ASSESSMENT OF THE ACCURACY OF THE RAPID TEST FOR THE DIAGNOSIS OF HELICOBACTER PYLORI IN PATIENTS THAT DIDN'T UNDERGO PREVIOUS ERADICATION THERAPY AND WHO WENT THROUGH ENDOSCOPY.

Q2 Medicine Arquivos de Gastroenterologia Pub Date : 2024-03-04 eCollection Date: 2024-01-01 DOI:10.1590/S0004-2803.24612023-136
Gianluca Z Rovaris, João V Back, Maria Paula Ronchi-Colombo, Vitória S Rosa, Manoel C B Cardoso, Emilio C Berger
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Abstract

Background: Helicobacter pylori infection is widely spread globally and is known to cause potentially serious diseases. Several diagnostic methods exist to identify and treat carriers of this bacterium. Serological tests for the diagnosis of infection are based on the detection of antibodies immunoglobulin G against H. pylori, a non-invasive, inexpensive, and easy-to-perform option.

Objective: This research aims to ascertain the accuracy of an immunochromatographic serological test to verify the feasibility of using this method in patients who have not undergone previous eradication therapy.

Methods: Rapid tests and questionnaires were applied to 53 patients that underwent upper digestive endoscopy with research for H. pylori between the period of September and October 2021. The results were compared with histopathology.

Results: In the rapid tests, seven positive and 46 negative results were obtained. When compared with the gold stan-dard, the following values were described: sensitivity 54.5%, specificity 97.6%, positive predictive value 85.7%, and negative predictive value 89.1%.

Conclusion: In the present study, the immunochromatographic serological tests had an accuracy close to the values found in other similar studies. Therefore, it may be concluded that the rapid serological test remains a reasonable choice for screening large populations due to its low cost and ease of application, especially in those individuals who have not undergone previous treatment.

Background: • Helicobacter pylori infection can cause potentially serious diseases.

Background: • Serological tests are based on the detection of antibodies immunoglobulin G against Helicobacter pylori.

Background: • Serological tests for the diagnosis of Helicobacter pylori infection are low cost tools and have easy application.

Background: • Rapid serological test is a reasonable choice for screening large populations.

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对未接受过根除治疗和内窥镜检查的患者进行幽门螺旋杆菌快速检测的准确性评估。
背景:幽门螺杆菌感染在全球广泛传播,已知可导致潜在的严重疾病。目前有几种诊断方法可以识别和治疗这种细菌的携带者。诊断感染的血清学检验基于检测针对幽门螺杆菌的免疫球蛋白 G 抗体,这是一种无创、廉价且易于操作的方法:本研究旨在确定免疫层析血清学检测的准确性,以验证在未接受过根除治疗的患者中使用这种方法的可行性:方法:在 2021 年 9 月至 10 月期间,对 53 名接受上消化道内窥镜检查的患者进行了幽门螺杆菌快速检测和问卷调查。结果与组织病理学结果进行了比较:结果:在快速检测中,共获得 7 项阳性结果和 46 项阴性结果。与金标准相比,结果显示:灵敏度为 54.5%,特异性为 97.6%,阳性预测值为 85.7%,阴性预测值为 89.1%:在本研究中,免疫层析血清学检测的准确性接近于其他类似研究中发现的数值。因此,可以得出结论,快速血清学检测因其成本低、应用简便,仍然是筛查大量人群的合理选择,尤其是那些未接受过治疗的人群:- 背景:幽门螺杆菌感染可导致潜在的严重疾病:- 血清学检测的基础是检测针对幽门螺旋杆菌的免疫球蛋白 G 抗体:- 背景:诊断幽门螺旋杆菌感染的血清学试验是一种低成本的工具,易于应用:- 背景:快速血清学检测是筛查大量人群的合理选择。
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来源期刊
Arquivos de Gastroenterologia
Arquivos de Gastroenterologia Medicine-Gastroenterology
CiteScore
2.00
自引率
0.00%
发文量
109
审稿时长
9 weeks
期刊介绍: The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.
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