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Updated: Aug 20, 2026

Rapid Detection of Fecal Antigen of Helicobacter pylori Infection Based on Double Antibody Sandwich Detection Technology
Published on: May 23, 2025
Detection of Helicobacter pylori in the stools of newborn infants
Shigeru Fujimura1, Seiichi Kato, Ken Nagai
1Department of Microbiology, Miyagi University, Sendai, Japan. hujimura@myu.ac.jp
Insights
Helicobacter pylori DNA was detected in 30% of newborns using PCR, suggesting early transmission. Maternal antibodies correlated with higher infant detection rates, but infection was cleared within 24 months.
Area of Science:
- Microbiology
- Pediatrics
- Infectious Diseases
Background:
- Helicobacter pylori is a common human pathogen.
- The transmission route of H. pylori, especially in neonates, remains unclear.
- Early life colonization may influence long-term infection establishment.
Purpose of the Study:
- To investigate the transmission route of Helicobacter pylori in neonates.
- To determine the prevalence of H. pylori DNA in 3-day-old infants.
- To explore the correlation between maternal antibodies and neonatal H. pylori detection.
Main Methods:
- Stool specimens from 50 neonates were analyzed using stool antigen immunoassay and polymerase chain reaction (PCR).
- Maternal urine samples were tested for anti-H. pylori IgG antibodies.
- A follow-up study assessed H. pylori status in a subset of infants at 24 months.
Main Results:
- H. pylori DNA was detected in 15 out of 50 neonates (30%) by PCR.
- Only 1 neonate tested positive for stool antigen.
- Neonates born to mothers with positive anti-H. pylori IgG antibodies showed a significantly higher detection rate (60%) compared to those with negative maternal antibodies (17%).
- All 8 infants followed up at 24 months were negative for H. pylori by both PCR and stool antigen tests.
Conclusions:
- PCR is a sensitive method for detecting H. pylori DNA in neonatal stool.
- Maternal anti-H. pylori IgG antibodies may indicate a higher risk of neonatal H. pylori transmission.
- Neonatal H. pylori infection appears to be transient, with spontaneous clearance within 24 months.
Abstract:
To investigate the transmission route of Helicobacter pylori, stool specimens of 50 infants 3 days old were studied by a stool antigen immunoassay and polymerase chain reaction (PCR). By PCR, H. pylori DNA was detected in 15 neonates (30%). The stool antigen test was positive in only 1 neonate with a positive PCR. The detection rate of H. pylori DNA in neonates was significantly higher for those with mothers having urines positive for anti-H. pylori IgG antibody (60%) than for those mothers with negative urines (17%) (P < 0.01). A follow-up study was done 24 months later on 8 of the 15 infants with positive PCR results, including the infant with a positive stool antigen test. All infants were negative by both PCR and stool antigen test.
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