Validation of Urine Test for Detection of Helicobacter pylori Infection in Indonesian Population.

We measured the accuracy of the urine test (RAPIRUN) for detection of Helicobacter pylori infection in Indonesia (Jakarta, Pontianak, and Jayapura) using histology confirmed by immunohistochemistry and/or culture as gold standards. We also used immunohistochemistry to identify CagA phenotype and ana...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 7
Autores principales: Syam, Ari Fahrial, Miftahussurur, Muhammad, Uwan, Willy Brodus, Simanjuntak, David, Uchida, Tomohisa, Yamaoka, Yoshio
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 12/28/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/28/2015
      vid: 2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2015/152823
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        atl: Validation of Urine Test for Detection of Helicobacter pylori Infection in Indonesian Population.
      aug:
        au:
          Syam, Ari Fahrial
          Miftahussurur, Muhammad
          Uwan, Willy Brodus
          Simanjuntak, David
          Uchida, Tomohisa
          Yamaoka, Yoshio
        affil: Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Jakarta 10430, Indonesia
      sug:
        subj:
          Helicobacter Infections Diagnosis
          Helicobacter Pylori Analysis
          Urinalysis
          Validity
          Human
          Indonesia
          Immunohistochemistry
          Helicobacter Pylori Classification
          Prevalence
          Helicobacter Infections Epidemiology
          Descriptive Statistics
          Sensitivity and Specificity
          Predictive Value of Tests
          Antibodies
          Prospective Studies
          Data Analysis Software
          Chi Square Test
          T-Tests
          Mann-Whitney U Test
          P-Value
          Adult
          Middle Age
          Male
          Female
          Genotype
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: We measured the accuracy of the urine test (RAPIRUN) for detection of Helicobacter pylori infection in Indonesia (Jakarta, Pontianak, and Jayapura) using histology confirmed by immunohistochemistry and/or culture as gold standards. We also used immunohistochemistry to identify CagA phenotype and analyzed H. pylori CagA diversity in Indonesia. The overall prevalence of H. pylori infection in 88 consecutive dyspeptic patients based on the urine test was 15.9% (14/88), 38.1% for patients in Jayapura that had higher prevalence of H. pylori infection than that in Jakarta (9.7%, P=0.02) and Pontianak (8.3%, P=0.006). Overall sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of RAPIRUN were 83.3%, 94.7%, 71.4%, 97.3%, and 93.2%, respectively. All of the H. pylori-positive patients were immunoreactive for anti-CagA antibody but not immunoreactive for East Asian specific anti-CagA antibody in all H. pylori-positive subjects. We confirmed the high accuracy of RAPIRUN in Indonesian population. In general, we found less virulent type of H. pylori in Indonesia, which partly explained the low incidence gastric cancer in Indonesia.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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