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Table 1 Studies detecting heteroresistance to metronidazole and/or clarithromycin in Helicobacter pylori isolates/positive samples

From: Heteroresistance to clarithromycin and metronidazole in patients with a Helicobacter pylori infection: a systematic review and meta-analysis

Study

Country

H. pylori-positive patients

Testing method

MTZ_R

MTZ_HR

CLR_R

CLR_HR

Kocsmár et al., 2020 [12]

Hungary

305

rRNA‐targeted FISH

NA

NA

35

38

Güven et al., 2019 [19]

Turkey

93

HelicoDR test

NA

NA

22

12

Farzi et al., 2019 [16]

Iran

40

Sequencing of 23S rDNA

NA

NA

7

7

Arévalo-Jaimes et al., 2019 [17]

Colombia

63

Sequencing 23S rDNA

NA

NA

19

5

Sun et al., 2018 [20]

China

49

Droplet digital PCR

NA

NA

11

13

Mascellino et al., 2018 [21]

Italy

40 (30)

E-test, Real-Time PCR

15

1

15

4

Aguilera-Correa et al., 2017 [22]

Spain

111

HelicoDR test

NA

NA

53

11

Mansour et al., 2016 [23]

Tunisia, France

42

E-test

21

7

12

6

Navarro-Jarabo et al., 2015 [24]

Spain

401

HelicoDR test

NA

NA

35

37

Kao et al., 2014 [14]

Taiwan

412

E-test

NA

16

NA

1

Selgrad et al., 2014 [25]

Germany

66

E-test

30

4

27

2

Ayala et al., 2011 [26]

Mexico

90

E-test

47

17

4

5

Marzio et al., 2011 [27]

Italy

68

Agar dilution

NA

NA

12

15

Norazah et al., 2009 [28]

Malaysia

22

E-test

6

6

0

1

Matteo et al., 2006 [15]

Argentina

42

Agar dilution

6

8

NA

NA

Raymond et al., 2005 [29]

France

28

E-test

22

14

13

3

Lee et al., 2005 [30]

South Korea

21

Agar dilution

4

12

2

5

Rimbara et al., 2005 [31]

Japan

542 (541)

Agar dilution

4

4

39

25

Kim et al., 2003 [13]

South Korea

220

Agar dilution

72

28

7

6

Masuda et al., 2003 [32]

Japan

65

PCR-SSCP, sequencing

NA

NA

5

11

van der Ende et al., 2001 [33]

Netherlands

976

E-test

NA

NA

45

6

Weel et al., 1996 [34]

Netherlands

156

Disk diffusion test, E-test

37

52

NA

NA

  1. The number in brackets indicates the number of samples investigated for metronidazole resistance when it differed from the number of samples investigated for clarithromycin resistance
  2. R resistance (samples/isolates with heteroresistance are not included), HR heteroresistance