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Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
Breastfeeding and helicobacter pylori infection in children with digestive symptoms
Maryam Monajemzadeh1, Fatemeh Farahmand, Fatemeh Vakilian
1Department of Pathology, Tehran University of Medical Sciences, Tehran, IR Iran.
Insights
Breastfeeding in the first six months can reduce Helicobacter pylori (H. pylori) colonization and symptom duration in children. This practice may also delay H. pylori infection and lead to milder gastritis.
Area of Science:
- Pediatric Infectious Diseases
- Gastroenterology
- Microbiology
Background:
- Helicobacter pylori (H. pylori) infection is a significant global health concern in children.
- Understanding transmission routes, such as infant feeding practices, is crucial for prevention strategies.
Purpose of the Study:
- To investigate the association between breastfeeding and H. pylori acquisition in Iranian children.
- To compare histopathologic findings in breastfed versus formula-fed infants.
Main Methods:
- A case-control study involving 154 children (77 cases, 77 controls) with and without H. pylori infection.
- Data collected via parental questionnaires on feeding practices, symptom duration, and medical history.
- Endoscopic surveys and gastric biopsies were performed.
Main Results:
- Formula feeding showed a significant association with H. pylori infection (P=0.045).
- Breastfeeding correlated with older age at infection (P=0.034), shorter symptom duration (P=0.016), and reduced H. pylori colonization degree (P=0.021).
Conclusions:
- Early breastfeeding (first 6 months) appears to reduce H. pylori colonization intensity.
- Breastfeeding may delay the age of H. pylori infection and shorten symptom duration.
- Breastfeeding is associated with less severe gastritis in H. pylori-infected children.
Objective:
This study aims to evaluate the role of breastfeeding in the acquisition of Helicobacter pylori (H. pylori) infection in Iran and to compare the histopathologic changes occurring in children feeding on breast milk with those in infants feeding on formula.
Methods:
In a case-control study parents of children with and without H. pylori infection who had undergone endoscopic survey and gastric biopsy in the Children's Medical Center, Tehran, were asked about their feeding practices during the first 6 months after birth, the duration of breastfeeding period, the symptoms, and the duration of symptoms and concomitant diseases.
Findings:
A total of 154 children were included in this study. From this sample, 77 children formed the case group and 77 children formed the control group. A significant difference was found between H. pylori infection and feeding with formula (P=0.045). In case group, a significant difference was found between breastfeeding and age of the infected child (P=0.034), shorter duration of symptoms (P=0.016), and finally degree of H. pylori colonization (P=0.021).
Conclusion:
It appears that breastfeeding in the first 6 months after birth can decrease the degree of H. pylori colonization, postpone infection until older age, shorten the duration of symptoms, and be concomitant with milder gastritis.
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