Invasive tests for Helicobacter pylori in children

被引:2
作者
Huynh, HQ [1 ]
机构
[1] Univ Alberta, Stollery Childrens Hosp, Dept Pediat, Div Pediat Gastroenterol & Nutr, Edmonton, AB, Canada
关键词
children; endoscopy; H pylori; histology; invasive; molecular diagnostics;
D O I
10.1155/2005/514280
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
One of the primary indications for upper gastrointestinal (GI) endoscopy in children is the presence of persistent and severe upper abdominal symptoms. Upper GI endoscopies are per-formed to allow the physician to confirm or rule out upper GI pathology. Additionally, upper GI endoscopies with mucosal biopsies are the gold standard for the diagnosis of Helicobacter pylori infection and its complications in children. The gastric biopsies can be used for the rapid urease test, histological examination and bacterial culture to determine antibiotic sensitivity. DNA extracted in these biopsies can also be subjected to genotyping using molecular methods to determine the presence of H pylori infection, antibiotic resistance mutations and H pylori virulence factors.
引用
收藏
页码:429 / 432
页数:4
相关论文
共 36 条
[1]   Endoscopic nodular gastritis:: An endoscopic indicator of high-grade bacterial colonization and severe gastritis in children with Helicobacter pylori [J].
Bahú, MD ;
da Silveira, TR ;
Maguilnick, I ;
Ulbrich-Kulczynski, J .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2003, 36 (02) :217-222
[2]   Analysis of the rdxA gene in high-level metronidazole-resistant clinical isolates confirms a limited use of rdxA mutations as a marker for prediction of metronidazole resistance in Helicobacter pylori [J].
Bereswill, S ;
Krainick, C ;
Stähler, F ;
Herrmann, L ;
Kist, M .
FEMS IMMUNOLOGY AND MEDICAL MICROBIOLOGY, 2003, 36 (03) :193-198
[3]   Transcription profile of Helicobacter pylori in the human stomach reflects its physiology in vivo [J].
Booniakuakul, JK ;
Syvanen, M ;
Suryaprasad, A ;
Bowlus, CL ;
Solnick, JV .
JOURNAL OF INFECTIOUS DISEASES, 2004, 190 (05) :946-956
[4]   Diagnosis of Helicobacter pylori infection by polymerase chain reaction:: is it worth it? [J].
Brooks, HJL ;
Ahmed, D ;
McConnell, MA ;
Barbezat, GO .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2004, 50 (01) :1-5
[5]   Frameshift mutations in frxA occur frequently and do not provide a reliable marker for metronidazole resistance in UK isolates of Helicobacter pylori [J].
Chisholm, SA ;
Owen, RJ .
JOURNAL OF MEDICAL MICROBIOLOGY, 2004, 53 (02) :135-140
[6]   Mutations in Helicobacter pylori rdxA gene sequences may not contribute to metronidazole resistance [J].
Chisholm, SA ;
Owen, RJ .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2003, 51 (04) :995-999
[7]   PCR-Based diagnosis of Helicobacter pylori infection and real-time determination of clarithromycin resistance directly from human gastric biopsy samples [J].
Chisholm, SA ;
Owen, RJ ;
Teare, EL ;
Saverymuttu, S .
JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (04) :1217-1220
[8]   Rate of Helicobacter pylori infection in children and clonality of Taiwan strains [J].
Chu, CS ;
Yu, YJ ;
Kong, MS ;
Ou, JT .
MICROBIOLOGY AND IMMUNOLOGY, 2003, 47 (11) :813-821
[9]   Antimicrobial resistance incidence and risk factors among Helicobacter pylori-infected persons, United States [J].
Duck, WM ;
Sobel, J ;
Pruckler, JM ;
Song, OS ;
Swerdlow, D ;
Friedman, C ;
Sulka, A ;
Swaminathan, B ;
Taylor, T ;
Hoekstra, M ;
Griffin, P ;
Smoot, D ;
Peek, R ;
Metz, DC ;
Bloom, PB ;
Goldschmid, S ;
Parsonnet, J ;
Triadafilopoulos, G ;
Perez-Perez, GI ;
Vakil, N ;
Ernst, P ;
Czinn, S ;
Dunne, D ;
Gold, BD .
EMERGING INFECTIOUS DISEASES, 2004, 10 (06) :1088-1094
[10]   Distribution of Helicobacter pylori organisms in the stomachs of children with H-pylori infection [J].
Elitsur, Y ;
Lawrence, Z ;
Triest, WE .
HUMAN PATHOLOGY, 2002, 33 (11) :1133-1135