Clotest (rapid urease test) in the diagnosis of Helicobacter pylori infection

Singapore Med J. 1992 Dec;33(6):568-9.

Abstract

Over a period of 3 months, 85 patients who underwent gastroscopy had antral biopsy taken for Clotest, histology and/or culture for Helicobacter pylori (HP). The sensitivity and specificity of Clotest were found to be 77% and 96% respectively with negative predictive value of 63% and positive predictive value of 98%. Ninety-two percent of the positive Clotests were positive within 20 minutes, thus giving rapid result. Therefore, Clotest is a rapid, sensitive and highly specific test for HP infection. A high correlation between HP infection and chronic gastritis was noted and the prevalence of HP infection in patients with duodenal ulcer (90%) was higher than that of gastric ulcer (64%) or non-ulcer group (65%).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Gastric Mucosa / enzymology
  • Gastritis / diagnosis
  • Gastritis / microbiology*
  • Helicobacter Infections / diagnosis*
  • Helicobacter pylori* / enzymology
  • Humans
  • Male
  • Middle Aged
  • Reagent Kits, Diagnostic*
  • Urease / analysis*

Substances

  • Reagent Kits, Diagnostic
  • Urease