Acute Helicobacter pylori infection is followed by an increase in diarrheal disease among Peruvian children.

D. J. Passaro, D. N. Taylor, R. Meza, L. Cabrera, Robert H Gilman, J. Parsonnet

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Cohort and case-crossover studies were conducted to evaluate whether new Helicobacter pylori infections are followed by increased diarrhea. METHODS: Participants were 6-month-old to 12-year-old shantytown residents living near Lima, Peru. Baseline data were collected from community households. Health interviews were completed daily, and sera, drawn every 4 months, were tested for H pylori immunoglobulin G. Diarrhea rates among newly H pylori-infected (seroconverting) children were compared with rates among persistently uninfected and infected children using cohort and case-crossover analyses. RESULTS: Sera were obtained from 345 children from January 1, 1995, through September 1, 1997. H pylori incidence was 12% per year (36 H pylori infections in 109 866 seronegative days). In adjusted cohort analyses, seroconverters had more diarrhea days (rate ratio: 2.0; 95% confidence interval: 1.6-2.4), episodes, and sick days in the year after infection than did uninfected children; and more diarrhea days and sick days than did persistently infected children. This effect was strongest in the first 2 months. Case-crossover analyses supported these findings. CONCLUSION: Preventing H pylori infection may help reduce pediatric diarrheal disease.

Original languageEnglish (US)
JournalPediatrics
Volume108
Issue number5
StatePublished - Nov 2001
Externally publishedYes

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Pylorus
Helicobacter Infections
Helicobacter pylori
Diarrhea
Sick Leave
Infection
Peru
Serum
Cross-Over Studies
Cohort Studies
Immunoglobulin G
Confidence Intervals
Interviews
Pediatrics
Incidence
Health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Passaro, D. J., Taylor, D. N., Meza, R., Cabrera, L., Gilman, R. H., & Parsonnet, J. (2001). Acute Helicobacter pylori infection is followed by an increase in diarrheal disease among Peruvian children. Pediatrics, 108(5).

Acute Helicobacter pylori infection is followed by an increase in diarrheal disease among Peruvian children. / Passaro, D. J.; Taylor, D. N.; Meza, R.; Cabrera, L.; Gilman, Robert H; Parsonnet, J.

In: Pediatrics, Vol. 108, No. 5, 11.2001.

Research output: Contribution to journalArticle

Passaro, DJ, Taylor, DN, Meza, R, Cabrera, L, Gilman, RH & Parsonnet, J 2001, 'Acute Helicobacter pylori infection is followed by an increase in diarrheal disease among Peruvian children.', Pediatrics, vol. 108, no. 5.
Passaro, D. J. ; Taylor, D. N. ; Meza, R. ; Cabrera, L. ; Gilman, Robert H ; Parsonnet, J. / Acute Helicobacter pylori infection is followed by an increase in diarrheal disease among Peruvian children. In: Pediatrics. 2001 ; Vol. 108, No. 5.
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