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Rapid Detection of Fecal Antigen of Helicobacter pylori Infection Based on Double Antibody Sandwich Detection Technology
Published on: May 23, 2025
Helicobacter pylori, helminth infections and growth: a cross-sectional study in a high prevalence population
Sarah Cherian1, David Forbes, Frank Sanfilippo
1School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
Insights
Helicobacter pylori (H. pylori) and helminth infections are common in African refugee children but do not impact growth. Further studies are needed to understand long-term effects of H. pylori on child development.
Area of Science:
- Pediatric infectious diseases
- Global child health
- Nutritional anthropometry
Background:
- Childhood Helicobacter pylori (H. pylori) infection is common, with potential growth impacts, but data are inconsistent.
- African refugee children often experience high burdens of H. pylori and helminth infections.
- Understanding the relationship between these infections and child growth is crucial for public health.
Purpose of the Study:
- To investigate the association between H. pylori and helminth infections and growth parameters in a cohort of African refugee children.
- To determine if H. pylori infection is linked to growth restriction in this pediatric population.
Main Methods:
- A cross-sectional study was conducted on African refugee children (<16 years) resettling in Australia.
- H. pylori infection was diagnosed using fecal monoclonal antigen enzyme immunoassay testing (MFAT).
- Growth restriction was defined as anthropometric measures below the fifth percentile for age and gender.
Main Results:
- H. pylori infection prevalence was high (81.9%) among the children studied.
- No significant adverse effects of H. pylori on body mass index or other anthropometric measurements were found after age adjustment.
- Helminth infections (41.8%) were common but not associated with reduced growth or H. pylori co-infection.
Conclusions:
- Both H. pylori and helminth infections are highly prevalent in this cohort of African refugee children.
- Neither infection was found to be associated with growth restriction in the studied children.
- Longitudinal studies are recommended to assess the long-term impact of H. pylori on childhood growth velocity.
Aim:
Helicobacter pylori (H. pylori) infection is usually acquired in childhood and may adversely affect growth, although data are inconsistent. This study investigated growth parameters in a paediatric cohort with a high prevalence of H. pylori and helminth infection.
Methods:
A cross-sectional study of African refugee children (<16 years) recruited at their initial health assessment following resettlement in Australia. Detailed demographic, infection and anthropometric data were obtained. H. pylori infection was diagnosed by monoclonal faecal antigen enzyme immunoassay testing (MFAT). Growth restriction was defined as children with any anthropometric measures below the fifth centile for age and gender.
Results:
H. pylori infection was detected in 149/182 (81.9%). Children with H. pylori infection were older (mean 8.5 years, standard deviation (SD) 4.2 years vs. 5.8 years, SD 4.5 years, p < 0.001). No gender differences were observed. After adjustment for age, H. pylori did not adversely affect body mass index or other anthropometric measurements. Helminth infections were common (41.8%) but not associated with reduced growth or with H. pylori infection.
Conclusion:
H. pylori and helminth infections are prevalent in African refugee children but neither is associated with growth restriction. Longitudinal growth velocity studies are necessary to identify any long-term consequences of H. pylori on childhood growth.
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