Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and Adolescents
Gastric infection with Helicobacter pylori is common in both children and adults, but children are considerably less susceptible to peptic ulcers and other pathological sequelae. As a result, the risk to benefit ratio of diagnostic studies and therapeutic regimens for H pylori in adults are likely d...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1999-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1999/934285 |
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| _version_ | 1832556404991328256 |
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| author | P Sherman E Hassall RH Hunt CA Fallone S Veldhuyzen van Zanten ABR Thomson Canadian Helicobacter Study Group |
| author_facet | P Sherman E Hassall RH Hunt CA Fallone S Veldhuyzen van Zanten ABR Thomson Canadian Helicobacter Study Group |
| author_sort | P Sherman |
| collection | DOAJ |
| description | Gastric infection with Helicobacter pylori is common in both children and adults, but children are considerably less susceptible to peptic ulcers and other pathological sequelae. As a result, the risk to benefit ratio of diagnostic studies and therapeutic regimens for H pylori in adults are likely different from those in paediatric populations. These guidelines for the management of paediatric H pylori infection, developed by the Canadian Helicobacter Study Group, are designed to identify when the diagnosis and treatment of H pylori may improve patient care. Given the low prevalence of this infection in Canada, it is important to recognize that indiscriminate testing and treatment programs in children are not recommended, and indeed may threaten the optimal care of children. Diagnostic tests should be employed judiciously and be reserved for children who are most likely to derive measurable benefit, such as those likely to have peptic ulcer disease. At this time a test and treat strategy in children cannot be considered prudent, evidence based or cost effective. It is appropriate to limit diagnosis and treatment to children and adolescents in whom H pylori has been identified during endoscopic investigation. |
| format | Article |
| id | doaj-art-b16e43490d544d3db3aed5e8ccd7953e |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1999-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-b16e43490d544d3db3aed5e8ccd7953e2025-02-03T05:45:34ZengWileyCanadian Journal of Gastroenterology0835-79001999-01-0113755355910.1155/1999/934285Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and AdolescentsP Sherman0E Hassall1RH Hunt2CA Fallone3S Veldhuyzen van Zanten4ABR Thomson5Canadian Helicobacter Study GroupDivision of Gastroenterology and Nutrition, Department of Pediatrics, University of Toronto, Toronto, Ontario, CanadaDivision of Gastroenterology, Department of Pediatrics, BC’s Children’s Hospital, Vancouver, British Columbia, CanadaDivision of Gastroenterology, Department of Medicine, McMaster University, Hamilton, Ontario, CanadaDivision of Gastroenterology, Department of Medicine, McGill University, Montreal, Quebec, CanadaDivision of Gastroenterology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaDivision of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Alberta, CanadaGastric infection with Helicobacter pylori is common in both children and adults, but children are considerably less susceptible to peptic ulcers and other pathological sequelae. As a result, the risk to benefit ratio of diagnostic studies and therapeutic regimens for H pylori in adults are likely different from those in paediatric populations. These guidelines for the management of paediatric H pylori infection, developed by the Canadian Helicobacter Study Group, are designed to identify when the diagnosis and treatment of H pylori may improve patient care. Given the low prevalence of this infection in Canada, it is important to recognize that indiscriminate testing and treatment programs in children are not recommended, and indeed may threaten the optimal care of children. Diagnostic tests should be employed judiciously and be reserved for children who are most likely to derive measurable benefit, such as those likely to have peptic ulcer disease. At this time a test and treat strategy in children cannot be considered prudent, evidence based or cost effective. It is appropriate to limit diagnosis and treatment to children and adolescents in whom H pylori has been identified during endoscopic investigation.http://dx.doi.org/10.1155/1999/934285 |
| spellingShingle | P Sherman E Hassall RH Hunt CA Fallone S Veldhuyzen van Zanten ABR Thomson Canadian Helicobacter Study Group Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and Adolescents Canadian Journal of Gastroenterology |
| title | Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and Adolescents |
| title_full | Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and Adolescents |
| title_fullStr | Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and Adolescents |
| title_full_unstemmed | Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and Adolescents |
| title_short | Canadian Helicobacter Study Group Consensus Conference on the Approach to Helicobacter Pylori Infection in Children and Adolescents |
| title_sort | canadian helicobacter study group consensus conference on the approach to helicobacter pylori infection in children and adolescents |
| url | http://dx.doi.org/10.1155/1999/934285 |
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