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冈比亚慢性腹泻和营养不良儿童中的幽门螺杆菌

Helicobacter pylori in Gambian children with chronic diarrhoea and malnutrition.

作者信息

Sullivan P B, Thomas J E, Wight D G, Neale G, Eastham E J, Corrah T, Lloyd-Evans N, Greenwood B M

机构信息

MRC Laboratories, Fajara, The Gambia.

出版信息

Arch Dis Child. 1990 Feb;65(2):189-91. doi: 10.1136/adc.65.2.189.

Abstract

Infection with Helicobacter pylori (formerly Campylobacter pylori) was studied by measuring antibody titres to H pylori in Gambian children. Serological evidence of infection was found in 12 of 82 (15%) infants aged less than 20 months; this increased to 62 of 135 (46%) in those aged 40-60 months. Positive serology was found in 41 of 77 (53%) infants with chronic diarrhoea and malnutrition (mean age 19 months, range 5-36) compared with 18 of 70 (26%) of age matched healthy controls and nearly a quarter (12/49, 24%) of age matched undernourished (marasmic) subjects. These data show that infection with H pylori is common in the Gambia and that in infancy this infection is associated with chronic diarrhoea and malnutrition.

摘要

通过检测冈比亚儿童针对幽门螺杆菌(原称幽门弯曲菌)的抗体滴度,对幽门螺杆菌感染情况进行了研究。在82名年龄小于20个月的婴儿中,有12名(15%)发现了感染的血清学证据;在40 - 60个月大的儿童中,这一比例增至135名中的62名(46%)。在77名患有慢性腹泻和营养不良的婴儿(平均年龄19个月,范围5 - 36个月)中,41名(53%)血清学呈阳性,而在年龄匹配的70名健康对照儿童中有18名(26%)呈阳性,在年龄匹配的营养不良(消瘦)儿童中近四分之一(12/49,24%)呈阳性。这些数据表明,幽门螺杆菌感染在冈比亚很常见,且在婴儿期这种感染与慢性腹泻和营养不良有关。

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