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. 2011 Sep;16(9):1097-104.

Diagnostic values of Helicobacter pylori diagnostic tests: stool antigen test, urea breath test, rapid urease test, serology and histology

Shadi Kazemi  1 , Hamid Tavakkoli, Mohamad Reza Habizadeh, Mohammad Hasan Emami
Affiliations

Diagnostic values of Helicobacter pylori diagnostic tests: stool antigen test, urea breath test, rapid urease test, serology and histology

Shadi Kazemi et al. J Res Med Sci. 2011 Sep.

Abstract

Background: The purpose of this study is to compare validity of 5 diagnostic tests of helicobacter pylori with each other: stool antigen test, urea breath test (UBT), rapid urease test (RUT), serology and histology.

Methods: A total of 94 patients who had indication of endoscopy entered the study. All of the 5 tests were performed for each patient. When the results of at least 2 tests were positive (except serology), Helicobacter pylori infection was considered to be positive. The sensitivity, specificity, positive predictive value, negative predictive value, accuracy and area under receiver operating characteristic (ROC) curve of these 5 tests were determined.

Results: The sensitivity, specificity, positive predictive value, negative predictive value, accuracy and area under ROC curve of these 5 tests are as below, respectively.

Histology: 89%, 78%, 93%, 91%, 85% and 0.881; RUT: 93%, 75%, 95%, 94%, 86% and 0.831; serology: 50%, 54%, 46%, 61%, 52% and 0.563; stool antigen test: 96%, 83%, 98%, 96%, 91% and 0.897; UBT: 89%, 73%, 92%, 90%, 82% and 0.892.

Conclusions: Stool antigen test is the most accurate test for Helicobacter pylori diagnosis before eradication of these bacteria.

Keywords: Helicobacter Pylori; Stool Antigen Test; Urea Breath Test.

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Conflict of interest statement

Conflict of Interests Authors have no conflict of interests.

Figures

Figure 1
Figure 1
ROC curve of histology for H. pylori infection diagnosis
Figure 2
Figure 2
ROC curve of urea breath test (UBT) for H. pylori infection diagnosis
Figure 3
Figure 3
ROC curve of serology for H. pylori infection diagnosis
Figure 4
Figure 4
ROC curve of stool Antigen test for H. pylori infection diagnosis
Figure 5
Figure 5
ROC curve of urease breathe test (UBT) for H. pylori infection diagnosis
See this image and copyright information in PMC

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