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Updated: Jun 24, 2026

Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
Helicobacter pylori infection in Iranian children with recurrent abdominal pain
Nahid Masoodpoor1, Darakhshan, Mehrdad Sheikhvatan
1Department of Paediatrics, Rafsanjan, University of Medical Sciences, Rafsanjan, Iran. swt_f@yahoo.com
Insights
Helicobacter pylori (H. pylori) infection was investigated as a cause of recurrent abdominal pain (RAP) in Iranian children. The study found no significant relationship between H. pylori infection and RAP in this age group.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
Background:
- Recurrent abdominal pain (RAP) is a common pediatric issue.
- The role of Helicobacter pylori (H. pylori) infection in pediatric RAP remains unclear.
Purpose of the Study:
- To investigate the association between H. pylori infection and RAP in Iranian children.
- To determine if H. pylori is a causative agent for RAP in pediatric patients.
Main Methods:
- A case-control study involving 40 children with RAP and 60 healthy controls (ages 12-15).
- Demographic and clinical data collected via questionnaires and physical examination.
- Stool antigen testing (HpSA ELISA) performed on all participants.
Main Results:
- H. pylori infection was detected in 16 of 40 children with RAP.
- H. pylori infection was detected in 15 of 60 healthy children.
- No statistically significant relationship was found between H. pylori infection and RAP (p=0.112).
Conclusions:
- The prevalence of H. pylori infection is similar in children with and without RAP.
- H. pylori infection is unlikely to be a primary cause of RAP in Iranian children aged 12-15.
- Further research may be needed to explore other etiologies of pediatric RAP.
Objectives:
Helicobacter pylori infection may be a cause of recurrent abdominal pain (RAP) in children. However, this relationship between H. pylori infection and RAP has not yet been confirmed.
Aim:
The aim of the present study was to evaluate the role of H. pylori infection as a cause of RAP in Iranian children.
Methods:
Demographic characteristics and clinical information of 40 children with RAP and mean age of 12.7 +/- 1.0 year and 60 healthy children (as control group) matched for sex and age were collected by self-administered questionnaires and physical examination. The stool antigen test was performed using HpSA ELISA in both study groups.
Results:
In the RAP group, 16 of the 40 patients were positive for H. pylori infection on HpSA, whereas this test was positive in 15 of the 60 healthy children. No relationship was found between RAP and positive HpSA ELISA for H. pylori (p = 0.112).
Conclusion:
The prevalence of H. pylori infection in children with RAP and in healthy children in the age range of 12 to 15 years was similar.
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