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Gastric Mucosa Quantitative Polymerase Chain Reaction Analysis for Detecting Helicobacter pylori and Antibiotic Resistance
Published on: March 7, 2025
Helicobacter pylori and Egyptian infantile colic
Adel S A Ali1, Maher B M Borei
1Department of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Adel_sherif@yahoo.com
Insights
Helicobacter pylori (H. pylori) infection may play a role in infantile colic. This study found H. pylori stool antigen in 62% of colicky infants compared to 20% of healthy controls.
Area of Science:
- Pediatrics
- Gastroenterology
- Microbiology
Background:
- Infantile colic is a common issue causing parental distress, with unclear causes despite extensive research.
- Excessive infant crying can lead to severe stress and, in some cases, infant abuse.
- The pathogenesis of infantile colic remains poorly understood after decades of investigation.
Purpose of the Study:
- To investigate the potential role of Helicobacter pylori (H. pylori) infection in the development of infantile colic.
- To explore H. pylori as a contributing factor to the unexplained etiology of infantile colic.
Main Methods:
- A case-control study involving 50 infants diagnosed with infantile colic and 50 healthy controls.
- H. pylori stool antigen testing was performed on all participating infants.
- Clinical examinations and history taking were conducted for all infants.
Main Results:
- H. pylori stool antigen was detected in 62% of infants with colic versus 20% in the control group (P<0.0001).
- The study identified potential risk factors for H. pylori infection in infants, including normal vaginal delivery, male sex, vomiting, and breastfeeding.
Conclusions:
- This research provides evidence supporting H. pylori's involvement in the pathogenesis of infantile colic.
- Further investigation into H. pylori screening and treatment for colicky infants may be warranted.
Abstract:
Excessive infant crying is a common and often stress-inducing condition for parents that can ultimately result in infant abuse. Although the infantile colic is reported commonly and causes appreciable distress for both parents and pediatricians, its pathogenesis remains unclear, despite 40 years of research. This work studied the role of H. pylori in infantile colic. This study was conducted in a primary health care office in Sharkia Governorate. The study included 50 infants with infantile colic according to Wessel's criteria, along with age and sex matched 50 healthy controls. All-infants without apparent cause for their colic underwent full history taking, clinical examination and H. pylori antigen in their stools. This study supports the new evidence for the role of H. pylori in the pathogenesis of infantile colic. H. pylori stool antigen was present in 31 (62%) of cases in contrast to 10 (20%) of controls (P<0.0001). Normal vaginal delivery, male, vomiting and breast feeding may be risk factors for H. pylori infection in this age period.
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