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PEDIATRICS Vol. 101 No. 4 April 1998, pp. 634-637

Helicobacter pylori and Abdominal Symptoms: A Population-based Study Among Preschool Children in Southern Germany

Received Mar 3, 1997; accepted Aug 21, 1997.

Günter Bode*, Dietrich Rothenbacher MDDagger , Hermann BrennerDagger , and Guido Adler*

From the * Departments of Internal Medicine I and Dagger  Epidemiology, University of Ulm, Ulm, Germany.

Objective.  To determine the relation of Helicobacter pylori infection with gastrointestinal symptoms in a healthy population-based sample of children.

Design.  Population-based cross-sectional study of preschool children.

Setting.  Screening examination for school fitness by physicians of the Public Health Service in Ulm, a city with 100 000 inhabitants in southern Germany.

Participants.  One thousand two hundred one preschool children.

Main Outcome Measures.  Infection status was determined by 13C-urea breath test. Information on gastrointestinal symptoms was collected from children's parents by a standardized questionnaire and integrated into a symptom score.

Results.  Nine hundred forty-five children participated in the study (response rate, 79%). Overall, 127 children (13.4%) were infected. H pylori infection was not positively related to specific gastrointestinal symptomatology. Infected children had even fewer symptoms when compared with uninfected children.

Conclusions.  Our results indicate that H pylori infection in children is mostly asymptomatic and not associated with specific gastrointestinal symptoms.

Key words: 13C-urea breath test, children, epidemiology, Helicobacter pylori.




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