Evidence map›Paper›PMID 35329984›Full record

ArticleJournal of clinical medicine2022

Experience with Rifabutin-Containing Therapy in 500 Patients from the European Registry on

Olga P Nyssen, Dino Vaira, Ilaria Maria Saracino, Giulia Fiorini, María Caldas, Luis Bujanda, Rinaldo Pellicano, Alma Keco-Huerga, Manuel Pabón-Carrasco, Elida Oblitas Susanibar and 14 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Trial
  2. Prevalence of primaryGut microbes · 2026
    Review
  3. A Nationwide Trend Analysis ofGut and liver · 2026
    Article
  4. Article
  5. Therapeutic advances and future directions inFrontiers in microbiology · 2025
    Review
  6. Review
  7. Article
  8. Single-Arm, Prospective, Interventional Study ofJournal of clinical medicine · 2024
    Article
  9. Current and Future Perspectives on the Management ofAntibiotics (Basel, Switzerland) · 2024
    Review
  10. Antibiotic Resistance inAntibiotics (Basel, Switzerland) · 2023
    Article
  11. Article
  12. Rescue therapy for refractoryTherapeutic advances in gastroenterology · 2023
    Review
  13. Rifabutin as salvage therapy forWorld journal of gastroenterology · 2022
    Review
  14. Treatment of refractoryFrontiers in microbiology · 2022
    Review
  15. European Registry onFrontiers in gastroenterology (Lausanne, Switzerland) · 2022
    Review
  16. Article
  17. Practice guidelines for the management ofSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

24 authors.

Olga P NyssenCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), 28006 Madrid, Spain.ORCID 0000-0002-4920-9310
Dino VairaDepartment of Surgical and Medical Sciences, IRCCS S. Orsola, University of Bologna, 40138 Bologna, Italy.
Ilaria Maria SaracinoDepartment of Surgical and Medical Sciences, IRCCS S. Orsola, University of Bologna, 40138 Bologna, Italy.ORCID 0000-0003-4388-7089
Giulia FioriniDepartment of Surgical and Medical Sciences, IRCCS S. Orsola, University of Bologna, 40138 Bologna, Italy.ORCID 0000-0003-0381-8302
María CaldasCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), 28006 Madrid, Spain.ORCID 0000-0002-5017-9913
Luis BujandaHospital Donostia, Instituto Biodonostia, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Universidad del País Vasco (UPV/EHU), 20014 San Sebastián, Spain.ORCID 0000-0002-4353-9968
Rinaldo PellicanoUnit of Gastroenterology, Molinette Hospital, 10126 Turin, Italy.
Alma Keco-HuergaServicio de Gastroenterolgía, Hospital de Valme, 41014 Sevilla, Spain.
Manuel Pabón-CarrascoServicio de Gastroenterolgía, Hospital de Valme, 41014 Sevilla, Spain.ORCID 0000-0002-9011-3695
Elida Oblitas SusanibarUnit of Gastroenterology, Consorci Sanitari de Terrassa, 08221 Terrassa, Spain.ORCID 0000-0002-6832-9975
Alfredo Di LeoSection of Gastroenterology, Department of Emergency and Organ Transplantation, University Hospital Policlinico Consorziale, 70124 Bari, Italy.
Giuseppe LosurdoSection of Gastroenterology, Department of Emergency and Organ Transplantation, University Hospital Policlinico Consorziale, 70124 Bari, Italy.ORCID 0000-0001-7038-3287
Ángeles Pérez-AísaAgencia Sanitaria Costa del Sol, Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), 29651 Marbella, Spain.ORCID 0000-0003-2974-1382
Antonio GasbarriniMedicina Interna, Fondazione Policlinico Universitario A, Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.
Doron BoltinDivision of Gastroenterology, Rabin Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv 49100, Israel.ORCID 0000-0003-3357-613X
Sinead SmithFaculty of Health Sciences, Trinity College Dublin, D02PN40 Dublin, Ireland.
Perminder PhullDepartment of Digestive Disorders, Aberdeen Royal Infirmary, Foresterhill Health Campus, Aberdeen AB25 2ZN, UK.
Theodore RokkasGastroenterology Clinic, Henry Dunant Hospital, 11526 Athens, Greece.
Dominique LamarqueHôpital Ambroise Paré, Université de Versailles St-Quentin en Yvelines, Boulogne Billancourt, 92100 Paris, France.
Anna Cano-CatalàGastroenterology Service, Althaia Xarxa Assistencial Universitària de Manresa, 08243 Manresa, Spain.ORCID 0000-0003-2721-5127
Ignasi PuigGastroenterology Service, Althaia Xarxa Assistencial Universitària de Manresa, 08243 Manresa, Spain.
Francis MégraudINSERM U1312, Université de Bordeaux, 33076 Bordeaux, France.
Colm O'MorainFaculty of Health Sciences, Trinity College Dublin, D02PN40 Dublin, Ireland.
Javier P GisbertCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), 28006 Madrid, Spain.ORCID 0000-0003-2090-3445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFirst-line

methodsInternational multicentre prospective non-interventional European Registry on

resultsOverall, 500 patients included in the Hp-EuReg were treated with rifabutin (mean age 52 years, 72% female, 63% with dyspepsia, 4% with peptic ulcer). Culture was performed in 63% of cases: dual resistance (to both clarithromycin and metronidazole) was reported in 46% of the cases, and triple resistance (to clarithromycin, metronidazole, and levofloxacin) in 39%. In 87% of cases rifabutin was utilised as part of a triple therapy together with amoxicillin and a proton-pump-inhibitor, and in an additional 6% of the patients, bismuth was added to this triple regimen. Rifabutin was mainly used in second-line (32%), third-line (25%), and fourth-line (27%) regimens, achieving overall 78%, 80% and 66% effectiveness by modified intention-to-treat, respectively. Compliance with treatment was 89%. At least one adverse event was registered in 26% of the patients (most frequently nausea), and one serious adverse event (0.2%) was reported in one patient with leukopenia and thrombocytopenia with fever requiring hospitalisation.

conclusionRifabutin-containing therapy represents an effective and safe strategy after one or even several failures of

Indexed as

bismuthcultureeradication failureHelicobacter pyloriHp-EuRegH. pylorirescuerifabutintreatment

Identifiers

PMID35329984
PMCPMC8949410

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Registered trials

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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.