Helicobacter pylori prevalence in healthy Mexican children: comparison between two non-invasive methods.

Background: Helicobacter pylori detection in asymptomatic children with suspected infection or with symptoms that suggest gastric pathology is problematic, since most of the methods depend on the endoscopic study, an invasive and expensive method. Non-invasive methods can be a feasible alternative b...

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Detalles Bibliográficos
Autores: Romero Castro, Norma Samanta, Reyes Rios, Roxana, Martinez Carrillo, Dinorah Nashely, Fernández-Tilapa, Gloria, Martínez-Santos, Verónica I., Manuel, Hernández Catalán, Luis Octavio, Ojeda Salazar, Orozco Gómez, Octavio Andrei, Lorenzo, Sandra Ines, Santos Gómez, Rayver
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:México
Institución:Universidad Autónoma de Guerrero
Repositorio:Repositorio Institucional de Ciencia Abierta de la Universidad Autónoma de Guerrero
Idioma:inglés
OAI Identifier:oai:ri.uagro.mx:uagro/3968
Acceso en línea:http://ri.uagro.mx/handle/uagro/3968
Access Level:acceso abierto
Palabra clave:H. pylori
Children
Non-invasive methods
Mexico
Prevalence
MEDICINA Y CIENCIAS DE LA SALUD::CIENCIAS MÉDICAS::OTRAS ESPECIALIDADES MÉDICAS::OTRAS
Descripción
Sumario:Background: Helicobacter pylori detection in asymptomatic children with suspected infection or with symptoms that suggest gastric pathology is problematic, since most of the methods depend on the endoscopic study, an invasive and expensive method. Non-invasive methods can be a feasible alternative but must be validated. The purpose of this study was to evaluate the concordance between H. pylori DNA detection in saliva and dental plaque by PCR, with antigen detection in stool by immunochromatography, among asymptomatic children in the state of Guerrero, Mexico. Methods: Dental plaque, saliva, and stool samples were obtained from 171 children between 6 and 12 years old. H. pylori detection in saliva and dental plaque was performed by PCR using specific primers for the 16S rRNA gene, while the detection in stool samples was performed by immunochromatography using the CerTest kit. Results: We found an overall H. pylori prevalence of 59.6% (102/171). Of the H. pylori positive children 18% (20/111) were positive in saliva samples, 28.1% (34/121) in dental plaque samples, and 50.4% (71/141) in stool samples. A higher prevalence was found in girls (64.7%, p = 0.002). Although some of the children declared some dyspeptic symptoms, these were no related to H. pylori. In conclusion, we found a high prevalence of H. pylori in asymptomatic children and the highest proportion was detected by stool antigen test, which was the most feasible method to detect H. pylori infection.