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Updated: Jul 19, 2026

Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
[Treatment for Helicobacter pylori in children. Recent advances]
Insights
Helicobacter pylori (H. pylori) infection is common, with limited treatment success. Probiotics show promise in managing H. pylori levels and reducing antibiotic side effects.
Area of Science:
- Microbiology
- Infectious Diseases
- Gastroenterology
Background:
- Helicobacter pylori is a prevalent pathogen linked to gastric ulcers and cancer.
- Current antibiotic treatments for H. pylori are often ineffective due to resistance and poor compliance.
- Pediatric H. pylori infections are frequently asymptomatic and untreated.
Discussion:
- Dual and triple therapies show variable efficacy, with sequential treatments emerging as more effective.
- Proton pump inhibitor-based triple therapies demonstrate consistent efficacy regardless of duration.
- Bismuth-based and proton pump inhibitor-based triple therapies show similar effectiveness to certain dual therapies.
Key Insights:
- Antibiotic resistance and patient compliance significantly impact H. pylori eradication rates.
- Sequential treatment regimens offer improved efficacy over standard therapies.
- Probiotics may help control H. pylori colonization and mitigate antibiotic-related adverse effects.
Outlook:
- Probiotics present a potential low-cost, scalable strategy for managing H. pylori, especially in at-risk populations.
- Further research into probiotic efficacy in combination with antibiotics is warranted.
- Developing novel therapeutic approaches is crucial for combating H. pylori-associated diseases.
Abstract:
Helicobacter pylori (H. pylori) is a highly prevalent pathogen considered as an aetiological factor for gastric ulcers and gastric cancer. Most children colonized by H. pylori are asymptomatic and remain untreated. In symptomatic patients, the antibiotic treatment is not 100% effective because of the resistance to antibiotics and the imperfect patient compliance. Mono-therapy or dual-therapy have a very low efficacy. Dual therapies with bismuth plus one antibiotic or two antibiotics for two weeks are as effective as either bismuth-based or proton pump inhibitor-based triple therapies. Triple therapies were less effective than in adults, and proton pump inhibitor-based triple therapies have a similar efficacy irrespective of the duration. Recently, a new sequential treatment proved to be more efficacious than standard therapies. Recent data suggest that probiotics may maintain lower levels of H. pylori in the stomach, and in combination with antibiotics, probiotics may decrease adverse effects. Probiotics might constitute a low-cost, large-scale alternative solution applicable for populations at-risk for H. pylori colonization.
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