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<p class="MsoNormal"><img width="960" height="343" style="width:10.0in;height:3.5729in" id="x_image001.jpg_x0040_01D94142.4B228220" src="cid:image001.jpg@01D9D5CD.0C795330" alt="cid:image001.jpg@01D8C6A6.75AC0C30"><o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Medicine and laboratory testing are constantly changing. The Laboratory Formulary Committee regularly sends out emails with new updates and changes. </span><o:p></o:p></p>
<p class="xmsonormal"> <o:p></o:p></p>
<p class="MsoNormal"><b><i>H. pylori</i> serology testing change:</b> As of <b>October 2, 2023</b> our reference laboratory will
<u>no longer offer serological (IgA, IgM, and IgG) testing for <i>H. pylori</i></u>.
<o:p></o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoListParagraph" style="margin-left:0in;mso-list:l0 level1 lfo1">The use of serologic testing for
<i>H. pylori</i> is not recommended as these methods have demonstrated poor positive predictive value, particularly in the United States where
<i>H. pylori</i> has low endemicity. <o:p></o:p></li><li class="MsoListParagraph" style="margin-left:0in;mso-list:l0 level1 lfo1">Antibodies to
<i>H. pylori </i>can remain detectable for years following resolution of infection and therefore cannot be used to distinguish active from past infection or to document eradication following successful treatment.
<o:p></o:p></li></ul>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><u>Please utilize the following reference laboratory test to evaluate for active
<i>H. pylori </i>infection: <o:p></o:p></u></p>
<p class="MsoNormal" style="margin-left:.5in"><b><i>H. pylori </i>stool antigen (EPIC code: LHPYS</b>,
<a href="https://www.upstate.edu/pathology/healthcare/orders.php?code=LHPYS">https://www.upstate.edu/pathology/healthcare/orders.php?code=LHPYS</a> )<o:p></o:p></p>
<p class="xmsonormal"> <o:p></o:p></p>
<p class="xmsonormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">For prior guidances, please visit
</span><a href="https://urldefense.com/v3/__https:/upstate0.sharepoint.com/sites/LaboratoryFormularyCommitteeLabchanges__;!!GobTDDpD7A!fMqwKEI3JlieL_eF-Vo4vMVj2PNzfXcL0GsxYMLCbL6cXpbRqzmyQKWIxbV1BBgJ8OlmOsFv$"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">https://upstate0.sharepoint.com/sites/LaboratoryFormularyCommitteeLabchanges</span></a><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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