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Diagnosis of Helicobacter pylori Infection
Authors:Lurdes Monteiro,Mó  nica Oleastro,Philippe Lehours, Francis Mé  graud
Affiliation:Departamento de Doenças Infecciosas, Instituto Nacional Saúde Dr Ricardo Jorge, Lisboa, Portugal;, INSERM U853, F 33076 Bordeaux;, UniversitéVictor Segalen;Bordeaux 2, Laboratoire de Bactériologie, F33076 Bordeaux, France
Abstract:The articles published this last year in the field of Helicobacter pylori diagnosis reported the development of in vivo histology, small improvements in some invasive methods (urease test, culture, and histology) and new kits for the stool antigen tests. They also contributed to increasing our knowledge, by further exploration into specific conditions for the urea breath test and into the significance of cag A antibodies. The role of serum markers of atrophy was also confirmed. Molecular methods are still being developed for direct genotyping, detection of H. pylori and its clarithromycin resistance, either by polymerase chain reaction or fluorescent in-situ hybridization. For the first time, there was a report on a possible interest of magnetic resonance spectroscopy.
Keywords:Urease test    histology    culture    stool antigen test    urea breath test    molecular methods    antimicrobial susceptibility testing
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