Salisbury Foundation Trust

FOI_7080

Internal Reference Number: FOI_7080

Date Request Received: 20/03/2023 00:00:00

Date Request Replied To: 28/04/2023 00:00:00

This response was sent via: By Email

Request Summary: H.Pylori Testing

Request Category: Companies

 
Question Number 1:
How do you test for H. Pylori infection during upper GI endoscopies ? Please specify what tests you use, eg, Culture Biopsy (Pathology), Urease.
 
Answer To Question 1:
Urease rapid tests are used along with culture biopsies sent to pathology.
 
Question Number 2:
How many H. Pylori tests are performed in a typical month?
 
Answer To Question 2:
Average number of tests Apr-22 to Mar-23 was 25.
 
Question Number 3:
Who decides to purchase H. Pylori tests?
 
Answer To Question 3:
Procurement and supply chain availability.
 
Question Number 4:
Which H.Pylori test(s) do you use most?
 
Answer To Question 4:
Pronto Dry Rapid Urease test.
 
Question Number 5:
Why do you use these tests most?
 
Answer To Question 5:
Cost effective and on the day results
 
Question Number 6:
Where in the hospital is the test usually done, and by whom?
 
Answer To Question 6:
The test is performed in Endoscopy during an OGD by Consultant endoscopists and Nurse Endoscopists.
 
Question Number 7:
What medication do you use to treat H, Pylori? Please give drug name and brand.
 
Answer To Question 7:
According to the British National Formulary (BNF):

No penicillin allergy

• Oral first line for 7 days:

o A proton pump inhibitor, plus amoxicillin, and either clarithromycin or metronidazole (treatment choice should take into account previous treatment with clarithromycin or metronidazole).

• Oral first line for 7 days:
o A proton pump inhibitor, plus clarithromycin, and metronidazole.
• Oral alternative first line for 7 days (for patients previously treated with clarithromycin):
o A proton pump inhibitor, plus bismuth subsalicylate [unlicensed], plus metronidazole, and tetracycline [unlicensed].

Penicillin allergy

• Oral first line for 7 days:
o A proton pump inhibitor, plus clarithromycin, and metronidazole.
• Oral alternative first line for 7 days (for patients previously treated with clarithromycin):
o A proton pump inhibitor, plus bismuth subsalicylate [unlicensed], plus metronidazole, and tetracycline [unlicensed].
 
Question Number 8:
What is the typical cost per test? Please give an estimate for unbranded or laboratory own tests.
 
Answer To Question 8:
Pronto Dry test (PD50) costs £120 for a box of 50.
 
Question Number 9:
Do you use a Urease test for H. Pylori? If not, what type of test do you use? Eg breath test, culture, etc.
 
Answer To Question 9:
Pronto dry rapid urease tests are used.
 
Question Number 10:
If you use a Urease test for H. Pylori, what type of Urease H. Pylori test do you use? Please give drug name and brand
 
Answer To Question 10:
Pronto Dry Rapid urease test.
 
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