Sample type: Gastric biopsy specimens (antral and/or corpus mucosal biopsies) collected via upper GI endoscopy.
Patient preparation: Patient should ideally be off PPIs for 2 weeks and off antibiotics for 4 weeks prior to collection to maximize yield.
Sample (biopsy) handling: Place immediately into appropriate transport medium (e.g., sterile saline, brain-heart infusion broth, or a commercially prepared H. pylori transport medium such as Port-A-Cul or equivalent anaerobic transport). DO NOT PLACE IN FORMALIN (this is for histology only — formalin is incompatible with culture). Deliver promptly to the lab. Transport refrigerated.
Clinical Utility
H. pylori culture and sensitivity testing isolates the bacterium from gastric biopsy samples, confirming infection and determining antibiotic susceptibility. This guides targeted treatment, especially for resistant strains, improving eradication rates and patient outcomes in peptic ulcer disease and gastritis.