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The high sensitivity and specificity of rapid urease test in diagnosis of Helicobacter pylori infection in Moroccan children

机译:The high sensitivity and specificity of rapid urease test in diagnosis of Helicobacter pylori infection in Moroccan children

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Background and Objectives: Infesting nearly 50 of the world's population, Helicobacter pylori are thought to cause peptic ulcers, as well as gastric adenocarcinoma. Several diagnostic methods are available to detect this bacterium; however, at least two must be used together for an accurate diagnosis. This study evaluated the use of rapid urease test for diagnosis of H. pylori infection in a pediatric population. Materials and Methods: Five gastric biopsies were taken from children during a 2-year period for the purpose of histological, molecular, bacteriological culture, and rapid urease testing. Results: Among 83 children, 38 were male, and 45 were female with an age ranging of 2 to 15 years. The infected group represented 31. The rapid urease test had a sensitivity of 88.5, a negative predictive value of 94, a specificity of 84.2, and a positive predictive value of 72. Conclusion: A rapid urease test may be appropriate for ruling out H. pylori infection after a negative result. The positive results however, may be confirmed by a second invasive test.

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