Evidence map›Paper›PMID 42471021›Full record

ReviewGut microbes2026

Prevalence of primary

Beatriz Nafria, Olga P Nyssen, Jone Narbaiza, Mila Montes, Pablo Parra, Javier P Gisbert, Luis Bujanda

Abstract readReview
In one paragraph

Review in Gut microbes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Beatriz NafriaDepartment of Gastroenterology, Biogipuzkoa Health Research Institute, Department of Medicine, Universidad del País Vasco (UPV/EHU), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), San Sebastián, Spain.
Olga P NyssenHospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.
Jone NarbaizaDepartment of Gastroenterology, Biogipuzkoa Health Research Institute, Department of Medicine, Universidad del País Vasco (UPV/EHU), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), San Sebastián, Spain.
Mila MontesDepartment of Microbiology, Donostia University Hospital-Biogipuzkoa Health Research Institute, San Sebastian, Spain.
Pablo ParraHospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.ORCID 0009-0002-8597-2206
Javier P GisbertHospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Universidad Autónoma de Madrid (UAM), and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.ORCID 0000-0003-2090-3445
Luis BujandaDepartment of Gastroenterology, Biogipuzkoa Health Research Institute, Department of Medicine, Universidad del País Vasco (UPV/EHU), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), San Sebastián, Spain.ORCID 0000-0002-4353-9968

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsAntibiotic resistance is a major determinant of the efficacy of

methodsBibliographical searches were conducted from 1990 to 2024 in the PubMed database with no language restrictions. Selected studies evaluated the primary resistance of

resultsA total of 216 studies were included: 188 with information on clarithromycin resistant strains (86,917 patients), 138 on metronidazole (83,995 patients), and 77 on levofloxacin (40,619 patients). The overall prevalence of primary resistance to clarithromycin, levofloxacin, and metronidazole was 16% (95% confidence interval, 7-24%), 18% (10-21%), and 33% (29-36%), respectively. Primary resistance to clarithromycin and levofloxacin increased steadily across all periods, reaching 24% and 21%, respectively, in the most recent period. Primary resistance to amoxicillin, tetracycline, and rifampicin remained low, at 2.3%, 1%, and 4%, respectively. Overall, Southern European countries had higher resistance rates than Northern European countries.

conclusionsIn Europe, the prevalence of primary

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialHelicobacter InfectionsHelicobacter pyloriClarithromycinEuropeHumansLevofloxacinMetronidazoleMicrobial Sensitivity TestsPrevalenceAnti-Bacterial AgentsClarithromycinLevofloxacinMetronidazoleclarithromycinEuropeHelicobacter pylorilevofloxacinmetronidazoleresistancetreatment-naïve patients

Identifiers

PMID42471021
PMCPMC13387109

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.