Do children need to be Helicobacter pylori?

Oral Helicobacter pylori infection, a person in a family can Helicobacter pylori to others by sharing utensils, eating a bowl of food, chewing food, feeding, kissing, close contact, food, utensils, faeces, water, etc. . The main source of Helicobacter pylori infection in children is transmission within families, especially close contacts. Transmission within Helicobacter pylori families is also related to living environment, habits, cultural level, social and economic status, family size, etc. . Studies have shown that gastric mucosal atrophy and intestinal metaplasia are not uncommon in children with Helicobacter pylori infection in areas with high Helicobacter pylori rates. Atrophic intestinal metaplasia is a precancerous lesion of the stomach, which may lead to early development of gastric cancer in children after adulthood.

Should children be screened for Helicobacter pylori? 

Children aren't screened for Helicobacter pylori unless they have a severe stomach condition. 

Routine screening and eradication of Helicobacter pylori should not take place until at least 14 years of age. 

The 2015 Helicobacter pylori consensus recommended Helicobacter pylori peptic ulcer, gastric mucosa-associated lymphoid tissue lymphoma, chronic gastritis, children with gastric cancer in first-degree relatives, unexplained refractory iron deficiency anemia, and long-term plans to take non-steroidal anti-inflammatory drug (including low-dose aspirin) . 7) chronic Idiopathic thrombocytopenic purpura is not responding to conventional treatment. 

In 2016, a consensus of Chinese Helicobacter pylori experts agreed that asymptomatic children under 14 years of age should not be recommended for Helicobacter pylori screening and treatment. Do Helicobacter pylori children need eradication treatment? To prevent stomach cancer in adults, once Helicobacter pylori is detected, it is routinely eradicated. But not children! Whether or not a child is Helicobacter pylori depends on the disease. 

In 2015, there was a consensus among Chinese experts on the diagnosis and treatment of Helicobacter pylori infection in children, which indicated that Helicobacter pylori infection in children must be eradicated: peptic ulcer and gastric mucosa-associated lymphoid tissue lymphoma. Note: only children with these diseases must be Helicobacter pylori! 

The following conditions may be considered for radical treatment:

 1) chronic gastritis, 

2) family history of gastric cancer, 

3) refractory iron deficiency anemia of unknown origin, 

4) planning long-term use of non-steroidal anti-inflammatory drug (including low-dose aspirin) ,

Plan to take non-steroidal anti-inflammatory drug (including low-dose aspirin) for a long period of time;

Chinese New Year holidays how to do a good job of prevention? Do not drink raw water, do not eat raw Helicobacter pylori can survive in tap water for 4-10 days, in river water for up to 3 years. Do not drink raw water, do not eat raw food, fruit to be fully washed. 2) develop good hygiene habits to prevent children from sucking fingers, biting toys, eating before, after the formation of hand-washing habits. Independent toothbrushes, toothpastes, and cups also have Helicobacter pylori in their gums. 4) separate meal, public chopsticks for children specifically fixed chopsticks, the use of public chopsticks to pick up food, the best separate meal. Use stainless steel tableware which can be sterilized at high temperature to disinfect tableware regularly. The tableware can be sterilized at 125 â ° C by sterilizing cabinet, which can kill Helicobacter pylori. Scratches are serious or there are cracks in the cutlery, crevices are easy to contain bacteria, even if it is difficult to disinfect in place, must be replaced in a timely manner. 

Finally, the prevention of Helicobacter pylori is the attention of life habits, hope that parents are attached to it, and wish the children in the new year healthy growth!

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