Validation of a New Saliva Test for Helicobacter pylori Infection

The purpose of this study was to evaluate a recently introduced saliva test measuring immunoglobulin (Ig) G antibodies to Helicobacter pylori by enzyme-linked immunosorbent assay (ELISA). ELISA has previously been validated against IgG serological tests; however, it is not considered the definitive...

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Main Authors: OF Bathe, AJ Rae, P Zetler, IGM Cleator
Format: Article
Language:English
Published: Wiley 1996-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1996/825460
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author OF Bathe
AJ Rae
P Zetler
IGM Cleator
author_facet OF Bathe
AJ Rae
P Zetler
IGM Cleator
author_sort OF Bathe
collection DOAJ
description The purpose of this study was to evaluate a recently introduced saliva test measuring immunoglobulin (Ig) G antibodies to Helicobacter pylori by enzyme-linked immunosorbent assay (ELISA). ELISA has previously been validated against IgG serological tests; however, it is not considered the definitive test for H pylori infection. Using endoscopic antral biopsies as the ’gold standard’ for comparison, the saliva test was validated on 70 patients with upper gastrointestinal symptoms admitted to St Paul’s Hospital Gastroenterology Clinic for gastroduodenoscopy. Thirty-five patients (50%) had histological evidence of gastritis and, by using acridine orange stain, the bacterium was visualized in 25 patients (71%). A biopsy was considered positive when the bacterium was visualized. The saliva test was determined to be 80% sensitive and 80% specific for H pylori infection when the cut-off for a positive test was 0.3 ELISA U/mL. Positive and negative predictive values were 69% and 88%, respectively. More study is required to assess the clinical utility of the test.
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institution Kabale University
issn 0835-7900
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spelling doaj-art-337b855c0dd04ce1bb39435979ffe5c92025-02-03T05:49:42ZengWileyCanadian Journal of Gastroenterology0835-79001996-01-01102939610.1155/1996/825460Validation of a New Saliva Test for Helicobacter pylori InfectionOF Bathe0AJ Rae1P Zetler2IGM Cleator3Departments of Surgery and Pathology, St Paul’s Hospital, Vancouver, British Columbia, CanadaDepartments of Surgery and Pathology, St Paul’s Hospital, Vancouver, British Columbia, CanadaDepartments of Surgery and Pathology, St Paul’s Hospital, Vancouver, British Columbia, CanadaDepartments of Surgery and Pathology, St Paul’s Hospital, Vancouver, British Columbia, CanadaThe purpose of this study was to evaluate a recently introduced saliva test measuring immunoglobulin (Ig) G antibodies to Helicobacter pylori by enzyme-linked immunosorbent assay (ELISA). ELISA has previously been validated against IgG serological tests; however, it is not considered the definitive test for H pylori infection. Using endoscopic antral biopsies as the ’gold standard’ for comparison, the saliva test was validated on 70 patients with upper gastrointestinal symptoms admitted to St Paul’s Hospital Gastroenterology Clinic for gastroduodenoscopy. Thirty-five patients (50%) had histological evidence of gastritis and, by using acridine orange stain, the bacterium was visualized in 25 patients (71%). A biopsy was considered positive when the bacterium was visualized. The saliva test was determined to be 80% sensitive and 80% specific for H pylori infection when the cut-off for a positive test was 0.3 ELISA U/mL. Positive and negative predictive values were 69% and 88%, respectively. More study is required to assess the clinical utility of the test.http://dx.doi.org/10.1155/1996/825460
spellingShingle OF Bathe
AJ Rae
P Zetler
IGM Cleator
Validation of a New Saliva Test for Helicobacter pylori Infection
Canadian Journal of Gastroenterology
title Validation of a New Saliva Test for Helicobacter pylori Infection
title_full Validation of a New Saliva Test for Helicobacter pylori Infection
title_fullStr Validation of a New Saliva Test for Helicobacter pylori Infection
title_full_unstemmed Validation of a New Saliva Test for Helicobacter pylori Infection
title_short Validation of a New Saliva Test for Helicobacter pylori Infection
title_sort validation of a new saliva test for helicobacter pylori infection
url http://dx.doi.org/10.1155/1996/825460
work_keys_str_mv AT ofbathe validationofanewsalivatestforhelicobacterpyloriinfection
AT ajrae validationofanewsalivatestforhelicobacterpyloriinfection
AT pzetler validationofanewsalivatestforhelicobacterpyloriinfection
AT igmcleator validationofanewsalivatestforhelicobacterpyloriinfection