Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; Helicobacter pylori, stool
CPT4 code
Name of the Procedure:
Infectious agent antigen detection by immunoassay technique (e.g., enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]); Helicobacter pylori, stool.
Summary
This procedure involves detecting the presence of Helicobacter pylori (H. pylori) antigens in stool samples. It uses advanced immunoassay techniques, such as EIA, ELISA, or IMCA, to identify the bacteria qualitatively or semiquantitatively through multiple steps.
Purpose
The primary purpose of this procedure is to diagnose H. pylori infection, which can lead to various gastrointestinal problems, including peptic ulcers and chronic gastritis. The goal is to confirm the infection so appropriate treatment can be administered.
Indications
- Symptoms such as stomach pain, bloating, frequent burping, or unexplained weight loss.
- Patients who have a history of peptic ulcers or chronic gastritis.
- Individuals who show signs of dyspepsia (indigestion) without a clear cause.
Preparation
- Stool samples should be collected according to the guidelines provided by the healthcare provider.
- There are generally no special dietary restrictions or fasting requirements.
- Inform your doctor about any medications being taken, as certain drugs may interfere with the test results.
Procedure Description
- Collection of a fresh stool sample by the patient at home or in a clinical setting.
- The sample is then transported to the laboratory where it is prepared for the immunoassay.
- The sample undergoes the selected immunoassay technique (EIA, ELISA, or IMCA) involving multiple steps:
- Application of the sample to a microplate or test strip.
- Addition of specific antibodies that bind to H. pylori antigens.
- Enzyme or chemiluminometric reaction to produce a detectable signal if the antigen is present.
- Analysis and interpretation of results by medical laboratory technologists.
Duration
The stool collection is quick, taking only a few minutes. Laboratory analysis typically takes a few hours to a day, depending on the lab's workflow.
Setting
The stool sample is collected at home or in a clinic; the analysis is performed in a specialized laboratory.
Personnel
- The patient collects the stool sample.
- Laboratory technologists conduct the immunoassay analysis.
- A healthcare provider, such as a gastroenterologist or primary care physician, interprets the results and communicates them to the patient.
Risks and Complications
- This procedure is non-invasive and generally considered safe.
- Rarely, there may be the risk of an incorrect result due to improper sample handling or interference from other substances.
Benefits
- Accurate and non-invasive diagnosis of H. pylori infection.
- Timely treatment of H. pylori, preventing complications like ulcers and gastric cancer.
- Results typically available within a day.
Recovery
- There is no recovery period since the sample collection is non-invasive.
- Patients can resume normal activities immediately after providing the stool sample.
Alternatives
- Urea breath test: Non-invasive but may require fasting and avoid certain medications.
- Blood antibody test: Less specific as it can show past infections.
- Endoscopic biopsy: Invasive but provides a direct view and biopsy from the stomach lining.
Patient Experience
- Collecting a stool sample might be mildly uncomfortable but is not painful.
- Following proper sample collection instructions is crucial for accurate results.
Patients will likely feel normal during and after the procedure.
Pain management is not required since the procedure is non-invasive.