Rifaximin versus Nonabsorbable Disaccharides for the Treatment of Hepatic Encephalopathy : A Meta-Analysis
Joint Authors
Lu, Jie
Wu, Shu-Mei
Zhou, Ying-Qun
Guo, Chuan-Yong
Xu, Ling
Wu, Dong
Source
Gastroenterology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-03
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Many studies have found that the antibiotic rifaximin is effective for the treatment of hepatic encephalopathy.
However, there is no uniform view on the efficacy and safety of rifaximin.
Methods.
We performed a meta-analysis through electronic searches to evaluate the efficacy and safety of rifaximin in comparison with nonabsorbable disaccharides.
Results.
A total of 8 randomized controlled trials including 407 patients were included.
The efficacy of rifaximin was equivalent to nonabsorbable disaccharides according to the statistical data (risk ratio (RR): 1.06, 95% CI: 0.94–1.19; P=0.34).
Analysis showed that patients treated with rifaximin had better results in serum ammonia levels (weighted mean difference (WMD): −10.63, 95% CI: −30.63–9.38; P=0.30), mental status (WMD: −0.32, 95% CI: −0.67–0.03; P=0.07), asterixis (WMD: −0.12, 95% CI: −0.31–0.08; P=0.23), electroencephalogram response (WMD: −0.21, 95% CI: −0.34–−0.09; P=0.0007), and grades of portosystemic encephalopathy (WMD: −2.30, 95% CI: −2.78–−1.82; P<0.00001), but only the last ones had statistical significance.
The safety of rifaximin was better than nonabsorbable disaccharides (RR: 0.19, 95% CI: 0.10–0.34; P<0.00001).
Conclusion.
Rifaximin is at least as effective as nonabsorbable disaccharides, maybe better for the treatment of hepatic encephalopathy.
And the safety of rifaximin is better.
American Psychological Association (APA)
Wu, Dong& Wu, Shu-Mei& Lu, Jie& Zhou, Ying-Qun& Xu, Ling& Guo, Chuan-Yong. 2013. Rifaximin versus Nonabsorbable Disaccharides for the Treatment of Hepatic Encephalopathy : A Meta-Analysis. Gastroenterology Research and Practice،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-456203
Modern Language Association (MLA)
Wu, Dong…[et al.]. Rifaximin versus Nonabsorbable Disaccharides for the Treatment of Hepatic Encephalopathy : A Meta-Analysis. Gastroenterology Research and Practice No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-456203
American Medical Association (AMA)
Wu, Dong& Wu, Shu-Mei& Lu, Jie& Zhou, Ying-Qun& Xu, Ling& Guo, Chuan-Yong. Rifaximin versus Nonabsorbable Disaccharides for the Treatment of Hepatic Encephalopathy : A Meta-Analysis. Gastroenterology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-456203
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-456203