Evaluation of a commercial serological kit for detection of salivary immunoglobulin G to Helicobacter pylori: a multicentre study.

Objective: To evaluate the usefulness of a commercial serological enzyme immunoassay (EIA) for detecting salivary immunoglobulin (Ig) G to Helicobacter pylori.Design: Prospective, multicentre study.Setting: The study was conducted at 11 gastroenterology hospital centres throughout Italy.Participants...

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Publicado en:European Journal of Gastroenterology & Hepatology Vol. 12; no. 10; pp. 1117 - 1121
Autores principales: Luzza F, Imeneo M, Marasco A, Crotta S, Ierardi E, Usai P, Virgilio C, Nardone G, Marchi S, Sanna G, Perri F, Zagari RM, Bazzoli F, Luzza, F, Imeneo, M, Marasco, A, Crotta, S, Ierardi, E, Usai, P, Virgilio, C
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins 2000 Oct
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2000 Oct
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/00042737-200012100-00008
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        atl: Evaluation of a commercial serological kit for detection of salivary immunoglobulin G to Helicobacter pylori: a multicentre study.
      aug:
        au:
          Luzza F
          Imeneo M
          Marasco A
          Crotta S
          Ierardi E
          Usai P
          Virgilio C
          Nardone G
          Marchi S
          Sanna G
          Perri F
          Zagari RM
          Bazzoli F
          Luzza, F
          Imeneo, M
          Marasco, A
          Crotta, S
          Ierardi, E
          Usai, P
          Virgilio, C
        affil: Dipartimento di Medicina Sperimentale e Clinica, Università di Catanzaro Magna Graecia, Catanzaro, Italy
      sug:
        subj:
          Reagent Kits, Diagnostic
          Immunoglobulins Analysis
          Immunoassay
          Saliva Analysis
          Sensitivity and Specificity
          Helicobacter Pylori Analysis
          Predictive Value of Tests
          Prospective Studies
          T-Tests
          Confidence Intervals
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Female
          Male
          Funding Source
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Objective: To evaluate the usefulness of a commercial serological enzyme immunoassay (EIA) for detecting salivary immunoglobulin (Ig) G to Helicobacter pylori.Design: Prospective, multicentre study.Setting: The study was conducted at 11 gastroenterology hospital centres throughout Italy.Participants and Interventions: Two hundred and thirteen dyspeptic patients underwent gastroscopy with antral biopsies. At each centre, two of the following three tests for H. pylori diagnosis were performed: urease quick test, histology, and 13C-urea breath test. Samples of unstimulated saliva and venous blood were collected from each patient. Salivary and serum H. pylori IgG were determined with the EIA Helori-test IgG (Eurospital, Trieste, Italy).Main Outcome Measures: Sensitivity, specificity, positive and negative predictive values, and accuracy of the salivary and serum EIAs.Results: By using a receiver operating characteristic curve, salivary EIA yielded 81% (95% confidence interval 73-87%) sensitivity, 73% (62-83%) specificity, 84% (76-90%) positive predictive value, 69% (58-79%) negative predictive value, and 78% (72-84%) accuracy. At the cut-off suggested by the manufacturer, serum EIA had 90% (84-95%) sensitivity, 78% (67-86%) specificity, 88% (81-93%) positive predictive value, 82% (71-90%) negative predictive value, and 86% (81-91%) accuracy.Conclusion: In this large multicentre study, detection of salivary H. pylori IgG with a commercial serological EIA was a fairly accurate diagnostic method. Data confirm that saliva testing does not compare favourably with serology in the assessment of H. pylori status.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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