Indicações e testes diagnósticos para infecção por Helicobacter Pylori em adultos
Indications and diagnostic tests for Helicobacter Pylori infection in adults
DOI:
https://doi.org/10.34117/bjdv8n10-056Keywords:
Helicobacter Pylori, , testes diagnósticos, indicaçõesAbstract
Na prática da clinica médica é muito comum ver o diagnóstico de H. Pylori, entretanto, muitas vezes testes mais invasivos são adotados sem necessidade. Dessa forma esse artigo, aborda as indicações para diagnóstico com base em evidencias. O teste para Helicobacter pylori deve ser realizado somente se o médico planeja oferecer tratamento para resultados positivos. A escolha do teste usado para diagnosticar o H. pylori depende se o paciente requer uma endoscopia digestiva alta para avaliação dos sintomas ou vigilância. A endoscopia não é indicada apenas com o propósito de estabelecer o status de H. pylori . Em pacientes que não necessitam de avaliação endoscópica, o diagnóstico inicial de H. pylori deve ser feito com um teste para infecção ativa (antígeno fecal ou teste respiratório com uréia). O teste respiratório de uréia e o teste de antígeno fecal têm alta sensibilidade e especificidade para identificar infecção ativa por H. pylori .
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