Reuse of negative CLOtest kits in children
| Autor: | Yoram Elitsur, Leo A. Heitlinger, Cheryl Neace |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Concordance Rapid urease test Helicobacter Infections Internal medicine Gastroscopy Equipment Reuse medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Gastric biopsy Child Helicobacter pylori biology business.industry Gastroenterology Reproducibility of Results biology.organism_classification Urease Cost savings Surgery Rural hospital Gastritis Costs and Cost Analysis Reagent Kits Diagnostic medicine.symptom business Pediatric population |
| Zdroj: | Gastrointestinal Endoscopy. 53:169-171 |
| ISSN: | 0016-5107 |
| DOI: | 10.1067/mge.2001.112194 |
| Popis: | Background: The rapid urease test, CLOtest, is used frequently in endoscopy suites. In the developed world, a negative CLOtest result is extremely common. The question of whether reuse of previously negative CLOtest kits is appropriate in children and the cost saving of such a practice were investigated. Methods: Children who underwent diagnostic endoscopic procedures were prospectively recruited to the study. In each procedure gastric biopsy specimens were obtained for 2 rapid urease tests, one a new kit and the other a used negative kit obtained from previous procedures. In addition gastric specimens were also obtained for routine histologic examination. Results: In 121 (99.2%) patients a complete concordance between new and used CLOtests was observed. Chi-square analyses showed a significant association between CLOtest results and each of the following factors: gastritis, the presence of Helicobacter pylori organisms, and H pylori-associated gastritis. Assuming an average rate of 15% positive CLOtest results in our pediatric population, the annual savings at the rural hospital was $265 and at the urban children's hospital, $1958. Conclusion: Reuse of a negative CLOtest is reliable and may reduce costs, especially in facilities with a high volume of endoscopic procedures. (Gastrointest Endosc 2001;53:169-71.) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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