Rapid Test for Fecal Calprotectin Levels in Children With Crohn Disease

被引:37
|
作者
Kolho, K. L. [1 ]
Turner, D. [2 ]
Veereman-Wauters, G. [3 ]
Sladek, M. [4 ]
de Ridder, L. [5 ]
Shaoul, R. [6 ]
Paerregaard, A. [7 ]
Dias, J. Amil [16 ]
Koletzko, S. [8 ]
Nuti, F. [9 ]
Bujanover, Y. [10 ]
Staiano, A. [11 ]
Bochenek, K. [12 ]
Finnby, L. [13 ]
Levine, A. [14 ]
Veres, G. [15 ]
机构
[1] Univ Helsinki, Childrens Hosp, Helsinki Univ Cent Hosp, FIN-00029 Helsinki, Finland
[2] Hebrew Univ Jerusalem, Shaare Zedek Med Ctr, Pediat Gastroenterol Unit, IL-91905 Jerusalem, Israel
[3] Univ Hosp UZ Brussels, Pediat Gastroenterol Unit, Brussels, Belgium
[4] Jagiellonian Univ, Sch Med, Polish Amer Childrens Hosp, Krakow, Poland
[5] Erasmus MC Sophia Childrens Hosp, Pediat Gastroenterol Unit, Rotterdam, Netherlands
[6] Meyer Childrens Hosp, Rambam Med Ctr, Haifa, Israel
[7] Univ Copenhagen, Hvidovre Hosp, Dept Pediat, DK-2650 Hvidovre, Denmark
[8] Univ Munich, Dr von Haunersches Kinderspital, Munich, Germany
[9] Univ Roma La Sapienza, Dept Pediat, Rome, Italy
[10] Tel Aviv Univ, Sheba Med Ctr, Edmon & Lili Safra Childrens Hosp, IL-69978 Tel Aviv, Israel
[11] Univ Naples Federico II, Dept Pediat, Naples, Italy
[12] Med Univ Warsaw, Dept Pediat Gastroenterol & Nutr, Warsaw, Poland
[13] Lovisenberg Diakonale Hosp, Unger Vetlesens Inst, Oslo, Norway
[14] Tel Aviv Univ, Sackler Sch Med, Wolfson Med Ctr, Pediat Gastroenterol Unit, IL-69978 Tel Aviv, Israel
[15] Semmelweis Univ, Dept Pediat 1, H-1085 Budapest, Hungary
[16] Hosp Porto, Dept Pediat, Oporto, Portugal
关键词
fecal biomarkers; inflammatory bowel disease; pediatric; INFLAMMATORY-BOWEL-DISEASE; GRANULOCYTE MARKER PROTEIN; ULCERATIVE-COLITIS; ACTIVITY INDEX; LACTOFERRIN; THERAPY; INFLIXIMAB;
D O I
10.1097/MPG.0b013e318253cff1
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Assessment of fecal calprotectin, a surrogate marker of mucosal inflammation, is a promising means to monitor therapeutic response in pediatric inflammatory bowel disease, especially if the result is readily available. We tested the performance of a novel calprotectin rapid test, Quantum Blue, versus the conventional enzyme-linked immunosorbent assay in 134 stool samples from 56 pediatric patients with Crohn disease. The intraclass correlation coefficient analysis reflected good agreement (intraclass correlation coefficient 0.97 [95% confidence interval 0.95-0.98]) but agreement was better in lower values, where dilutions were not required. Using a cutoff of 100 mu g/g for normal values, the percentage agreement between the 2 tests was 87%. The optimal cutoff values to guide clinical decisions in the therapy of inflammatory bowel disease have yet to be determined.
引用
收藏
页码:436 / 439
页数:4
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