Table 2.
Recommendations for Helicobacter pylori testing for individuals and populations.
| Recommendations | Agreement | Evidence level |
|---|---|---|
| Houston Consensus Conference Recommendations | ||
| When to test a specific individual?* | ||
| 1. With suspected H. pylori infection (e.g., active Duodenal Ulcer) | 100% | High |
| 2. With current or past gastric or duodenal ulcers | 100% | High |
| 3. With uninvestigated dyspepsia | 100% | High |
| 4. With gastric mucosa-associated lymphoid tissue lymphoma | 100% | Moderate |
| 5. Family members residing in same household of patients with proven active H. pylori infections | 91% | Moderate |
| 6. Family history of peptic ulcer disease | 91% | Moderate |
| 7. With family history of gastric cancer | 100% | Moderate |
| 8. First-generation immigrants from high prevalence areas | 82% | High |
| 9. High risk groups (e.g., in the United States: Latino and African American racial or other ethnic groups) | 91% | Low |
| Taipei Global Consensus Recommendations | ||
| Which specific populations to screen? | ||
| 1. Populations with high incidence of gastric cancer | 84% | Low |
| 2. Young adults in high incidence populations before the development of atrophic gastritis and intestinal metaplasia | 84% | Low |
| 3. Young adults in high incidence populations to reduce the transmission to their children | 92% | Low |
| 4. Populations with high incidence being integrated or included into the national healthcare priorities | 92% | Low |