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- Title
Métodos diagnósticos del Helicobacter pylori en Pediatría.
- Authors
Philco Toasa, Priscila; Moposita Yumiguano, Azucena; Navas Molina, Luis Ángel
- Abstract
Background: Helicobacter pylori infection is widespread throughout the world and its prevalence varies depending on numerous factors such as age, ethnicity, geographic and socioeconomic level. Objective: To carry out a systematic review of the medical literature of the last 5 years of the most important diagnostic methods focused on H. pylori in pediatric age, in order to establish an early diagnosis for this pathology. Methods: Systematic review of the literature using search engines of articles in electronic databases (PUBMED, MEDLINE, SCIENCE DIRECT, WILEY). Results: The two most relevant studies were taken into account in terms of a percentage higher than 90 % of patients positive to these tests, among which we find the study conducted by Fragoso et al in 2018 that related the histological tests (Giemsa) vs the rapid urease test in a total of 196 patients, 93.4 % had positive staining results vs 6.6 % of patients positive for the rapid urease test, confirming the importance of invasive methods to establish the diagnosis of this pathology. Another important study was carried out by Moubri et al., Who used the HEP StAR of IDEIA in faeces, involving an important pediatric population in Algeria of 158 patients, of which 93.6 % presented positive results for this test. Conclusions: The development of the methods currently used more frequently allows a more accurate diagnosis of H. pylori infection, which in turn improves the management of diseases associated with H. pylori. Although the gold standard may not exist, the choice of test to detect infection by H. pylori depends on the prevalence and strains of H. pylori in endemic areas, accessibility, advantages and disadvantages of each method, as well as the different clinical circumstances of each patient. Based on this review, histological tests are the diagnostic method with the highest sensitivity and specificity for the pediatric population.
- Subjects
CHILD patients; HELICOBACTER pylori; HELICOBACTER pylori infections; MEDICAL literature; DISEASE management; SEARCH engines
- Publication
INSPILIP. Revista Ecuatoriana de Ciencia, Tecnología e Innovacion en Salud Pública, 2023, Vol 7, Issue 21, p1
- ISSN
2588-0551
- Publication type
Article
- DOI
10.31790/inspilip.v21i7.375