This paper should be cited as: Seyedein Khorasani, M. Yousefi Mashoof, R. Majlesi, A Jafari, M. Alikhani, MY.
Compression of
Histopathology, Culture and Rapid Urease Test in Diagnosis of Helicobacter
Pylori in Gastric Biopsy Specimens
Seyedein Khorasani,
M. (BSc)1, Yousefi Mashoof, R. (PhD)2, Majlesi, A.
(MD)3, Jafari, M. (PhD)4, Alikhani,
MY.5 (PhD)5
1. MSc
Student of Microbiology, Department of Microbiology, School of Medicine, Hamedan University of Medical Sciences, Hamedan,
Iran
2.
Professor of Microbiology, Hamedan University of
medical Sciences, Hamedan, Iran
3. Assistant Professor of Gastroenterology, Hamedan University of medical Sciences, Hamedan,
Iran
4.
Assistant Professor of Phathology, School of
Medicine, Hamedan University of medical Sciences, Hamedan, Iran
5.
Associate Professor of Microbiology, Hamedan
University of medical Sciences, Hamedan, Iran
Abstract
Background and Objective: Helicobacter pylori (H. Pylori) infection is
related to chronic gastritis, peptic ulcer, duodenal ulcer and gastric cancer.
Thus, identification and treatment of the infection have a considerable
importance. The aim of this study was to compare three methods of
Histopathology, Culture and Rapid Urease test (RUT) in identification of H.
Pylori in gastric biopsy specimens.
Material and Methods: The participants were 153 patients (64
women and 89 men) suffering from digestive complaints, who referred to
the endoscopy department of Shahid Beheshi Hospital in Hamadan, Iran. Three gastric biopsy
samples were collected from each patient and examined by standard RUT,
Histopathology and culture methods for diagnosis of H. Pylori.
Results: Out of 153 patients, 69.9%, 27.4% and 2.6 % had gastritis, gastric
ulcer and gastric cancer, respectively. The
rate of infection with Urease test, culture and histology were identified
49.7%, 54.2%, and 89.5%, respectively. The sensitivity and specificity of the RUT result at first hour
and after the first up to 24 hours were 55.4% and 80%, and 55.4% and 66/7%,
respectively. The sensitivity and specificity of culture method were 60.6% and
100%, respectively.
Conclusion: Based on the results, Histopathology method has a more sensitivity
than both Culture method and rapid urease test for diagnosis of H. Pylori, and
RUT is more specific when done in the first hour rather than after the first
hour.
Key words: Helicobacter pylori, rapid urease test methods, RUT, Histopathology
Corresponding Author: Alikhani, MY.
Email: alikhani@umsha.ac.ir
Received: 10
Feb 2014
Revised: 29 Jun 2014
Accepted: 10 Jul 2014
This paper should be cited as: Seyedein
Khorasani M, Yousefi Mashoof R, Majlesi A, Jafari M, Alikhani
MY. [Compression of Histopathology, Culture and Rapid Urease
Test in Diagnosis of Helicobacter Pylori in Gastric Biopsy Specimens]. mljgoums. 2015; 9(1):
32-38[Article in Persian]