The latest epidemiological data show that the infection rate of Helicobacter pylori in the world is over 50%, which is about 59% in China, and it is increasing year by year at the rate of 1%, which is directly related to living conditions, economic conditions and regional factors. About 15% of patients with Helicobacter pylori infection can develop digestive tract ulcers, and the infection rate of Helicobacter pylori in patients with chronic active gastritis is as high as over 90%.
Studies have confirmed that Helicobacter pylori is the main pathogenic factor of chronic gastritis, peptic ulcer, gastric cancer and gastric mucosa-associated lymphoid tissue lymphoma. Moreover, Helicobacter pylori, as a 1 carcinogen, has become a clear independent risk factor for gastric cancer, so it is extremely dangerous.
How is Helicobacter pylori infected?
Wu Yun, an expert in gastroenterology at Peking University People's Hospital, mentioned that Helicobacter pylori is highly contagious, and it is mainly transmitted through feces-mouth (water is contaminated by Helicobacter pylori in feces and enters the mouth) and mouth-to-mouth. Due to the traditional eating habits in China, the spread of Helicobacter pylori can not be effectively avoided in daily life. This is also the main cause of gastropathy in China and the main source of reinfection after eradication treatment.
According to epidemiological survey data, the infection rate of Helicobacter pylori in China is 40%~60%, and the infection rate of children is also quite high, especially children. They should do the most basic protection and avoid a lot of saliva exchange with their children through mouth-to-mouth feeding. It is best for children to eat vegetables and chopsticks separately from adults.
Parents are infected with Helicobacter pylori, does the child need to check Helicobacter pylori?
If the child does not have abdominal distension, belching, acid reflux, heartburn and other symptoms. At present, it is not recommended to routinely detect Helicobacter pylori in children under 14 in China. It is suggested that children with peptic ulcer and children who have undergone endoscopic examination due to dyspepsia should be detected and treated with Helicobacter pylori.
In addition, foreign guidelines show that children with gastric mucosa-associated lymphoid tissue lymphoma, children whose parents have gastric cancer, children with unexplained refractory iron deficiency anemia and children who plan to take non-steroidal anti-inflammatory drugs (including low-dose aspirin) for a long time need to be tested for Helicobacter pylori.
How to eradicate helicobacter pylori?
The treatment of Helicobacter pylori mainly depends on the patient's own situation, and the general treatment scheme is triple therapy or quadruple therapy. Triple therapy refers to proton pump inhibitor PPI+2 antibiotics bismuth +2 antibiotics; Quadruple therapy refers to PPT+ bismuth +2 antibiotics. Pediatricians should be consulted about the specific treatment plan for children.