A one-step immune-chromatographic Helicobacter pylori stool antigen test for children was quick, consistent, reliable and specific.

Aim: This French study assessed a quick, noninvasive, immuno-chromatographic, Helicobacter pylori (H. pylori) stool antigen test for detecting infections in children.Methods: We enrolled 158 children, with a median age of 8.5 years (range eight months to 17 years), with digestive symptoms suggesting...

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Publicado en:Acta Paediatrica Vol. 106; no. 7
Autores principales: Kalach, Nicolas, Gosset, Pierre, Dehecq, Eric, Decoster, Anne, Georgel, Anne-France, Spyckerelle, Claire, Papadopoulos, Stephanos, Dupont, Christophe, Raymond, Josette
Formato: research Journal Article
Publicado: Wiley-Blackwell Jul2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2017
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      iid: 7
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/apa.13968
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        atl: A one-step immune-chromatographic Helicobacter pylori stool antigen test for children was quick, consistent, reliable and specific.
      aug:
        au:
          Kalach, Nicolas
          Gosset, Pierre
          Dehecq, Eric
          Decoster, Anne
          Georgel, Anne-France
          Spyckerelle, Claire
          Papadopoulos, Stephanos
          Dupont, Christophe
          Raymond, Josette
        affil: Clinique Pédiatrique St Antoine, Hôpital St Vincent de Paul, Groupement des Hôpitaux de l'Institut Catholique de Lille (GHICL), France
      sug:
        subj:
          Helicobacter Infections Diagnosis
          Feces
          Helicobacter Pylori
          Helicobacter Pylori Immunology
          Antigens, Bacterial Analysis
          Helicobacter Infections Microbiology
          Male
          Reproducibility of Results
          Female
          Helicobacter Infections Immunology
          Time Factors
          Child, Preschool
          Sensitivity and Specificity
          Infant
          Adolescence
          Child
          Human
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Adolescent: 13-18 years
          Child: 6-12 years
          Male
          Female
      ab: Aim: This French study assessed a quick, noninvasive, immuno-chromatographic, Helicobacter pylori (H. pylori) stool antigen test for detecting infections in children.Methods: We enrolled 158 children, with a median age of 8.5 years (range eight months to 17 years), with digestive symptoms suggesting upper gastrointestinal tract disease. Upper digestive endoscopy was performed with gastric biopsy specimens for histology, a rapid urease test, culture test and quantitative real-time polymerase chain reaction. The H. pylori stool antigen test was performed twice for each child and the results were compared to the reference method.Results: The reference methods showed that 23 (14.6%) of the 158 children tested were H. pylori positive. The H. pylori stool antigen test showed 91.3% sensitivity, with a 95% confidence interval (95% CI) of 86.9-95.6 and 97% specificity (95% CI 94.3-99.6), 30.84 positive likelihood ratio and 0.09 negative likelihood ratio. The test accuracy was 96.2% (95% CI 93.2-99.1). The two blinded independent observers produced identical H. pylori stool antigen test results and the Kappa coefficient for the H. pylori stool antigen test was one.Conclusion: The H. pylori stool antigen test was found to be a consistent, reliable, quick and specific test for detecting the H. pylori infection in children.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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