Diagnostic values of Helicobacter pylori diagnostic tests: stool antigen test, urea breath test, rapid urease test, serology and histology.

BACKGROUND: The purpose of this study is to compare validity of 5 diagnostic tests of helicobacter pylori with each other: stool antigen test, urea breath test (UBT), rapid urease test (RUT), serology and histology. METHODS: A total of 94 patients who had indication of endoscopy entered the study. A...

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Publicado en:Journal of Research in Medical Sciences Vol. 16; no. 9; pp. 1097 - 1105
Autores principales: Kazemi, Shadi, Tavakkoli, Hamid, Habibzadeh, Mohamad Reza, Emami, Mohammad Hassan
Formato: research tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Sep2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2011
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Diagnostic values of Helicobacter pylori diagnostic tests: stool antigen test, urea breath test, rapid urease test, serology and histology.
      aug:
        au:
          Kazemi, Shadi
          Tavakkoli, Hamid
          Habibzadeh, Mohamad Reza
          Emami, Mohammad Hassan
        affil: Internal Medicine Resident, Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
      sug:
        subj:
          Antigens Analysis
          Diagnosis, Laboratory Methods
          Enzymes Analysis
          Feces Analysis
          Helicobacter Infections Diagnosis
          Urea Analysis
          Adult
          Aged
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          Endoscopy
          False Positive Results
          Female
          Human
          Male
          Middle Age
          Outpatients
          Predictive Value of Tests
          ROC Curve
          Sensitivity and Specificity
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND: The purpose of this study is to compare validity of 5 diagnostic tests of helicobacter pylori with each other: stool antigen test, urea breath test (UBT), rapid urease test (RUT), serology and histology. METHODS: A total of 94 patients who had indication of endoscopy entered the study. All of the 5 tests were performed for each patient. When the results of at least 2 tests were positive (except serology), Helicobacter pylori infection was considered to be positive. The sensitivity, specificity, positive predictive value, negative predictive value, accuracy and area under receiver operating characteristic (ROC) curve of these 5 tests were determined. RESULTS: The sensitivity, specificity, positive predictive value, negative predictive value, accuracy and area under ROC curve of these 5 tests are as below, respectively. Histology: 89%, 78%, 93%, 91%, 85% and 0.881; RUT: 93%, 75%, 95%, 94%, 86% and 0.831; serology: 50%, 54%, 46%, 61%, 52% and 0.563; stool antigen test: 96%, 83%, 98%, 96%, 91% and 0.897; UBT: 89%, 73%, 92%, 90%, 82% and 0.892. CONCLUSIONS: Stool antigen test is the most accurate test for Helicobacter pylori diagnosis before eradication of these bacteria.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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