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Is confirmation of eradication of Hp worthwhile?
While 21 (5%) physicians would use H. pylori stool antigen test for the confirmation of eradication.
For determination of the clinical response, endoscopy with multiple biopsies from tumours and suspicious areas was performed at 2 3 months after the confirmation of eradication.
In clinical practice, invasive tests for confirmation of eradication should only be used in cases where repeat endoscopy is indicated, for example in patients with gastric ulcer.
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CBE provides accurate histology for staging and clinical confirmation of neoplasia eradication but is limited by a high risk of esophageal stricture formation.
One study using the Markov model proved that confirmation of Hp eradication after completion of antibiotic treatment in peptic ulcer bleeding is cost effective [ 108].
Confirmation of successful eradication of H. pylori was according to local practice as there is usually a good agreement on the value of histological assessment of H. pylori eradication.
For confirmation of MRSA eradication additional nasal swabs were taken ten days after the third negative swab, as well as one, three and twelve months after the end of decolonization procedures.
The confirmation of H. pylori eradication failure was defined as positive results both for the rapid urease test and by histology after first-line eradication therapy.
The confirmation tests were carried out at least 4 weeks after completion of eradication therapy by operators unaware of the patients' medication and H. pylori status.
Global certification is the scientific confirmation of the success of a disease eradication programme by the World Health Organization and public health experts.
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