Helicobacter pylori Infection in Children With Cerebral Palsy: A Cross-Sectional Study

Children with cerebral palsy (CP) frequently have associated disorders and complications, including gastrointestinal problems. Helicobacter pylori is a common infection worldwide, frequently associated with gastrointestinal manifestations. To estimate the prevalence of H. pylori infection in childre...

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Veröffentlicht in:Pediatric neurology 2024-07, Vol.156, p.170-177
Hauptverfasser: Ismael, Sally M., Atia, Dina S., Atlam, Salwa A., Eltoukhy, Abeer A., Darwish, Amira Hamed
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container_start_page 170
container_title Pediatric neurology
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creator Ismael, Sally M.
Atia, Dina S.
Atlam, Salwa A.
Eltoukhy, Abeer A.
Darwish, Amira Hamed
description Children with cerebral palsy (CP) frequently have associated disorders and complications, including gastrointestinal problems. Helicobacter pylori is a common infection worldwide, frequently associated with gastrointestinal manifestations. To estimate the prevalence of H. pylori infection in children with CP, a cross-sectional study over an eight-month period was performed in the pediatric neurology outpatient clinic of Tanta University Hospital. The study included 100 patients with CP aged two to 17 years. All patients were tested for H. pylori antigen in stool by enzyme-linked immunosorbent assay. The mean age of studied children with CP was 7.03 ± 4.1 years; there were 57 males and 43 females. Spastic quadriplegic CP was the most common type of CP (34%). Forty-five children with CP were positive for H. pylori antigen in stool. Intellectual disability (ID), low sociodemographic scoring system, semisolid diet, and Eating and Drinking Ability Classification System (EDACS) levels 4 and 5 were significant predictors of H. pylori infection (odds ratio of 1.86, 2.63, 12, and 1.77, respectively, P 
doi_str_mv 10.1016/j.pediatrneurol.2024.04.024
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Helicobacter pylori is a common infection worldwide, frequently associated with gastrointestinal manifestations. To estimate the prevalence of H. pylori infection in children with CP, a cross-sectional study over an eight-month period was performed in the pediatric neurology outpatient clinic of Tanta University Hospital. The study included 100 patients with CP aged two to 17 years. All patients were tested for H. pylori antigen in stool by enzyme-linked immunosorbent assay. The mean age of studied children with CP was 7.03 ± 4.1 years; there were 57 males and 43 females. Spastic quadriplegic CP was the most common type of CP (34%). Forty-five children with CP were positive for H. pylori antigen in stool. Intellectual disability (ID), low sociodemographic scoring system, semisolid diet, and Eating and Drinking Ability Classification System (EDACS) levels 4 and 5 were significant predictors of H. pylori infection (odds ratio of 1.86, 2.63, 12, and 1.77, respectively, P &lt; 0.05). Vomiting, abdominal pain, and gastrointestinal tract bleeding were significantly more frequent in H. pylori-infected children with CP than noninfected children with CP (P value &lt; 0.05) H. pylori is a relatively common infection among children with CP. The main risk factors for H. pylori infection were low socioeconomic level, ID, semisolid diet, and EDACS levels 4 and 5.</description><identifier>ISSN: 0887-8994</identifier><identifier>ISSN: 1873-5150</identifier><identifier>EISSN: 1873-5150</identifier><identifier>DOI: 10.1016/j.pediatrneurol.2024.04.024</identifier><identifier>PMID: 38788279</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Developmental disability ; H. pylori ; Intellectual disability ; Neurological ; Prevalence</subject><ispartof>Pediatric neurology, 2024-07, Vol.156, p.170-177</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. 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Helicobacter pylori is a common infection worldwide, frequently associated with gastrointestinal manifestations. To estimate the prevalence of H. pylori infection in children with CP, a cross-sectional study over an eight-month period was performed in the pediatric neurology outpatient clinic of Tanta University Hospital. The study included 100 patients with CP aged two to 17 years. All patients were tested for H. pylori antigen in stool by enzyme-linked immunosorbent assay. The mean age of studied children with CP was 7.03 ± 4.1 years; there were 57 males and 43 females. Spastic quadriplegic CP was the most common type of CP (34%). Forty-five children with CP were positive for H. pylori antigen in stool. Intellectual disability (ID), low sociodemographic scoring system, semisolid diet, and Eating and Drinking Ability Classification System (EDACS) levels 4 and 5 were significant predictors of H. pylori infection (odds ratio of 1.86, 2.63, 12, and 1.77, respectively, P &lt; 0.05). Vomiting, abdominal pain, and gastrointestinal tract bleeding were significantly more frequent in H. pylori-infected children with CP than noninfected children with CP (P value &lt; 0.05) H. pylori is a relatively common infection among children with CP. 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Helicobacter pylori is a common infection worldwide, frequently associated with gastrointestinal manifestations. To estimate the prevalence of H. pylori infection in children with CP, a cross-sectional study over an eight-month period was performed in the pediatric neurology outpatient clinic of Tanta University Hospital. The study included 100 patients with CP aged two to 17 years. All patients were tested for H. pylori antigen in stool by enzyme-linked immunosorbent assay. The mean age of studied children with CP was 7.03 ± 4.1 years; there were 57 males and 43 females. Spastic quadriplegic CP was the most common type of CP (34%). Forty-five children with CP were positive for H. pylori antigen in stool. Intellectual disability (ID), low sociodemographic scoring system, semisolid diet, and Eating and Drinking Ability Classification System (EDACS) levels 4 and 5 were significant predictors of H. pylori infection (odds ratio of 1.86, 2.63, 12, and 1.77, respectively, P &lt; 0.05). Vomiting, abdominal pain, and gastrointestinal tract bleeding were significantly more frequent in H. pylori-infected children with CP than noninfected children with CP (P value &lt; 0.05) H. pylori is a relatively common infection among children with CP. The main risk factors for H. pylori infection were low socioeconomic level, ID, semisolid diet, and EDACS levels 4 and 5.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38788279</pmid><doi>10.1016/j.pediatrneurol.2024.04.024</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1269-9712</orcidid></addata></record>
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source ScienceDirect Journals (5 years ago - present)
subjects Developmental disability
H. pylori
Intellectual disability
Neurological
Prevalence
title Helicobacter pylori Infection in Children With Cerebral Palsy: A Cross-Sectional Study
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