EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Diagnosis and treatment of Helicobacter pylori infection in pediatrics: recommendation for 2014 clinical practice



Diagnosis and treatment of Helicobacter pylori infection in pediatrics: recommendation for 2014 clinical practice



Minerva Pediatrica 67(6): 517-524



Helicobacter pylori (H. pylori) infection is a large worldwide infection usually acquired during childhood, whose prevalence in pediatric population varies, with lower incidence rates in developed countries compared to developing countries (up to 10-15% and 70%, respectively). Diagnosis can be performed both with endoscopic-based methods and noninvasive diagnostic tests, such as urea breath test and fecal antigen. Current guidelines recommend endoscopic evaluation of the young patients, in order to determine the underlying cause of abdominal pain. Even in case of suspected functional pain, patient should not be investigated for infection, unless upper endoscopy is performed to rule out organic causes. Nowadays, in pediatric population, applications of noninvasive tests are limited to verifying eradication after therapy and to investigating the presence of infection in asymptomatic patients with first-degree relatives affected by gastric cancer. Since correlation between abdominal pain and H. pylori gastritis, in absence of peptic ulcer disease is still debated, "test and treat" strategy is not recommended in children. As for adults, treatment regimens are based on the combination of proton-pump inhibitor and two or more antibiotics, for 7-14 days, depending on resistance rates of geographic areas.

(PDF emailed within 1 workday: $29.90)

Accession: 057609705

Download citation: RISBibTeXText

PMID: 26530493



Related references

Diagnosis of Helicobacter pylori infection in clinical practice. Terapevticheskii Arkhiv 90(12): 133-139, 2019

Invasive diagnosis of Helicobacter pylori infection in the 2006 clinical practice. Minerva Medica 97(1): 25-29, 2006

Non-invasive diagnosis of Helicobacter pylori infection in the 2006 clinical practice. Minerva Medica 97(1): 19-24, 2006

Practice guidelines for diagnosis and treatment of Helicobacter pylori infections and their application in clinical practice. Nihon Naika Gakkai Zasshi. Journal of the Japanese Society of Internal Medicine 91 Suppl: 32-37, 2002

Diagnosis of Helicobacter pylori infection: diagnostic techniques and recommendations for clinical practice. Revisiones en Gastroenterologia 3(2): 69-84, 2001

Breath test is very reliable for diagnosis of Helicobacter pylori infection in real clinical practice. Digestive and Liver Disease 35(9): 612-618, 2003

13C-urea breath test for the diagnosis of Helicobacter pylori infection. A further simplification for clinical practice. Scandinavian Journal of Gastroenterology 33(3): 267-270, 1998

Treatment of Helicobacter pylori infection: A clinical practice update. European Journal of Clinical Investigation: -, 2017

Diagnosis and treatment of Helicobacter pylori for peptic ulcer bleeding in clinical practice - factors associated with non-diagnosis and non-treatment, and diagnostic yield in various settings. Turkish Journal of Gastroenterology 25 Suppl 1(): 157-161, 2015

Clinical significance of anti-Helicobacter pylori antibody in the diagnosis of Helicobacter pylori infection in chronic gastritis. Kansenshogaku Zasshi. Journal of the Japanese Association for Infectious Diseases 66(11): 1597-1598, 1992

Usefulness of a commercial enzyme-linked immunoassay for diagnosis of helicobacter pylori infection in clinical practice. Gastroenterology 106(4 SUPPL ): A202, 1994

Treatment of Helicobacter pylori Infection in Clinical Practice in the United States. Digestive Diseases and Sciences 45(2): 265-271, 2000

Treatment of Helicobacter pylori infection 2014. Helicobacter 19 Suppl 1: 38-45, 2015

Re-eradication of Helicobacter pylori infection following initial treatment failure: treatment options in clinical practice. Israel Medical Association Journal 5(3): 193-194, 2003

Treatment of Helicobacter pylori infection in clinical practice in the United States: results from 224 patients. Digestive Diseases and Sciences 45(2): 265-271, 2000