Management of Helicobacter pylori infection in the pediatric age

An Pediatr (Engl Ed). 2021 Nov;95(5):383.e1-383.e9. doi: 10.1016/j.anpede.2021.05.004. Epub 2021 Oct 9.

Abstract

The management of Helicobacter pylori infection in children is a consistent problem in clinical practice. Over the years, many questions have been raised regarding symptoms associated with the infection, the diagnostic methods and type of treatment. What is most controversial is determining the criteria that enable us to initiate and carry out the study in children. In the last 10 years, pediatricians have followed the joint ESPGHAN/NASPGHAN guidelines published in 2011 and updated in 2017 in the management of H. pylori in children. This document aims to unify the study indication criteria as well as the diagnosis and treatment recommendations for H. pylori infection in children and adolescents, so they can be used in both Primary and Hospital care.

Keywords: Antibiotic susceptibility; C(13) urea breath test; ESPGHAN/NASPGHAN guidelines; Endoscopy; Erradicación; Erradication; Gastroscopia; Guías ESPGHAN/NASPGHAN; H. pylori stool antigen test; Helicobacter pylori; Sensibilidad a antibióticos; Test de antígeno de H. pylori en heces; Test del aliento urea C(13); Triple terapia; Triple therapy.

MeSH terms

  • Adolescent
  • Child
  • Helicobacter Infections* / diagnosis
  • Helicobacter pylori*
  • Humans