An office-based serological test for detection of current Helicobacter pylori infection: is it useful?

Objective: To compare the accuracy of a new office-based serological test for the detection of current Helicobacter pylori infection with gastric histopathology.Methods: An office-based serological test for detection of current H. pylori infection was performed in 92 consecutive patients with dyspep...

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Publicado en:European Journal of Gastroenterology & Hepatology Vol. 18; no. 1; pp. 85 - 89
Autores principales: Mumtaz K, Abid S, Yakoob J, Abbas Z, Hamid S, Islam M, Shah HA, Jafri W, Mumtaz, Khalid, Abid, Shahab, Yakoob, Javed, Abbas, Zaigham, Hamid, Saeed, Islam, M, Shah, Hasnain A, Jafri, Wasim
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jan2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2006
      vid: 18
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/00042737-200601000-00015
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        atl: An office-based serological test for detection of current Helicobacter pylori infection: is it useful?
      aug:
        au:
          Mumtaz K
          Abid S
          Yakoob J
          Abbas Z
          Hamid S
          Islam M
          Shah HA
          Jafri W
          Mumtaz, Khalid
          Abid, Shahab
          Yakoob, Javed
          Abbas, Zaigham
          Hamid, Saeed
          Islam, M
          Shah, Hasnain A
          Jafri, Wasim
        affil: Section of Gastroenterology, Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan
      sug:
        subj:
          Diagnosis, Laboratory Methods
          Helicobacter Infections Diagnosis
          Recombinant Proteins Diagnostic Use
          Serologic Tests Methods
          Adult
          Biopsy
          Breath Tests
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          Dyspepsia Microbiology
          Feces Analysis
          Female
          Gastroscopy
          Helicobacter Infections Immunology
          Helicobacter Infections Physiopathology
          Helicobacter Infections Symptoms
          Helicobacter Pylori
          Male
          Middle Age
          Outpatient Service
          Predictive Value of Tests
          Reagent Kits, Diagnostic
          Sensitivity and Specificity
          Stomach Pathology
          Urease Analysis
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To compare the accuracy of a new office-based serological test for the detection of current Helicobacter pylori infection with gastric histopathology.Methods: An office-based serological test for detection of current H. pylori infection was performed in 92 consecutive patients with dyspeptic symptoms. The result of this test was compared blindly with the rapid urease test and histopathology for H. pylori on gastric biopsies. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of this test were calculated against the histopathology.Results: Among 92 patients, H. pylori was detected by histopathology and rapid urease test in 61 (66%) and 56 (60%) patients, respectively. Meanwhile the serological test diagnosed current H. pylori infection in 55 patients (59%). On comparison against the histology, the sensitivity and specificity of this new serological test was 85 and 90%, respectively. The positive predictive value and negative predictive value of this test were 94 and 76%, and the accuracy was 87% in this study.Conclusion: The specificity and sensitivity of the serological test was found comparable with histopathology in the diagnosis of current H. pylori infection. This test is a useful tool for rapid diagnosis of H. pylori in out patients' setting.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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