Application of Real-Time PCR Stool Assay for Helicobacter pylori Detection and Clarithromycin Susceptibility Testing in Brazilian Children

被引:53
作者
Scaletsky, Isabel C. A. [1 ]
Aranda, Katia R. S. [1 ]
Garcia, Gabriela T. [2 ]
Goncalves, Manoel E. P. [3 ]
Cardoso, Silvia R. [3 ]
Iriya, Kiyoshi [4 ]
Silva, Neusa P. [5 ]
机构
[1] Univ Fed Sao Paulo, Dept Microbiol Imunol & Parasitol, BR-04023062 Sao Paulo, Brazil
[2] Univ Fed Sao Paulo, Dept Pediat, BR-04023062 Sao Paulo, Brazil
[3] Univ Sao Paulo, Fac Med, Inst Crianca, Sao Paulo, Brazil
[4] Univ Sao Paulo, Fac Med, Dept Patol Med, Sao Paulo, Brazil
[5] Univ Fed Sao Paulo, Disciplina Reumatol, BR-04023062 Sao Paulo, Brazil
关键词
Helicobacter pylori; stool PCR; children; INFECTION; PREVALENCE; SPECIMENS; RESISTANCE; VACA; CAGA;
D O I
10.1111/j.1523-5378.2011.00845.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: Helicobacter pylori ClariRes assay is a novel commercially available real-time PCR assay allowing H. pylori detection and clarithromycin susceptibility testing in either gastric biopsy or stool specimens. Objective: The aim of this study was to validate the novel biprobe real-time assay in stool specimens from 217 dyspeptic children. Methods: DNA from gastric biopsies and stool specimens were obtained and submitted to the biprobe real time assay for H. pylori detection and clarithromycin susceptibility testing. Results: The sensitivity, specificity, and test accuracy were 69, 100 and 93.9% for the detection of H. pylori infection and 83.3, 100 and 95.6%, for detection of clarithromycin resistance. Conclusion: This assay proved to be appropriate for H. pylori clarithromycin susceptibility testing, particularly in children populations where a high prevalence of clarithromycin-resistant strains is suspected.
引用
收藏
页码:311 / 315
页数:5
相关论文
共 23 条
[1]   Helicobacter pylori infection in pediatrics [J].
Elitsur, Y ;
Yahav, J .
HELICOBACTER, 2005, 10 :47-53
[2]   New site of modification of 23S rRNA associated with clarithromycin resistance of Helicobacter pylori clinical isolates [J].
Fontana, C ;
Favaro, M ;
Minelli, S ;
Criscuolo, AA ;
Pietroiusti, A ;
Galante, A ;
Favalli, C .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2002, 46 (12) :3765-3769
[3]   High Prevalence of Clarithromycin Resistance and cagA, vacA, iceA2, and babA2 Genotypes of Helicobacter pylori in Brazilian Children [J].
Garcia, Gabriella T. ;
Aranda, Katia R. S. ;
Goncalves, Manoel E. P. ;
Cardoso, Silvia R. ;
Iriya, Kiyoshi ;
Silva, Neusa P. ;
Scaletsky, Isabel C. A. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2010, 48 (11) :4266-4268
[4]   Helicobacter pylori and cagA and vacA gene status in children from Brazil with chronic gastritis [J].
Gatti, LL ;
Agostinho, F ;
de Lábio, R ;
Piason, FB ;
da Silva, LC ;
de Queiroz, VF ;
Peres, CA ;
Barbieri, D ;
Smith, MDC ;
Payao, SLM .
CLINICAL AND EXPERIMENTAL MEDICINE, 2003, 3 (03) :166-172
[5]   Analysis of antimicrobial susceptibility and virulence factors in Helicobacter pylori clinical isolates -: art. no. 20 [J].
Godoy, APO ;
Ribeiro, ML ;
Benvengo, YHB ;
Vitiello, L ;
Miranda, MDB ;
Mendonça, S ;
Pedrazzoli, J .
BMC GASTROENTEROLOGY, 2003, 3 (1)
[6]   Helicobacter pylori diagnostic tests in children: review of the literature from 1999 to 2009 [J].
Guarner, Jeannette ;
Kalach, Nicolas ;
Elitsur, Yoram ;
Koletzko, Sibylle .
EUROPEAN JOURNAL OF PEDIATRICS, 2010, 169 (01) :15-25
[7]  
Kawakami Elisabete, 2008, Arq. Gastroenterol., V45, P147, DOI 10.1590/S0004-28032008000200011
[8]  
Kawakami Elisabete, 2001, Arquivos de Gastroenterologia, V38, P203, DOI 10.1590/S0004-28032001000300011
[9]  
KIKUCHI S, 2006, CLIN MICROBIOL REV, V19, P449
[10]   Diagnosis of Helicobacter pylori infection [J].
Krogfelt, KA ;
Lehours, P ;
Mégraud, F .
HELICOBACTER, 2005, 10 :5-13