Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Eradication rates | |||||
Systematic review |
906 people 7 RCTs in this analysis |
Eradication rates
339/470 (72%) with 7-day treatment with proton pump inhibitor-based triple regimens 353/436 (81%) with 14-day treatment with proton pump inhibitor-based triple regimens |
RR 0.89 95% CI 0.83 to 0.96 NNT 11 95% CI 7 to 33 |
Small effect size | 14-day treatment |
RCT 3-armed trial |
909 people with H pylori infection and duodenal ulcer |
Eradication rates
4 weeks
240/301 (80%) with 7-day treatment with proton pump inhibitor-based triple regimen 246/301 (82%) with 14-day treatment with proton pump inhibitor-based triple regimen |
P = 0.53 The RCT adjusted results to allow for multiple comparisons |
Not significant | |
RCT |
598 people with H pylori infection and peptic ulcer disease |
Eradication rates
5 weeks
240/337 (71%) with 7-day treatment with proton pump inhibitor-based triple regimen 197/261 (76%) with 14-day treatment with proton pump inhibitor-based triple regimen |
ARR −4% 95% CI −11% to +3% RCT designed as an equivalence trial; the high predetermined non-inferiority margin of 15% means that the results must be treated with caution |
Not significant | |
RCT |
243 people with H pylori infection and dyspepsia having amoxicillin-based triple eradication therapy Subgroup analysis |
Eradication rates
67/117 (57%) with 7-day treatment with amoxicillin-based triple regimen 88/126 (70%) with 14-day treatment with amoxicillin-based triple regimen |
P = 0.05 Result is of borderline significance A multivariate analysis found that the 2-week duration of treatment was the only independent factor associated with a higher rate of H pylori eradication both at ITT and per-protocol analysis |
Not significant | |
RCT |
243 people with H pylori infection and dyspepsia having metronidazole-based triple eradication therapy Subgroup analysis |
Eradication rates
63/122 (52%) with 7-day treatment with metronidazole-based triple regimen 68/121 (56%) with 14-day treatment with metronidazole-based triple regimen |
Significance not assessed A multivariate analysis found that the 2-week duration of treatment was the only independent factor associated with a higher rate of H pylori eradication both at ITT and per-protocol analysis |