ピロリ菌検査の感度と特異度はどのくらいですか?(日本ヘリコバクター学会ガイドライン2015)

以前の記事の続きです。

ピロリ菌感染診断法における各検査の感度・特異度を以下の表にまとめました。

やはり尿素呼気検査の感度と特異度は高いですね。

表1. ピロリ菌感染診断法の感度・特異度

 診断法  感度(%)  特異度(%)
 迅速ウレアーゼ試験

除菌前 1)

除菌後 2)

 

85~95

61~100

 

95~100

91~100

 鏡検法

除菌前

     HE 染色 3,4)

      ギムザ染色 3)

 

 

92~99

88

 

 

89~100

98

 培養法 5)  68 ~ 98  100
 尿素呼気試験 6-9) 95~98  95~97
 抗体測定法

除菌前

     血清抗体 10,11)

     尿中抗体 10,11)

 

 

88~100

85~96

 

 

50~100

79~90

 便中抗原測定法

        除菌前 12)

   除菌後 13-15)

 

96~100

75~90

 

97~100

96~100

(日本ヘリコバクター学会ガイドライン2015から引用)

⌘ 参考文献

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