Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and Adults

Aim. To evaluate the prevalence and risk factors of H. pylori infection in the pediatric and adult population seen at a public hospital in São José do Rio Preto, SP, Brazil. Methods. This is a retrospective study that evaluated 2406 medical records of children, adolescents, and adults with dyspeptic...

Full description

Saved in:
Bibliographic Details
Main Authors: Evelyn Pedroso Toscano, Fernanda Fernandes Madeira, Mayra Pinheiro Dutra-Rulli, Luiz Otavio Maia Gonçalves, Marcela Alcântara Proença, Viviane Silva Borghi, Aline Cristina Targa Cadamuro, Giselda Warick Mazzale, Ricardo Acayaba, Ana Elizabete Silva
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2018/8454125
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850168503008493568
author Evelyn Pedroso Toscano
Fernanda Fernandes Madeira
Mayra Pinheiro Dutra-Rulli
Luiz Otavio Maia Gonçalves
Marcela Alcântara Proença
Viviane Silva Borghi
Aline Cristina Targa Cadamuro
Giselda Warick Mazzale
Ricardo Acayaba
Ana Elizabete Silva
author_facet Evelyn Pedroso Toscano
Fernanda Fernandes Madeira
Mayra Pinheiro Dutra-Rulli
Luiz Otavio Maia Gonçalves
Marcela Alcântara Proença
Viviane Silva Borghi
Aline Cristina Targa Cadamuro
Giselda Warick Mazzale
Ricardo Acayaba
Ana Elizabete Silva
author_sort Evelyn Pedroso Toscano
collection DOAJ
description Aim. To evaluate the prevalence and risk factors of H. pylori infection in the pediatric and adult population seen at a public hospital in São José do Rio Preto, SP, Brazil. Methods. This is a retrospective study that evaluated 2406 medical records of children, adolescents, and adults with dyspeptic symptoms who underwent upper gastrointestinal endoscopy. H. pylori diagnosis and demographic and clinical-pathological features were recorded. Results. A total of 852 subjects were H. pylori positive, with an overall prevalence of infection of 35.4%, occurring mainly in adults over 40 years of age, and a 24.7% prevalence considering only children and adolescents. No association was observed between H. pylori infection and risk factors. However, the H. pylori positive individuals showed a higher frequency of pangastritis (p<0.01), severe lesions (p=<0.001), and erosive lesions (p=0.04). The bacterium was eradicated in 83.5% (127) of the patients who received the standard therapy. Conclusions. The prevalence of H. pylori detected in a public service in São José do Rio Preto, SP, Brazil, is as expected for developed countries, showing growing rates with increasing age. As H. pylori infection occurs during childhood, screening programs for detection and prevention in the pediatric population are important to reduce the prevalence of this infection in adults.
format Article
id doaj-art-d8ecf53e64f140cb8f389ee7acd7f742
institution OA Journals
issn 1687-6121
1687-630X
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-d8ecf53e64f140cb8f389ee7acd7f7422025-08-20T02:20:57ZengWileyGastroenterology Research and Practice1687-61211687-630X2018-01-01201810.1155/2018/84541258454125Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and AdultsEvelyn Pedroso Toscano0Fernanda Fernandes Madeira1Mayra Pinheiro Dutra-Rulli2Luiz Otavio Maia Gonçalves3Marcela Alcântara Proença4Viviane Silva Borghi5Aline Cristina Targa Cadamuro6Giselda Warick Mazzale7Ricardo Acayaba8Ana Elizabete Silva9UNESP-São Paulo State University, Department of Biology, São José do Rio Preto, SP, BrazilUNESP-São Paulo State University, Department of Biology, São José do Rio Preto, SP, BrazilUNESP-São Paulo State University, Department of Biology, São José do Rio Preto, SP, BrazilUNESP-São Paulo State University, Department of Biology, São José do Rio Preto, SP, BrazilUNESP-São Paulo State University, Department of Biology, São José do Rio Preto, SP, BrazilUFMS-Federal University of Mato Grosso do Sul, School of Medicine, MS, BrazilUNESP-São Paulo State University, Department of Biology, São José do Rio Preto, SP, BrazilJoão Paulo II Hospital, Service of Endoscopy, São José do Rio Preto, SP, BrazilJoão Paulo II Hospital, Service of Endoscopy, São José do Rio Preto, SP, BrazilUNESP-São Paulo State University, Department of Biology, São José do Rio Preto, SP, BrazilAim. To evaluate the prevalence and risk factors of H. pylori infection in the pediatric and adult population seen at a public hospital in São José do Rio Preto, SP, Brazil. Methods. This is a retrospective study that evaluated 2406 medical records of children, adolescents, and adults with dyspeptic symptoms who underwent upper gastrointestinal endoscopy. H. pylori diagnosis and demographic and clinical-pathological features were recorded. Results. A total of 852 subjects were H. pylori positive, with an overall prevalence of infection of 35.4%, occurring mainly in adults over 40 years of age, and a 24.7% prevalence considering only children and adolescents. No association was observed between H. pylori infection and risk factors. However, the H. pylori positive individuals showed a higher frequency of pangastritis (p<0.01), severe lesions (p=<0.001), and erosive lesions (p=0.04). The bacterium was eradicated in 83.5% (127) of the patients who received the standard therapy. Conclusions. The prevalence of H. pylori detected in a public service in São José do Rio Preto, SP, Brazil, is as expected for developed countries, showing growing rates with increasing age. As H. pylori infection occurs during childhood, screening programs for detection and prevention in the pediatric population are important to reduce the prevalence of this infection in adults.http://dx.doi.org/10.1155/2018/8454125
spellingShingle Evelyn Pedroso Toscano
Fernanda Fernandes Madeira
Mayra Pinheiro Dutra-Rulli
Luiz Otavio Maia Gonçalves
Marcela Alcântara Proença
Viviane Silva Borghi
Aline Cristina Targa Cadamuro
Giselda Warick Mazzale
Ricardo Acayaba
Ana Elizabete Silva
Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and Adults
Gastroenterology Research and Practice
title Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and Adults
title_full Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and Adults
title_fullStr Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and Adults
title_full_unstemmed Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and Adults
title_short Epidemiological and Clinical-Pathological Aspects of Helicobacter pylori Infection in Brazilian Children and Adults
title_sort epidemiological and clinical pathological aspects of helicobacter pylori infection in brazilian children and adults
url http://dx.doi.org/10.1155/2018/8454125
work_keys_str_mv AT evelynpedrosotoscano epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT fernandafernandesmadeira epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT mayrapinheirodutrarulli epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT luizotaviomaiagoncalves epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT marcelaalcantaraproenca epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT vivianesilvaborghi epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT alinecristinatargacadamuro epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT giseldawarickmazzale epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT ricardoacayaba epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults
AT anaelizabetesilva epidemiologicalandclinicalpathologicalaspectsofhelicobacterpyloriinfectioninbrazilianchildrenandadults