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Selection of a cut-off for high-and low-methane producers using a spot-methane breath test:results from a large north American dataset of hydrogen,methane and carbon dioxide measurements in breath

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Gastroenterology Report 2017年第3期5卷 193-199,I0001,I0002页

作者： Klaus Gottlieb Chenxiong Le vince wacher Joe Sliman Christine Cruz Tyler Porter Stephen Carter Synthetic Biologics Inc. RockvilleMarylandUSA Commonwealth Laboratories LLC SalemMassachusettsUSA

Background:Levels of breath methane,together with breath hydrogen,are determined by means of repeated collections of both,following ingestion of a carbohydrate substrate,at 15–20 minutes intervals,until 10 samples have been *** frequent sampling is required to capture a rise of hydrogen emissions,which typically occur later in the test:in contrast,methane levels are typically elevated at *** methane emissions represent the principal objective of the test,a spot methane test(i.e.a single-time-point sample taken after an overnight fast without administration of substrate)may be ***:We analysed 10-sample lactulose breath test data from 11674 consecutive unique subjects who submitted samples to Commonwealth Laboratories(Salem,MA,USA)from sites in all of the states of the USA over a one-year *** North American Consensus(NAC)guidelines criteria for breath testing served as a reference ***:The overall prevalence of methane-positive subjects(by NAC criteria)was 20.4%,based on corrected methane results,and 18.9% based on raw *** our USA dataset,the optimal cut-off level to maximize sensitivity and specificity was4ppm CH4,94.5%[confidence interval(CI):93.5–95.4%]and 95.0%(CI:94.6–95.5%),*** use of a correction factor(CF)(5%CO_(2) as numerator)led to reclassifications CH4-high to CH_(4)-low in 0.7% and CH_(4)-low to CH_(4)-high in 2.1%.Conclusions:A cut-off value for methane at baseline of either≥4 ppm,as in our USA dataset,or≥5 ppm,as described in a single institution study,are both highly accurate in identifying subjects at baseline that would be diagnosed as‘methanepositive’in a 10-sample lactulose breath test for small intestinal bacterial overgrowth.

关键词： breath tests spot-methane breath test diagnostic test small intestinal bacterial overgrowth

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Gastroenterology Report 2018年第3期6卷 242-242,I0003页

Gastroenterol Rep(Oxf).2017 doi:10.1093/gastro/*** authors wish to inform the reader that any references to‘confidential interval’throughout the paper have been corrected to‘confidence interval’.The paper has now ... 详细信息

关键词： methane dioxide corrected

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