Table 1.
Authors | Country | Rifaximin (n) | Control (n) | Rifaximin dose(mg/d) | Comparative agent | Duration of treatment | Outcomes |
Bucci et al[35] | Italy | 30 | 28 | 1200 | Lactulose 45 mL/d | 15 d | Mental status, asterixis, cancellation test, reitan test, EEG, serum ammonia, degree and severity of HE |
Di Piazza et al[33] | Italy | 8 | 6 | 1200 | Neomycin 4500 mg/d | 21 d | Bradylalia, flapping tremor, performance, visual evoked potentials and the trial making test |
Fera et al[37] | Italy | 20 | 20 | 1200 | Lactulose 120 mL/d | 90 d | Mental status, asterixis, cancellation test, reitan test, EEG, PSE severity |
Festi et al[17] | Italy | 20 | 15 | 1200 | Neomycin 3000 mg/d | 21 d | Asterixis, EEG, blood ammonia |
Festi et al[17] | Italy | 9 | 12 | 1200 | Lactulose 60 mL/d | 21 d | Asterixis, EEG, blood ammonia |
Loguercio et al[39] | Italy | 14 | 13 | 1200 | Lactulose 90 mL/d | 3 mo | Mental status, asterixis, NCT, blood ammonia |
Mas et al[36] | Spain | 50 | 53 | 1200 | Lactitol 60 g/d | 5-10 d | HE grade, mental status, asterixis, NCT, EEG, PSE index, blood ammonia |
Massa et al[18] | Italy | 20 | 20 | 1200 | Lactulose 90 mL/d | 15 d | Mental status, asterixis, cancellation test, EEG, trail making test, PSE index, blood ammonia |
Miglio et al[38] | Italy | 25 | 24 | 1200 | Neomycin 3000 mg/d | 6 mo | HE grade, blood ammonia, neuropsychiatric signs |
Paik et al[21] | South Korea | 32 | 22 | 1200 | Lactulose 90 mL/d | 7 d | Mental status, flapping tremors, NCT, blood ammonia, HE index |
Parini et al[34] | Italy | 15 | 15 | 1200 | Paromomycin 1500 mg/d | 10 d | Blood ammonia, state of consciousness, behavior, intellectual functions, neurologic symptoms |
Pedretti et al[25] | Italy | 15 | 15 | 1200 | Neomycin 3000 mg/d | 21 d | PSE index, blood ammonia, EEG, NCT, asterixis, trail making test, mental status |
Song et al[32] | South Korea | 39 | 25 | 1200 | Lactulose 90 mL/d | 7 d | Blood ammonia, mental status, flapping tremors, NCT, HE index |
EEG: Electroencephalogram; HE: Hepatic encephalopathy; PSE: Portosystemic encephalopathy; NCT: Number connection test.