Use of a Gastric Juice-Based PCR Assay To Detect Helicobacter pylori Infection in Culture-Negative Patients

Author:

Yoshida Haruhiko1,Hirota Katsutaro2,Shiratori Yasushi1,Nihei Takeshi2,Amano Shin2,Yoshida Akira3,Kawamata Osamu3,Omata Masao1

Affiliation:

1. Second Department of Internal Medicine, University of Tokyo, Tokyo 113,1

2. Department of Internal Medicine, Mito Saiseikai Hospital, Ibaraki 311-41,2 and

3. Center for Molecular Biology and Cytogenetics, SRL Inc., Tokyo 192,3 Japan

Abstract

ABSTRACT A gastric juice-based PCR assay was compared with culture, microscopy, and a rapid urease test with specimens from 114 subjects. The PCR and conventional tests were positive for 76 and 62% of the subjects, respectively. The prevalence of gastroduodenal disease and seropositivity for anti- Helicobacter pylori immunoglobulin G were similarly high among conventional-test-positive and PCR-only-positive subjects compared to all-negative ones. The PCR assay is recommended to confirm the H. pylori status of culture-negative peptic-ulcer patients.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference22 articles.

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3. Subtypes of intestinal metaplasia and Helicobacter pylori;Craanen M. E.;Gut,1992

4. Accuracy of invasive and noninvasive tests to diagnose Helicobacter pylori infection;Cutler A. F.;Gastroenterology,1995

5. An international association between Helicobacter pylori infection and gastric cancer;EUROGAST Study Group;Lancet,1993

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