medical Information Network Clinical Trials Registry (no. UMIN000030632, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034977 ) on 29 December 2017.

Indexed as

Helicobacter InfectionsHelicobacter pyloriAdolescentAdultAnti-Bacterial AgentsChildClarithromycinDrug Resistance, BacterialHumansIndicators and ReagentsJapanMicrobial Sensitivity TestsAnti-Bacterial AgentsClarithromycinIndicators and Reagents23S rRNAClarithromycin resistanceDrug susceptibility testGenetic mutation

Identifiers

PMID33228552
PMCPMC7682763
OpenAlexW3106638673

What OpenQuestion holds

Textmetadata
LicenceCC BY
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 OpenQuestion graph.