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Quantitative Polymerase Chain Reaction (qPCR)-Based Rapid Diagnosis of Helicobacter pylori Infection and Antibiotic Resistance
Published on: July 28, 2023
Helicobacter pylori and recurrent pain abdomen
Niranjan Biswal1, N Ananathakrishnan, Vikram Kate
1Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. nbiswal@jipmer.edu
Insights
Helicobacter pylori infection is common in children with recurrent abdominal pain. Eradicating this infection effectively relieved symptoms in most cases, suggesting it as a valuable treatment.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
Background:
- Recurrent abdominal pain (RAP) is a frequent childhood issue with multifactorial causes.
- Helicobacter pylori (HP) infection is prevalent in children and can lead to abdominal pain and peptic ulcers.
Purpose of the Study:
- To assess HP status in children diagnosed with RAP.
- To evaluate the effectiveness of HP eradication therapy in resolving abdominal pain in these children.
Main Methods:
- The study included 76 children experiencing recurrent abdominal pain.
- Upper gastrointestinal endoscopy (UGIE) was performed to diagnose HP infection.
Main Results:
- 14.8% of children had secondary causes for abdominal pain.
- HP infection was identified in 65.45% of children undergoing UGIE.
- Most children showed symptom resolution after HP eradication therapy using OCA or OMA regimens.
Conclusions:
- HP eradication therapy is strongly recommended for children with RAP and confirmed HP infection.
- Clinical response to therapy supports its advocacy in managing pediatric abdominal pain linked to HP.
Objective:
Pain abdomen is a common problem in childhood. Many factors i.e., organic changes in the gut, psychological and environment contribute to recurrent pain abdomen (RAP) in children. Helicobacter pylori infects children very early in childhood and stays indefinitely in the gut without its eradication. It may be responsible for pain abdomen and peptic ulcers in children. This study was done to assess the HP status in children with RAP diagnosed and evaluate the effects of eradication of HP infection in them.
Methods:
76 children were included in the study.
Result:
Out of 76 children studied 14.8% had evidence of a secondary cause for pain abdomen and responded to appropriate therapy. 65.45% of children who had undergone UGIE, had evidence of HP infection in the upper gastrointestinal tract. Most of these children responded to HP eradication therapy by becoming free of abdominal pain after the eradication therapy with OCA or OMA regimen. We could not do repeated endoscopies in all of them to prove the eradication due to parents' refusal and this is the main drawback of this study.
Conclusion:
However, in view of clinical response to HP eradication therapy in almost all the cases, we strongly advocate this therapy for those children with RAP, in whom HP infection of the upper gastrointestinal tract can be established beyond doubt.
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