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Journal > Journal of the Indonesian Medical Association > Scoring System for Helicobacter pylori Infection in Children with Recurrent Abdominal Pain

 

Journal of the Indonesian Medical Association
Vol. 62 No. 8 August 2012
Scoring System for Helicobacter pylori Infection in Children with Recurrent Abdominal Pain
Prasetyo, Dwi ( Faculty of Medicine Universitas Padjadjaran/ Hasan Sadikin Hospital, Bandung)
Garna, Herry ( Faculty of Medicine Universitas Padjadjaran/ Hasan Sadikin Hospital, Bandung)
Firmansyah, Agus ( Faculty of Medicine Universitas Indonesia/ Cipto Mangunkusumo National Referral Hospital, Jakarta)
Idjradinata, Ponpon ( Faculty of Medicine Universitas Padjadjaran/ Hasan Sadikin Hospital, Bandung)
Article Info   ABSTRACT
Published date:
31 Aug 2012
 
Introduction: Helicobacter pylori (H. pylori) infection is estimated to strike half the world’s population. However, the diagnostic tool for H. pylori infection remains expensive and scarce. Thus, a simple diagnostic method is required in places with limited resources. This study aims to assess the diagnostic values of scoring system for H. pylori infection in children presenting with recurrent abdominal pain (RAP). Methods: This is a diagnostic study with a cross sectional design on 196 children aged 6-18 years who presented with RAP. This study was conducted in Bandung, January-November 2009. The scoring system was developed based on a questionnaire on complaints related to H. pylori infection. As the gold standard, a non-invasive examination with high accuracy was used, a serological kit BioM pylori (Mataram local antigen).The diagnostic values were assessed by the area under the receiver operating characteristic (ROC) curve. Result: The prevalence of H. pylori infection in children presenting with RAP is 54.6% (95% CI: 47.6 - 61.6%). After performing bivariate and multivariate analyses, 11 questions were used on the final questionnaire. Based on the ROC curve, a cut-off point of score > 30 was obtained, with a  88.5% sensitivity and 88.2% specificity. Conclusion: The scoring system can be used to predict H.pylori infection in children aged 6-18 years who presented with RAP. Key words: Helicobacter pylori, recurrent abdominal pain, scoring system, children
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