Academic Journal

Quantitative multiplex real-time polymerase chain reaction assay for the detection of Helicobacter pylori and clarithromycin resistance

التفاصيل البيبلوغرافية
العنوان: Quantitative multiplex real-time polymerase chain reaction assay for the detection of Helicobacter pylori and clarithromycin resistance
المؤلفون: Ilsoo Kim, Lee-So Maeng, Joon Sung Kim, Byung-Wook Kim, Dae Young Cheung, Jin Il Kim, Soo-heon Park
المصدر: BMC Microbiology, Vol 23, Iss 1, Pp 1-8 (2023)
بيانات النشر: BMC, 2023.
سنة النشر: 2023
المجموعة: LCC:Microbiology
مصطلحات موضوعية: Helicobacter Pylori, Molecular diagnosis, Macrolide Resistance, Microbiology, QR1-502
الوصف: Abstract Background Identifying clarithromycin resistance is essential for eradicating Helicobacter pylori (HP). Therefore, we evaluated the performance of Allplex™ H.pylori & ClariR Assay (Allplex™) for diagnosing and detecting clarithromycin resistance in HP. Methods Subjects who underwent esophagogastroduodenoscopy between April 2020 and August 2021 at Incheon St. Mary’s hospital were enrolled in this study. The diagnostic performances of Allplex™ and dual priming oligonucleotide (DPO)-based multiplex polymerase chain reaction (PCR) were compared with sequencing as the gold standard. Results A total of 142 gastric biopsy samples were analyzed. Gene sequencing revealed 124 HP infections, 42 A2143G mutations, 2 A2142G mutations, one dual mutation, and no A2142C mutation. DPO-PCR showed 96.0% sensitivity and 100.0% specificity for HP detection; the corresponding rates for Allplex™ were 99.2% and 100.0%. DPO-PCR showed 88.3% sensitivity and 82.0% specificity for A2143G mutation, and Allplex™ showed 97.6% and 96.0%. The Cohen’s Kappa coefficient for overall test results was 0.56 for DPO-PCR and 0.95 for Allplex™. Conclusion Allplex™ showed comparable diagnostic performance with direct gene sequencing and non-inferior diagnostic performance to DPO-PCR. Further research is required to confirm whether Allplex™ is an effective diagnostic tool for the eradication of HP.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2180
Relation: https://doaj.org/toc/1471-2180
DOI: 10.1186/s12866-023-02868-z
URL الوصول: https://doaj.org/article/3df925189da241548806d08bc25b96c5
رقم الانضمام: edsdoj.3df925189da241548806d08bc25b96c5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712180
DOI:10.1186/s12866-023-02868-z