[Urease test].
In order to elucidate bacterial infection, as a rule, isolated and cultured bacteria of a specimen are identified by their morphologies or biochemical characteristics. However, the culture of Helicobacter pylori (H. pylori) is difficult and takes, much time. Therefore, favorable test results are currently obtained by combining the culture method, histopathologic method, urease test and sero-immunologic test. The merits of the urease test are that judgement is available immediately after endoscopy and that the test is inexpensive. The demerits are that the existence of H. pylori is diagnosed only by estimation that endoscopy is indispensable for the test. When compared with the culture method, the urease test has 91.8% sensitivity and 94.7% specificity and when compared with the histopathologic method, it has 94.4% sensitivity 88.4% specificity. In the future, the clinical requirement will increase for quick investigation on the evidence of H. pylori-induced infection. These results show that urease test is useful because it is simple and allows quick judgement.
Kato
C
C
First Department of Internal Medicine, Iwate Medical University.
Sato
K
K
Toyama
J
J
Kano
A
A
D000641:Ammonia / Q000032:analysis; D005773:Gastroscopy; D016481:Helicobacter Infections / Q000175:diagnosis*; D016480:Helicobacter pylori / Q000201:enzymology*; D006801:Humans; D012680:Sensitivity and Specificity; D014510:Urease / Q000032:analysis*
D000641:Ammonia; D014510:Urease