Determination of optimal time for reading of rapid urease test diagnosis of Helicobacter pylori.

Aim: The study aimed to find the best reading time for the best accuracy of RUT in optimal time to obtain faster results with lower false rates and consequently save time in commencing treatment of peptic ulcers. Background: Rapid urease test is well known to be an accurate test for H.pylori detecti...

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Publicado en:Gastroenterology & Hepatology from Bed to Bench Vol. 13; no. 3; pp. 232 - 238
Autores principales: Eslaminejad, Alireza, Marashian, Sayed Mehran, Aboutorabi, Maryam, Sadr, Makan, Agah, Shahram
Formato: equations & formulas research tables/charts Journal Article
Publicado: Gastroenterology & Hepatology from Bed to Bench Summer2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Determination of optimal time for reading of rapid urease test diagnosis of Helicobacter pylori.
      aug:
        au:
          Eslaminejad, Alireza
          Marashian, Sayed Mehran
          Aboutorabi, Maryam
          Sadr, Makan
          Agah, Shahram
        affil: Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Disease, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Diagnostic Tests, Routine
          Urease
          Helicobacter Infections Diagnosis
          Peptic Ulcer Therapy
          Helicobacter Pylori
          Human
          Iran
          Endoscopy
          Sensitivity and Specificity
          Time Factors
          Descriptive Statistics
      ab: Aim: The study aimed to find the best reading time for the best accuracy of RUT in optimal time to obtain faster results with lower false rates and consequently save time in commencing treatment of peptic ulcers. Background: Rapid urease test is well known to be an accurate test for H.pylori detection in tissue biopsies. Methods: Patients with GI problems referring to a university hospital in Tehran who underwent endoscopy and biopsy were entered in the project and three samples of mucosal tissue were captured from the lesser curvature, the antrum and the body of stomach. Results: We found 39.6% sensitivity and 95% specificity for the named test in the first 5 minutes as well as PPV = 95.5% and NPV = 37.3% while the accuracy was 54.79%. Except for the specificity which was constantly 95% in all RUT reading times, other diagnostic parameters increased as time went on. The PPV was also higher than 97% after 10 minutes. The highest values of sensitivity, specificity, PPV, NPV and accuracy were achieved after 12 hours including 88.7%, 95%, 97.9%, 76% and 90.41%, respectively. Conclusion: To conclude, it seems that there are many different ideas with respect to the rapid urease test in H.pylori detection. However, the current study recommends reading the test optimally after 12 hours but it is suggested more multidisciplinary studies with bigger sample size be carried out to obtain better and more reliable results to be able to generalize in this regard.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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