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Updated: May 12, 2026

Rapid Detection of Fecal Antigen of Helicobacter pylori Infection Based on Double Antibody Sandwich Detection Technology
Published on: May 23, 2025
Prevalence of helicobacter pylori infection in children, a population-based cross-sectional study in west iran
Soltani Jafar1, Amirzadeh Jalil, Nahedi Soheila
1Department of Pediatrics, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Insights
Helicobacter pylori infection is highly prevalent in Kurdish children in Sanandaj, Iran, affecting 64.2% of those studied. Infection rates increase with age and family size, highlighting early childhood as a critical period for transmission.
Area of Science:
- Pediatric Infectious Diseases
- Gastroenterology
- Epidemiology
Background:
- Helicobacter pylori infection is common in developing countries, often acquired in childhood.
- Childhood H. pylori infection is linked to later peptic ulcer and gastric cancer risks.
- Noninvasive diagnostics are crucial for pediatric screening and epidemiological research.
Purpose of the Study:
- To determine the prevalence of H. pylori infection among Kurdish children in Sanandaj, West Iran.
- To investigate factors associated with H. pylori infection in this pediatric population.
Main Methods:
- A Helicobacter Pylori Stool Antigen (HpSA) test was employed for H. pylori detection.
- Data on age, sex, breastfeeding duration, and family size were collected via questionnaire.
- 458 children aged 4 months to 15 years participated in the study.
Main Results:
- The overall prevalence of H. pylori infection was 64.2% (294/458 children).
- Infection prevalence significantly increased with child's age (P<0.001) and larger family size (P=0.005).
- No significant correlation was found between H. pylori status and gender (P=0.6) or breastfeeding duration (P=0.8).
Conclusions:
- H. pylori infection prevalence is notably high in children in Sanandaj.
- Infection acquisition appears to start in early infancy and increases cumulatively with age.
Objective:
In developing countries, Helicobacter pylori infection is mainly acquired during childhood and may be a predisposing factor for peptic ulcer or gastric cancer later in life. Noninvasive diagnostic tools are particularly useful in children for screening tests and epidemiological studies. We aimed to determine the prevalence of H. pylori infection among Kurdish children in Sanandaj, West Iran.
Methods:
We used a Helicobacter Pylori Stool Antigen (HpSA) test to detect H. pylori infection. A questionnaire was used to collect data about age, sex, duration of breastfeeding, and family size. A total of 458 children aged 4 months to 15 years were enrolled in this study.
Findings:
The mean age of enrolled children was 5.6±5.4 years. Stool samples were positive for H. pylori in 294 (64.2%) children. The prevalence of H. pylori infection increased with age (P<0.001). We found a significant increase in the infection rate as the family size grew (P=0.005). There was no correlation between a positive H. pylori status and gender (P=0.6) or the duration of breastfeeding (P=0.8).
Conclusion:
It seems that the prevalence of H. pylori infection is very high in children in Sanandaj. It begins at early infancy (before 4th month of age) and cumulatively increases with age.
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