Forskning ved Københavns Universitet - Københavns Universitet

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Helicobacter pylori infection in pediatrics.

Publikation: Bidrag til tidsskriftReviewForskning

A high prevalence and early colonization of Helicobacter pylori infection in childhood was described again this year in developing countries in contrast to developed ones. Upper gastrointestinal endoscopy including gastric biopsies remains the diagnostic gold standard method for this infection. Also noninvasive tests have been studied in children, including serology, 13C-urea breath test and stool antigen test, showing good results in the different age groups as compared to the gold standard. However, the infection often remains asymptomatic in children and the role of this bacterium in gastric manifestations is the subject of conflicting reports. Extra-digestive manifestations are also reported in the course of this infection. The treatment of H. pylori infection is influenced by resistance of the bacteria to the antibiotics used. We suggest that eradication of H. pylori should take place only after susceptibility testing. The association of a proton pump inhibitor and two antibiotics for 1 or 2 weeks gives the best eradication rates. The crucial question to elucidate is whether asymptomatic children should be treated to prevent cancer in the future.
Bidragets oversatte titelHelicobacter pylori infection in pediatrics.
OriginalsprogEngelsk
TidsskriftHelicobacter (Oxford)
Vol/bind8 Suppl 1
Sider (fra-til)61-67
Antal sider7
ISSN1083-4389
StatusUdgivet - 2003

ID: 34047291