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Published on: March 7, 2025
Helicobacter pylori infection in Omani children
Siham Al-Sinani1, Sharef W Sharef, Khalid Al-Naamani
1Gastroenterology Unit, Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman.
Insights
Helicobacter pylori (H. pylori) infection prevalence in Omani children is 25%. The study found no significant link between H. pylori and recurrent abdominal pain, gender, or anemia in this population.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Public Health
Background:
- Helicobacter pylori (H. pylori) is the most common chronic bacterial infection globally.
- Data on H. pylori prevalence in Omani pediatric populations is currently lacking.
Purpose of the Study:
- To determine the prevalence of H. pylori infection in Omani children using histology.
- To investigate potential associations between H. pylori infection and clinical factors in children.
Main Methods:
- Retrospective analysis of gastric biopsy results from children over a three-year period.
- Comparison of H. pylori-positive and negative groups based on age, gender, indication for endoscopy, abdominal pain history, and anemia.
Main Results:
- The overall prevalence of biopsy-proven H. pylori infection was 25% among 112 pediatric patients.
- Prevalence increased with age, peaking between 5 and 10 years (33%), with a significant rise from <5 years (7%) (p=0.010).
- No significant associations were found between H. pylori infection and recurrent abdominal pain, gender, or anemia.
Conclusions:
- This study provides the first histology-based prevalence data for H. pylori infection in Omani children (25%).
- The prevalence is lower than in many regional and Arab countries.
- H. pylori infection in Omani children showed no significant association with recurrent abdominal pain, gender, or anemia.
Background:
Helicobacter pylori (H. pylori) infection is the most common chronic bacterial infection in humans. Its prevalence in Omani adults and children is not known.
Objective:
To report histology-based H. pylori infection prevalence in Omani children.
Methods:
A retrospective study of biopsy proven H. pylori infection in children over a 3 year period in a single center. Age, gender, indication for endoscopy, history of recurrent abdominal pain, and anemia were compared between H. pylori-positive and negative children.
Results:
Of 143 patients who underwent endoscopy, gastric biopsies were available on 112. The overall prevalence of biopsy proven H. pylori infection was 25%. The prevalence in children with recurrent abdominal pain was 30% compared to 22% in children who underwent endoscopy for other indications (p = .382). The prevalence increased from 7% in children aged <5 years, to 33% in those aged between 5 and 10 years (p = .010). There was no significant difference in the prevalence between the 5-10 years age group (33%) and older age group (29%) (p = .814). There was no significant difference in gender or anemia between the two groups.
Conclusions:
This study represents the first reported study on the prevalence of biopsy proven H. pylori infection in Omani children. H. pylori infection prevalence is 25%, is lower than regional and many Arab countries. The prevalence appears to increase till age of 5 years. There was no significant association between H. pylori and recurrent abdominal pain, gender, or anemia.
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