Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori

Detalhes bibliográficos
Autor(a) principal: Santos, Jéssica Seibert dos
Data de Publicação: 2024
Outros Autores: Aguiar, Natália Rocha de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/44822
Resumo: pylori infection is globally prevalent, varying by age, geographic location, and socioeconomic status. In Brazil, it is estimated that it affects around 70% of the population, increasing with age and being lower in the white population, regardless of sex. The objective of this study was to compare the results of histopathological and urease tests in patients, highlighting a higher positivity in the former (42%) compared to previous studies. The analysis of age groups revealed a higher prevalence of positive H. pylori in patients between 30-39 years old, differing from other studies. Regarding gender, a higher incidence was observed in males (47%), similar to previous studies. Dyspeptic symptoms were observed in 48% of patients, but were not directly correlated with H. pylori positivity. Regarding clinical variables, the majority of patients did not have drug allergies (76%) or significant comorbidities, and among those who had comorbidities, systemic arterial hypertension was the most prevalent (73.7%). Clinical tests, especially urease and histopathology, were compared, showing similar results, although the urease test has been suggested as useful in ruling out infection when negative. It is concluded that the combination of both methods can be beneficial. This study contributes to the understanding of the prevalence of H. pylori, highlighting the importance of joint assessment of diagnostic tests and the need for more research on correlations with specific clinical variables.
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spelling Comparison of the diagnostic efficacy between urease and histopathological tests in H. pyloriComparación de la eficacia diagnóstica entre ureasa y pruebas histopatológicas en H. pyloriComparação da eficácia diagnóstica entre teste da urease e histopatológico na infecção pelo H. pyloriInfecçãoDiagnósticoHelicobacter pylori.InfecciónDiagnósticoHelicobacter pylori.InfectionDiagnosisHelicobacter pylori. pylori infection is globally prevalent, varying by age, geographic location, and socioeconomic status. In Brazil, it is estimated that it affects around 70% of the population, increasing with age and being lower in the white population, regardless of sex. The objective of this study was to compare the results of histopathological and urease tests in patients, highlighting a higher positivity in the former (42%) compared to previous studies. The analysis of age groups revealed a higher prevalence of positive H. pylori in patients between 30-39 years old, differing from other studies. Regarding gender, a higher incidence was observed in males (47%), similar to previous studies. Dyspeptic symptoms were observed in 48% of patients, but were not directly correlated with H. pylori positivity. Regarding clinical variables, the majority of patients did not have drug allergies (76%) or significant comorbidities, and among those who had comorbidities, systemic arterial hypertension was the most prevalent (73.7%). Clinical tests, especially urease and histopathology, were compared, showing similar results, although the urease test has been suggested as useful in ruling out infection when negative. It is concluded that the combination of both methods can be beneficial. This study contributes to the understanding of the prevalence of H. pylori, highlighting the importance of joint assessment of diagnostic tests and the need for more research on correlations with specific clinical variables. La infección por H. pylori tiene prevalencia mundial y varía según la edad, la ubicación geográfica y el nivel socioeconómico. En Brasil, se estima que afecta alrededor del 70% de la población, aumentando con la edad y siendo menor en la población blanca, independientemente del sexo. El objetivo de este estudio fue comparar los resultados de las pruebas histopatológicas y de ureasa en los pacientes, destacando una mayor positividad en las primeras (42%) respecto a estudios previos. El análisis por grupos de edad reveló una mayor prevalencia de H. pylori positivo en pacientes entre 30 y 39 años, a diferencia de otros estudios. En cuanto al género, se observó una mayor incidencia en el sexo masculino (47%), similar a estudios previos. Se observaron síntomas dispépticos en el 48% de los pacientes, pero no se correlacionaron directamente con la positividad de H. pylori. En cuanto a las variables clínicas, la mayoría de los pacientes no presentaban alergias a medicamentos (76%) ni comorbilidades significativas, y entre los que sí presentaban comorbilidades, la hipertensión arterial sistémica fue la más prevalente (73,7%). Se compararon las pruebas clínicas, especialmente la ureasa y la histopatología, mostrando resultados similares, aunque se ha sugerido que la prueba de ureasa es útil para descartar infección cuando es negativa. Se concluye que la combinación de ambos métodos puede resultar beneficiosa. Este estudio contribuye a la comprensión de la prevalencia de H. pylori, destacando la importancia de la evaluación conjunta de las pruebas diagnósticas y la necesidad de realizar más investigaciones sobre las correlaciones con variables clínicas específicas.A infecção por H. pylori é globalmente prevalente, variando conforme a idade, localização geográfica e status socioeconômico. No Brasil, estima-se que afete cerca de 70% da população, aumentando com a idade e sendo menor na população branca, independente do sexo. O objetivo deste estudo foi