2015, Number 4
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salud publica mex 2015; 57 (4)
Concordance among invasive diagnostic procedures for Helicobacter pylori infection in adults
Sánchez-Cuén JA, Canizalez-Román VA, León-Sicairos NM, Irineo-Cabrales AB, Bernal-Magaña G
Language: Spanish
References: 18
Page: 352-357
PDF size: 270.69 Kb.
ABSTRACT
Objective. Compare the strength of concordance between
culture, histology, rapid urease test for diagnosis of
Helicobacter pylori infection and histopathological findings
relationship and frequency of positivity among such diagnostic
procedures.
Materials and methods. Diagnostic test
study. The study population were subjects with endoscopy and
take samples of gastric antral. Rapid urease test (one sample),
histology (two samples) and culture (two samples), and histopathological
findings of gastric mucosa were performed.
Statistical design with Student's t, Fisher exact test, Kappa
coefficient.
Results. We reviewed 108 subjects, 28 (25.9%)
men, 80 (74.1%) women, mean age was 49.1 years (SD 15.1).
The Kappa coefficient was 0.729 and 0.377 between culture
with histology and rapid urease test, respectively; likewise
the Kappa coefficient was 0.565 between histology and rapid
urease test.
Conclusions. The strength of concordance was
higher between histology with culture and rapid urease test;
the most recommended being histology in clinical practice
for the detection of
Helicobacter pylori infection.
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