Abstract：
OBJECTIVES:Recurrent abdominal pain (RAP) is a common presenting symptom in children with sickle cell disease (SCD). This may be as a result of complications of the disease, surgical problems, or Helicobacter pylori gastritis. The prevalence of H pylori infection in SCD children is not known. This study aimed to determine the prevalence and association of H pylori infection with RAP in SCD children. METHODS:This was a prospective case-control study conducted at the Lagos State University Teaching Hospital, Nigeria, involving SCD children (subject, n = 118) and non-SCD children (control, n = 118) matched for age, sex, and socioeconomic status. Seroprevalence status of the children was determined by measuring immunoglobulin G antibodies against H pylori using enzyme-linked immunosorbent assay that had been validated for pediatric use. RESULTS:The overall prevalence of H pylori infection was 155 of 236 (SCD, 67.8%; non-SCD, 63.6%; OR, 1.1; 95% CI, 0.89-1.28; p = .493). The prevalence increased with age in both SCD and non-SCD children and was significantly highest at the age of 6 to 10 years (p < .001 in each case). H pylori infection was significantly associated with socioeconomic status of the parents (OR, 4.25; 95% CI, 1.49-12.1; p = .004) but not significantly associated with RAP in SCD children (OR, 1.21: 95% CI, 0.55-2.66; p = .632). CONCLUSIONS:Prevalence of H pylori infection is high in SCD and non-SCD children in Lagos, Nigeria. There was no significant association between H pylori infection and recurrent abdominal pain in SCD children.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Senbanjo I,Akinbami A,Diaku-Akinwumi I,Oshikoya K,Adeyemo T,Dada O,Dosunmu A,Oshinaike Odoi
10.1016/s0027-9684(15)30738-0subject
Has Abstractpub_date
2010-11-01 00:00:00pages
1095-9issue
11eissn
0027-9684issn
1943-4693pii
S0027-9684(15)30738-0journal_volume
102pub_type
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journal_title：Journal of the National Medical Association
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journal_title：Journal of the National Medical Association
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