comparar os resultados de exames histopatológicos e de urease em pacientes, destacando uma positividade superior no primeiro (42%) em relação a estudos anteriores. A análise das faixas etárias revelou uma maior prevalência de H. pylori positivo em pacientes entre 30-39 anos, diferindo de outros estudos. Quanto ao gênero, observou-se uma incidência maior no masculino (47%), similar a estudos prévios. Sintomas dispépticos foram observados em 48% dos pacientes, mas não correlacionados diretamente com a positividade para H. pylori. Em relação a variáveis clínicas, a maioria dos pacientes não tinha alergias medicamentosas (76%) ou comorbidades significativas, sendo que dentre os que possuíam comorbidades, a hipertensão arterial sistêmica a mais prevalente (73,7%). Os testes clínicos, especialmente a urease e histopatologia, foram comparados, mostrando resultados semelhantes, embora o teste da urease tenha sido sugerido como útil para descartar a infecção quando negativo. Conclui-se que a combinação de ambos os métodos pode ser benéfica. Este estudo contribui para a compreensão da prevalência de H. pylori, destacando a importância da avaliação conjunta de testes diagnósticos e a necessidade de mais pesquisas sobre correlações com variáveis clínicas específicas.Research, Society and Development2024-01-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4482210.33448/rsd-v13i1.44822Research, Society and Development; Vol. 13 No. 1; e11513144822Research, Society and Development; Vol. 13 Núm. 1; e11513144822Research, Society and Development; v. 13 n. 1; e115131448222525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/44822/35831Copyright (c) 2024 Jéssica Seibert dos Santos; Natália Rocha de Aguiarhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Jéssica Seibert dos Aguiar, Natália Rocha de 2024-02-01T09:48:39Zoai:ojs.pkp.sfu.ca:article/44822Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-02-01T09:48:39Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
Comparación de la eficacia diagnóstica entre ureasa y pruebas histopatológicas en H. pylori
Comparação da eficácia diagnóstica entre teste da urease e histopatológico na infecção pelo H. pylori
title Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
spellingShingle Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
Santos, Jéssica Seibert dos
Infecção
Diagnóstico
Helicobacter pylori.
Infección
Diagnóstico
Helicobacter pylori.
Infection
Diagnosis
Helicobacter pylori.
title_short Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
title_full Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
title_fullStr Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
title_full_unstemmed Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
title_sort Comparison of the diagnostic efficacy between urease and histopathological tests in H. pylori
author Santos, Jéssica Seibert dos
author_facet Santos, Jéssica Seibert dos
Aguiar, Natália Rocha de
author_role author
author2 Aguiar, Natália Rocha de
author2_role author
dc.contributor.author.fl_str_mv Santos, Jéssica Seibert dos
Aguiar, Natália Rocha de
dc.subject.por.fl_str_mv Infecção
Diagnóstico
Helicobacter pylori.
Infección
Diagnóstico
Helicobacter pylori.
Infection
Diagnosis
Helicobacter pylori.
topic Infecção
Diagnóstico
Helicobacter pylori.
Infección
Diagnóstico
Helicobacter pylori.
Infection
Diagnosis
Helicobacter pylori.
description pylori infection is globally prevalent, varying by age, geographic location, and socioeconomic status. In Brazil, it is estimated that it affects around 70% of the population, increasing with age and being lower in the white population, regardless of sex. The objective of this study was to compare the results of histopathological and urease tests in patients, highlighting a higher positivity in the former (42%) compared to previous studies. The analysis of age groups revealed a higher prevalence of positive H. pylori in patients between 30-39 years old, differing from other studies. Regarding gender, a higher incidence was observed in males (47%), similar to previous studies. Dyspeptic symptoms were observed in 48% of patients, but were not directly correlated with H. pylori positivity. Regarding clinical variables, the majority of patients did not have drug allergies (76%) or significant comorbidities, and among those who had comorbidities, systemic arterial hypertension was the most prevalent (73.7%). Clinical tests, especially urease and histopathology, were compared, showing similar results, although the urease test has been suggested as useful in ruling out infection when negative. It is concluded that the combination of both methods can be beneficial. This study contributes to the understanding of the prevalence of H. pylori, highlighting the importance of joint assessment of diagnostic tests and the need for more research on correlations with specific clinical variables.
publishDate 2024
dc.date.none.fl_str_mv 2024-01-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44822
10.33448/rsd-v13i1.44822
url https://rsdjournal.org/index.php/rsd/article/view/44822
identifier_str_mv 10.33448/rsd-v13i1.44822
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/44822/35831
dc.rights.driver.fl_str_mv Copyright (c) 2024 Jéssica Seibert dos Santos; Natália Rocha de Aguiar
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Jéssica Seibert dos Santos; Natália Rocha de Aguiar
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 13 No. 1; e11513144822
Research, Society and Development; Vol. 13 Núm. 1; e11513144822
Research, Society and Development; v. 13 n. 1; e11513144822
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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