Clinical performance of the H. PYLORI QUIK CHEKâ„¢ and H. PYLORI CHEKâ„¢ assays, novel stool antigen tests for diagnosis of Helicobacter pylori

Halland, Magnus; Haque, Rashidul; Langhorst, Jost; Boone, James H.; Petri, William A.

Infection with Helicobacter pylori is a global health issue, and rapid and accurate testing is a key to diagnosis. We aimed to assess the performance of two novel enzyme immunoassays (EIA), the H. PYLORI QUIK CHEKâ„¢ and the H. PYLORI CHEKâ„¢ assays, for the detection of H. pylori antigen in stool. Patients from five geographically diverse sites across the USA, Germany, and in Bangladesh were tested for infection with Helicobacter pylori with the two novel stool antigen tests and two commercially available stool antigen assays. All patients provided a stool sample and underwent esophagogastroduodenoscopy for biopsy. Results were compared to a clinical diagnosis using a composite reference method consisting of histological analysis and rapid urease testing of the biopsy. A total of 271 patients, 68.2% female and mean age of 46 years, were included. The overall prevalence of H. pylori infection was 24.1%. The sensitivity of the H. PYLORI QUIK CHEKâ„¢ and H. PYLORI CHEKâ„¢ was 92% and 91%, respectively. The specificity of H. PYLORI QUIK CHEKâ„¢ and H. PYLORI CHEKâ„¢ was 91% and 100%, respectively. No significant cross-reactivity against other gut pathogens was observed. The H. PYLORI QUIK CHEKâ„¢ and H. PYLORI CHEKâ„¢ assays demonstrate excellent clinical performance compared the composite reference method.