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Updated: Aug 23, 2026

Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
Helicobacter pylori eradication decreases blood neutrophil and monocyte counts
1Department of Internal Medicine and Bioregulation, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Insights
Helicobacter pylori infection elevates neutrophil and monocyte counts, impacting systemic health. Eradicating H. pylori normalizes these levels, but smoking may obscure this effect.
Area of Science:
- Medical research
- Gastroenterology
- Hematology
Background:
- The systemic impact of Helicobacter pylori infection remains unclear.
- Investigating H. pylori's role in systemic disorders is crucial.
Purpose of the Study:
- To determine the systemic effects of H. pylori infection.
- Compare peripheral blood leukocyte and platelet counts before and after H. pylori eradication.
Main Methods:
- Retrospective analysis of 164 H. pylori-positive patients undergoing eradication therapy.
- Monitoring peripheral blood leukocyte and platelet populations at multiple time points post-eradication.
Main Results:
- H. pylori eradication significantly decreased leukocytes, neutrophils, and monocytes in non-smokers.
- No significant changes observed in lymphocytes, eosinophils, basophils, or platelets.
- Smoking appeared to mask the reduction in leukocytes and neutrophils post-eradication.
Conclusions:
- H. pylori infection elevates peripheral neutrophil and monocyte counts, suggesting a role in systemic disorders.
- Smoking may confound the observed effects of H. pylori eradication on peripheral leukocytes.
Background:
The effect of Helicobacter pylori infection on systemic disorders is not well understood.
Aim:
The purpose of this study was to elucidate the systemic effects of H. pylori infection by comparing differential counts of leukocytes and platelets in peripheral blood before and after eradication of H. pylori.
Methods:
A total of 164 H. pylori-positive patients underwent eradication therapy, and populations of peripheral blood leukocytes and platelets before and 0 (just after therapy), 1, 3 and 12 months after eradication were retrospectively analysed.
Results:
In the eradicated group (n = 138), blood leukocytes, neutrophils and monocytes decreased significantly after eradication, but there was no significant change in eosinophils, basophils, lymphocytes or platelets. In the non-eradicated group (n = 26), there was no significant change in any studied parameter. With regard to smoking status, although leukocytes and neutrophils did not decrease after eradication in the smoking group, they significantly decreased after eradication in the nonsmoking group.
Conclusions:
These findings suggest that: (1) H. pylori infection increases neutrophil and monocyte counts in the peripheral blood, which indicates a significant role of H. pylori infection in systemic disorders; and (2) Smoking may mask the effect of H. pylori eradication on peripheral leukocytes, which would explain the controversy in previous reports concerning H. pylori infection and peripheral leukocytes.
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