Infants differ from teenagers: use of non-invasive tests for detection of Helicobacter pylori infection in children.

Reliable non-invasive tests that are feasible in early childhood are essential to the study of transmission of Helicobacter pylori, since most individuals get infected during the first years of life. New tests are validated by comparison with a "gold standard", but no single test for detection of H....

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Publicado en:European Journal of Gastroenterology & Hepatology Vol. 13; no. 9; pp. 1047 - 1053
Autores principales: Koletzko S, Feydt-Schmidt A, Koletzko, S, Feydt-Schmidt, A
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins 2001 Sep
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2001 Sep
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Infants differ from teenagers: use of non-invasive tests for detection of Helicobacter pylori infection in children.
      aug:
        au:
          Koletzko S
          Feydt-Schmidt A
          Koletzko, S
          Feydt-Schmidt, A
        affil: Kinderklinik & Kinderpoliklinik, Dr v. Haunersches Kinderspital, Ludwig-Maximilians-University Munich, Pettenkoferstr. 8a, D-80336 Munich, Germany
      sug:
        subj:
          Helicobacter Infections Diagnosis
          Helicobacter Infections Diagnosis
          Diagnosis, Laboratory Methods
          Breath Tests
          Feces Analysis
          Sensitivity and Specificity
          Child
          Adolescence
          Human
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Reliable non-invasive tests that are feasible in early childhood are essential to the study of transmission of Helicobacter pylori, since most individuals get infected during the first years of life. New tests are validated by comparison with a "gold standard", but no single test for detection of H. pylori infection can be used as a fully reliable reference method. Therefore, concordant results of at least two biopsy-based tests (histology, culture, rapid urease test) are considered as the "gold standard". Most of the validation studies in children included only a few infants and toddlers, with low numbers particularly for H. pylori-infected individuals. Only when increasing numbers of patients were tested and separated into subgroups by age it became apparent that the accuracy of most tests is lower in young children if the same cut-off values are used as established for older children or adults. Therefore, statements such as "a test has been validated with good results in children" must be interpreted with caution, unless different age groups are considered with sufficient numbers of infected and non-infected children in each age group.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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