Helicobacter pylori infection among a pediatric population with sickle cell disease
Idowu Senbanjo1, Akinsegun Akinbami, Ijeoma Diaku-Akinwumi
1Paediatrics Gastroenterology, Hepatology and Nutrition Unit, Department of Paediatrics and Child Health, Lagos State University College of Medicine, PMB 21266, Ikeja, Lagos, Nigeria. senbanjo001@yahoo.com
Insights
Helicobacter pylori infection is common in children with sickle cell disease (SCD) and their peers in Nigeria. However, H. pylori infection was not significantly linked to recurrent abdominal pain in SCD children.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Hematology
Background:
- Recurrent abdominal pain (RAP) is a frequent symptom in children with sickle cell disease (SCD).
- Potential causes of RAP in SCD children include disease complications, surgical issues, and Helicobacter pylori (H. pylori) gastritis.
- The prevalence of H. pylori infection in SCD children remains unestablished.
Purpose of the Study:
- To determine the prevalence of H. pylori infection in children with SCD.
- To investigate the association between H. pylori infection and RAP in children with SCD.
Main Methods:
- A prospective case-control study was conducted involving 118 SCD children and 118 matched non-SCD children.
- H. pylori infection seroprevalence was assessed using enzyme-linked immunosorbent assay (ELISA) for immunoglobulin G antibodies.
- Participants were recruited from Lagos State University Teaching Hospital, Nigeria.
Main Results:
- The overall prevalence of H. pylori infection was high in both groups (SCD: 67.8%; non-SCD: 63.6%).
- H. pylori infection prevalence increased with age, peaking between 6 and 10 years old.
- H. pylori infection was significantly associated with parental socioeconomic status but not with RAP in SCD children.
Conclusions:
- H. pylori infection is highly prevalent in both SCD and non-SCD children in the studied Nigerian population.
- No significant association was found between H. pylori infection and recurrent abdominal pain in children with sickle cell disease.
Objectives:
Recurrent abdominal pain (RAP) is a common presenting symptom in children with sickle cell disease (SCD). This may be as a result of complications of the disease, surgical problems, or Helicobacter pylori gastritis. The prevalence of H pylori infection in SCD children is not known. This study aimed to determine the prevalence and association of H pylori infection with RAP in SCD children.
Methods:
This was a prospective case-control study conducted at the Lagos State University Teaching Hospital, Nigeria, involving SCD children (subject, n = 118) and non-SCD children (control, n = 118) matched for age, sex, and socioeconomic status. Seroprevalence status of the children was determined by measuring immunoglobulin G antibodies against H pylori using enzyme-linked immunosorbent assay that had been validated for pediatric use.
Results:
The overall prevalence of H pylori infection was 155 of 236 (SCD, 67.8%; non-SCD, 63.6%; OR, 1.1; 95% CI, 0.89-1.28; p = .493). The prevalence increased with age in both SCD and non-SCD children and was significantly highest at the age of 6 to 10 years (p < .001 in each case). H pylori infection was significantly associated with socioeconomic status of the parents (OR, 4.25; 95% CI, 1.49-12.1; p = .004) but not significantly associated with RAP in SCD children (OR, 1.21: 95% CI, 0.55-2.66; p = .632).
Conclusions:
Prevalence of H pylori infection is high in SCD and non-SCD children in Lagos, Nigeria. There was no significant association between H pylori infection and recurrent abdominal pain in SCD children.
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