Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1994 Apr;32(4):1123–1126. doi: 10.1128/jcm.32.4.1123-1126.1994

Importance of the fiberoptic endoscope cleaning procedure for detection of Helicobacter pylori in gastric biopsy specimens by PCR.

R Roosendaal 1, E J Kuipers 1, A J van den Brule 1, A S Peña 1, A M Uyterlinde 1, J M Walboomers 1, S G Meuwissen 1, J de Graaff 1
PMCID: PMC267204  PMID: 7517952

Abstract

A 16S ribosomal DNA-based PCR appeared to be a sensitive test for the detection of infection by Helicobacter pylori in 31 patients when compared with culturing and histological and serological techniques. For five patients, PCR was the only test with a positive result. H. pylori DNA was also found in gastrointestinal equipment even after standard intensive combined manual and machine cleaning. We therefore conclude that a reliable validation of PCR for the detection of H. pylori in gastric biopsy specimens is possible only when the cleaning and disinfection method used has been proven to remove all H. pylori DNA from gastrointestinal equipment. An adequate cleaning and disinfection method for the removal of H. pylori DNA from fiberoptic endoscopes is described.

Full text

PDF
1126

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Clayton C. L., Kleanthous H., Coates P. J., Morgan D. D., Tabaqchali S. Sensitive detection of Helicobacter pylori by using polymerase chain reaction. J Clin Microbiol. 1992 Jan;30(1):192–200. doi: 10.1128/jcm.30.1.192-200.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Engstrand L., Nguyen A. M., Graham D. Y., el-Zaatari F. A. Reverse transcription and polymerase chain reaction amplification of rRNA for detection of Helicobacter species. J Clin Microbiol. 1992 Sep;30(9):2295–2301. doi: 10.1128/jcm.30.9.2295-2301.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Foxall P. A., Hu L. T., Mobley H. L. Use of polymerase chain reaction-amplified Helicobacter pylori urease structural genes for differentiation of isolates. J Clin Microbiol. 1992 Mar;30(3):739–741. doi: 10.1128/jcm.30.3.739-741.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Hammar M., Tyszkiewicz T., Wadström T., O'Toole P. W. Rapid detection of Helicobacter pylori in gastric biopsy material by polymerase chain reaction. J Clin Microbiol. 1992 Jan;30(1):54–58. doi: 10.1128/jcm.30.1.54-58.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hoshina S., Kahn S. M., Jiang W., Green P. H., Neu H. C., Chin N., Morotomi M., LoGerfo P., Weinstein I. B. Direct detection and amplification of Helicobacter pylori ribosomal 16S gene segments from gastric endoscopic biopsies. Diagn Microbiol Infect Dis. 1990 Nov-Dec;13(6):473–479. doi: 10.1016/0732-8893(90)90079-b. [DOI] [PubMed] [Google Scholar]
  6. Katoh M., Saito D., Noda T., Yoshida S., Oguro Y., Yazaki Y., Sugimura T., Terada M. Helicobacter pylori may be transmitted through gastrofiberscope even after manual Hyamine washing. Jpn J Cancer Res. 1993 Feb;84(2):117–119. doi: 10.1111/j.1349-7006.1993.tb02843.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kuipers E. J., Peña A. S., van Kamp G., Uyterlinde A. M., Pals G., Pels N. F., Kurz-Pohlmann E., Meuwissen S. G. Seroconversion for Helicobacter pylori. Lancet. 1993 Aug 7;342(8867):328–331. doi: 10.1016/0140-6736(93)91473-y. [DOI] [PubMed] [Google Scholar]
  8. Labigne A., Cussac V., Courcoux P. Développement d'approches génétiques et moléculaires pour le diagnostic et l'étude du pouvoir pathogène de Helicobacter pylori, agent des maladies inflammatoires gastriques. Bull Acad Natl Med. 1991 Jun-Jul;175(6):791–802. [PubMed] [Google Scholar]
  9. Langenberg W., Rauws E. A., Oudbier J. H., Tytgat G. N. Patient-to-patient transmission of Campylobacter pylori infection by fiberoptic gastroduodenoscopy and biopsy. J Infect Dis. 1990 Mar;161(3):507–511. doi: 10.1093/infdis/161.3.507. [DOI] [PubMed] [Google Scholar]
  10. Mapstone N. P., Lynch D. A., Lewis F. A., Axon A. T., Tompkins D. S., Dixon M. F., Quirke P. Identification of Helicobacter pylori DNA in the mouths and stomachs of patients with gastritis using PCR. J Clin Pathol. 1993 Jun;46(6):540–543. doi: 10.1136/jcp.46.6.540. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Peña A. S., Endtz H. P., Offerhaus G. J., Hoogenboom-Verdegaal A., van Duijn W., de Vargas N., den Hartog G., Kreuning J., van der Reyden J., Mouton R. P. Value of serology (ELISA and immunoblotting) for the diagnosis of Campylobacter pylori infection. Digestion. 1989;44(3):131–141. doi: 10.1159/000199902. [DOI] [PubMed] [Google Scholar]
  12. Queiroz D. M., Mendes E. N., Rocha G. A. Indicator medium for isolation of Campylobacter pylori. J Clin Microbiol. 1987 Dec;25(12):2378–2379. doi: 10.1128/jcm.25.12.2378-2379.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Roosendaal R., Kuipers E. J., van den Brule A. J., Peña A. S., Meuwissen S. G., Walboomers J. M., de Graaff J. Detection of Helicobacter pylori DNA by PCR in gastrointestinal equipment. Lancet. 1993 Apr 3;341(8849):900–900. doi: 10.1016/0140-6736(93)93112-e. [DOI] [PubMed] [Google Scholar]
  14. Saiki R. K., Scharf S., Faloona F., Mullis K. B., Horn G. T., Erlich H. A., Arnheim N. Enzymatic amplification of beta-globin genomic sequences and restriction site analysis for diagnosis of sickle cell anemia. Science. 1985 Dec 20;230(4732):1350–1354. doi: 10.1126/science.2999980. [DOI] [PubMed] [Google Scholar]
  15. van Zwet A. A., Thijs J. C., Kooistra-Smid A. M., Schirm J., Snijder J. A. Sensitivity of culture compared with that of polymerase chain reaction for detection of Helicobacter pylori from antral biopsy samples. J Clin Microbiol. 1993 Jul;31(7):1918–1920. doi: 10.1128/jcm.31.7.1918-1920.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES