Evaluation of a commercially available complement fixation test for diagnosis of Helicobacter pylori infection and for follow-up after antimicrobial therapy

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Published in:	Journal of Clinical Microbiology Vol. 30; no. 12; pp. 3230 - 3233
Main Authors:	GOOSSENS, H, GLUPCZYNSKI, Y, BURETTE, A, VAN DEN BOORE, C, DEPREZ, C, BODENMANN, J, KELLER, A, BUTZLER, J. P
Format:	Journal Article
Language:	English
Published:	Washington, DC American Society for Microbiology 01-12-1992
Subjects:	Adolescent Adult Aged Aged, 80 and over Anti-Bacterial Agents - therapeutic use Antibodies, Bacterial - blood Bacteriological methods and techniques used in bacteriology Bacteriology Biological and medical sciences Complement Fixation Tests - methods Complement Fixation Tests - statistics & numerical data Evaluation Studies as Topic Female Fundamental and applied biological sciences. Psychology Helicobacter Infections - diagnosis Helicobacter Infections - drug therapy Helicobacter pylori Helicobacter pylori - immunology Helicobacter pylori - isolation & purification Humans Male Microbiology Middle Aged Sensitivity and Specificity Performance evaluation Human Spirillales Spirillaceae Complement fixation test Eradication Infection Chemotherapy Treatment Helicobacter pylori Investigation method Bacteriosis Bacteria Diagnosis Comparative study
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Abstract	Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology. For an alternate route to JCM .asm.org, visit: JCM
AbstractList	Commercially available complement fixation test reagents (Institute Virion Ltd., Rüschlikon, Zurich, Switzerland) available in package format were evaluated for the serodiagnosis of Helicobacter pylori infection. The assay was compared with bacterial culture and histological Giemsa stain of gastric biopsy specimens obtained from 930 patients of different ages and from different ethnic groups, with a variety of upper gastrointestinal tract symptoms. The prevalence, sensitivity, specificity, and positive and negative predictive values, respectively, were 35, 71, 90, 80, and 85% for Belgian patients aged 40 years or younger, 50, 81, 93, 92, and 83% for Belgian patients older than 40 years, and 83, 83, 79, 95, and 48% for Mediterranean patients. Using 645 serum specimens from 226 patients, we also evaluated the complement fixation test for its ability to monitor the eradication of H. pylori following antimicrobial therapy. Overall, H. pylori was eradicated from 122 patients while 104 patients remained infected with the organism. A significant decrease in antibody levels was observed 3 to 6 months after the end of therapy in the group of patients from whom H. pylori was eradicated. Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology. For an alternate route to JCM .asm.org, visit: JCM Commercially available complement fixation test reagents (Institute Virion Ltd., Rueschlikon, Zurich, Switzerland) available in package format were evaluated for the serodiagnosis of Helicobacter pylori infection. The assay was compared with bacterial culture and histological Giemsa stain of gastric biopsy specimens obtained from 930 patients of different ages and from different ethnic groups, with a variety of upper gastrointestinal tract symptoms. The prevalence, sensitivity, specificity, and positive and negative predictive values, respectively, were 35, 71, 90, 80, and 85% for Belgian patients aged 40 years or younger, 50, 81, 93, 92, and 83% for Belgian patients older than 40 years, and 83, 83, 79, 95, and 48% for Mediterranean patients. Using 645 serum specimens from 226 patients, we also evaluated the complement fixation test for its ability to monitor the eradication of H. pylori following antimicrobial therapy. Overall, H. pylori was eradicated from 122 patients while 104 patients remained infected with the organism. A significant decrease in antibody levels was observed 3 to 6 months after the end of therapy in the group of patients from whom H. pylori was eradicated.
Author	C DePrez Y Glupczynski J Bodenmann C Van den Borre A Keller H Goossens J P Butzler A Burette
AuthorAffiliation	World Health Organization Collaborating Centre for Enteric Campylobacter, St-Pieters University Hospital, Brussels, Belgium
AuthorAffiliation_xml	– name: World Health Organization Collaborating Centre for Enteric Campylobacter, St-Pieters University Hospital, Brussels, Belgium
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Title	Evaluation of a commercially available complement fixation test for diagnosis of Helicobacter pylori infection and for follow-up after antimicrobial therapy
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