Seo Ji-Hyun, Woo Hyang-Ok, Youn Hee-Shang, Rhee Kwang-Ho
Department of Pediatrics, Gyeongsang National University School of Medicine, Gyeongsang Institute of Health Science, Jinju, Korea.
Department of Microbiology, Gyeongsang National University School of Medicine, Gyeongsang Institute of Health Science, Jinju, Korea.
Korean J Pediatr. 2014 Feb;57(2):67-71. doi: 10.3345/kjp.2014.57.2.67. Epub 2014 Feb 24.
Pediatric infection with Helicobacter pylori may occur early in childhood and persist lifelong. Global pediatric clinical studies have reported a decreasing tendency in the overall rate of H. pylori eradication. In pediatric patients with H. pylori infection, pediatric patients with peptic ulcer, and the first-degree relatives of patients with a history of gastric cancer, it is commonly recommended that H. pylori strains be eradicated. Antibiotic drug resistance to H. pylori, which has been reported to vary widely between geographic regions, is mainly associated with treatment failure in these patients. It is therefore imperative that the antibiotic resistance rates of H. pylori in children and adolescents be meticulously monitored across countries and throughout geographic regions. This paper particularly focuses on the antibiotic drug resistance of H. pylori and the thearpy of pediatric H. pylori infection cases.
儿童幽门螺杆菌感染可能在儿童早期发生并终身持续。全球儿科临床研究报告显示,幽门螺杆菌根除率总体呈下降趋势。在幽门螺杆菌感染的儿科患者、患有消化性溃疡的儿科患者以及有胃癌病史患者的一级亲属中,通常建议根除幽门螺杆菌菌株。据报道,幽门螺杆菌的抗生素耐药性在不同地理区域差异很大,这主要与这些患者的治疗失败有关。因此,必须在各国和各地区精心监测儿童和青少年幽门螺杆菌的抗生素耐药率。本文特别关注幽门螺杆菌的抗生素耐药性以及儿童幽门螺杆菌感染病例的治疗。