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Rapid urease test provides specific identification of Campylobacter pylori in antral mucosal biopsies.
  1. M. L. Szeto,
  2. R. E. Pounder,
  3. S. J. Hamilton-Dutoit,
  4. A. P. Dhillon
  1. Academic Department of Medicine, Royal Free Hospital School of Medicine, London, UK.


    In a prospective study, three antral biopsies were taken from 175 dyspeptic patients during routine endoscopy. One biopsy was inserted immediately into a gel-containing well of a CLOtest slide and two biopsies were sent to histopathology. Using the CLOtest, 84 of the 175 samples (48%) detected urease activity in the gastric biopsy, suggesting infection with Campylobacter pylori. Histopathological examination by two independent observers reported that 93 (52%) of the biopsies contained Campylobacter-like organisms. The CLOtest was found to have a specificity of 1.0 and sensitivity of 0.91, providing a rapid identification of most patients harbouring the organism in their gastric mucus.

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