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中华实验和临床感染病杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 257 -262. doi: 10.3877/cma.j.issn.1674-1358.2024.05.001

综述

幽门螺杆菌分子检测技术研究进展
崔玉峰1, 林毅军2, 王志民1,()   
  1. 1.200949 上海,上海北昂医药科技股份有限公司
    2.100015 北京,首都医科大学附属北京地坛医院消化科
  • 收稿日期:2024-03-14 出版日期:2024-10-15
  • 通信作者: 王志民
  • 基金资助:
    国家重点研发计划(No. 2023YFC230)

Research progress on molecular detection technology of Helicobacter pylori

Yufeng Cui1, yijun Lin2, Zhimin Wang1,()   

  1. 1.Shanghai BEION Pharmaceutical Technologies Co., LTD, Shanghai 200949, China
    2.Department of Gastroenterology, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
  • Received:2024-03-14 Published:2024-10-15
  • Corresponding author: Zhimin Wang
引用本文:

崔玉峰, 林毅军, 王志民. 幽门螺杆菌分子检测技术研究进展[J]. 中华实验和临床感染病杂志(电子版), 2024, 18(05): 257-262.

Yufeng Cui, yijun Lin, Zhimin Wang. Research progress on molecular detection technology of Helicobacter pylori[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2024, 18(05): 257-262.

幽门螺杆菌(Hp)感染诊断金标准通常为组织病理、细菌培养或13C/14C尿素呼气试验。组织学检查和细菌培养为侵入性检查,技术要求高、耗时长,不适用于儿童及患有基础疾病的老年人。13C尿素呼气试验价格高,14C有放射性不推荐儿童或孕妇使用,且尿素呼气试验易受质子泵抑制剂、抗菌药物等药物干扰。分子检测在菌株分型、抗菌药物耐药筛选具有优势,而且样本来源多样,侵入性或非侵入性检测均能应用。本文对Hp分子检测技术做一综述。

Histopathology, bacterial culture or 13C/14C urea breath test are usually considered as the gold standards for diagnosis of Helicobacter pyloriH. pylori) infection. Histologic examination and bacterial culture are invasive, with high technical requirements and long process. Therefore, they are not applicable to children and elderly patients with underlying diseases. 13C urea breath test is expensive, 14C is radioactive and not recommended for children or pregnant women, urea breath test is easily interfered by drugs such as proton pump inhibitors, antibiotics and other drugs. Molecular tests have advantages on strain typing and antibiotic resistance screening, and can use different sample types from both invasive and non-invasive approaches.This article provides a review of the molecular detection techniques for H. pylori.

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