Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?

Background/Aims: The available studies on Helicobacter pylori (H. pylori) prevalence among healthy asymptomatic population across Saudi Arabia suffers from significant limitations. We conducted this large population-based study to estimate the H. pylori seropositivity rate among apparently healthy c...

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Main Authors: Abdulrahman A Al-Hussaini, Abdullah N Al Jurayyan, Salman M Bashir, Dayel Alshahrani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2019;volume=25;issue=5;spage=309;epage=318;aulast=Al-Hussaini
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author Abdulrahman A Al-Hussaini
Abdullah N Al Jurayyan
Salman M Bashir
Dayel Alshahrani
author_facet Abdulrahman A Al-Hussaini
Abdullah N Al Jurayyan
Salman M Bashir
Dayel Alshahrani
author_sort Abdulrahman A Al-Hussaini
collection DOAJ
description Background/Aims: The available studies on Helicobacter pylori (H. pylori) prevalence among healthy asymptomatic population across Saudi Arabia suffers from significant limitations. We conducted this large population-based study to estimate the H. pylori seropositivity rate among apparently healthy children in Saudi Arabia, using anti-H. pylori immunoglobulin A (IgA) and IgG serology tests, and to study the influence of H. pylori infection on growth. Materials and Methods: We conducted a cross-sectional study to screen apparently healthy school aged Saudi children (aged 6–15 years), attending primary and intermediate schools in Riyadh between 2014 and 2016, for H. pylori seropositivity by checking for the presence of anti-H. pylori IgG and IgA antibodies in serum specimens. Results: Out of 3551 serum specimens, 1413 cases tested seropositive for H. pylori organism (40%): 430 (12.2%) were both IgG and IgA positive, 212 (6%) and 771 (21.7%) cases showed isolated positivity for IgG or IgA, respectively. Male gender, older age, lower levels of socioeconomic status (SES), and family members >10 were significantly associated with H. pylori seropositivity. The proportion of participants with short stature was significantly more in the H. pylori seropositive group than the seronegative group (OR1.249, confidence interval [1.020–1.531], P= 0.033). There was no significant association between H. pylori seropositivity and gastrointestinal symptoms. Conclusion: The prevalence of H. pylori seropositivity among apparently healthy Saudi children (40%) is intermediate compared with that in developed and developing countries. The Saudi pediatric population shows a predominant IgA-type immunological response to H. pylori infection.
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spelling doaj.art-20af4dda24c641c68da76532d877c0972022-12-22T01:54:06ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492019-01-0125530931810.4103/sjg.SJG_531_18Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?Abdulrahman A Al-HussainiAbdullah N Al JurayyanSalman M BashirDayel AlshahraniBackground/Aims: The available studies on Helicobacter pylori (H. pylori) prevalence among healthy asymptomatic population across Saudi Arabia suffers from significant limitations. We conducted this large population-based study to estimate the H. pylori seropositivity rate among apparently healthy children in Saudi Arabia, using anti-H. pylori immunoglobulin A (IgA) and IgG serology tests, and to study the influence of H. pylori infection on growth. Materials and Methods: We conducted a cross-sectional study to screen apparently healthy school aged Saudi children (aged 6–15 years), attending primary and intermediate schools in Riyadh between 2014 and 2016, for H. pylori seropositivity by checking for the presence of anti-H. pylori IgG and IgA antibodies in serum specimens. Results: Out of 3551 serum specimens, 1413 cases tested seropositive for H. pylori organism (40%): 430 (12.2%) were both IgG and IgA positive, 212 (6%) and 771 (21.7%) cases showed isolated positivity for IgG or IgA, respectively. Male gender, older age, lower levels of socioeconomic status (SES), and family members >10 were significantly associated with H. pylori seropositivity. The proportion of participants with short stature was significantly more in the H. pylori seropositive group than the seronegative group (OR1.249, confidence interval [1.020–1.531], P= 0.033). There was no significant association between H. pylori seropositivity and gastrointestinal symptoms. Conclusion: The prevalence of H. pylori seropositivity among apparently healthy Saudi children (40%) is intermediate compared with that in developed and developing countries. The Saudi pediatric population shows a predominant IgA-type immunological response to H. pylori infection.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2019;volume=25;issue=5;spage=309;epage=318;aulast=Al-HussainiEpidemiologyHelicobacter pyloriprevalenceRiyadhshort staturesocioeconomic status
spellingShingle Abdulrahman A Al-Hussaini
Abdullah N Al Jurayyan
Salman M Bashir
Dayel Alshahrani
Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?
The Saudi Journal of Gastroenterology
Epidemiology
Helicobacter pylori
prevalence
Riyadh
short stature
socioeconomic status
title Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?
title_full Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?
title_fullStr Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?
title_full_unstemmed Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?
title_short Where are we today with Helicobacter pylori infection among healthy children in Saudi Arabia?
title_sort where are we today with helicobacter pylori infection among healthy children in saudi arabia
topic Epidemiology
Helicobacter pylori
prevalence
Riyadh
short stature
socioeconomic status
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2019;volume=25;issue=5;spage=309;epage=318;aulast=Al-Hussaini
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AT salmanmbashir wherearewetodaywithhelicobacterpyloriinfectionamonghealthychildreninsaudiarabia
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