{"id":1481,"date":"2025-11-18T10:07:54","date_gmt":"2025-11-18T10:07:54","guid":{"rendered":"https:\/\/charis.com.vn\/?p=1481"},"modified":"2025-11-19T04:38:43","modified_gmt":"2025-11-19T04:38:43","slug":"nhiem-h-pylori-o-tre-em","status":"publish","type":"post","link":"https:\/\/charis.com.vn\/en\/nhiem-h-pylori-o-tre-em\/","title":{"rendered":"H.PYLORI INFECTION IN CHILDREN"},"content":{"rendered":"

Chronic Helicobacter pylori (H. pylori) infection is an important cause of gastrointestinal disease in both adults and children.\u00a0<\/span><\/p>\n

However, severe ulcers or gastroduodenal ulcers are much less common in children than in adults. When complications arise, most children will show warning signs.<\/span><\/p>\n

Therefore, screening, diagnosis and treatment of H. pylori in children are very different from those in adults.<\/span><\/p>\n

I\/ WHEN SHOULD CHILDREN BE TESTED FOR H.PYLORI?<\/h3>\n
    \n
  1. \u00a0When children have epigastric pain with warning symptoms:<\/span><\/li>\n<\/ol>\n
      \n
    • Losing weight<\/span><\/li>\n
    • Vomiting<\/span><\/li>\n
    • Waking up at night with stomach pain<\/span><\/li>\n
    • Hidden blood in stool\u00a0<\/span><\/li>\n<\/ul>\n

      \u00a0 \u00a0 \u00a0<\/span>2. Families with parents or siblings with stomach cancer.<\/span><\/p>\n

      \u00a0 \u00a0 \u00a03. Children diagnosed with MALT TUMOR<\/span><\/p>\n

      \u00a0 \u00a0 \u00a04. Consider testing if the child has chronic immune thrombocytopenic purpura or iron deficiency anemia that does not respond to treatment.<\/span><\/p>\n

      II\/ WHICH TEST SHOULD BE CHOSEN TO DIAGNOSE H.PYLORI INFECTION IN CHILDREN?\u00a0<\/strong><\/h3>\n

      Invasive tests: Gastroduodenoscopy<\/span><\/p>\n

      Although it is an invasive method, endoscopy is recommended for diagnosing H.pylori in children rather than other tests. Because it helps<\/span> We diagnose correctly when:<\/span><\/p>\n

        \n
      • Direct observation of lesions<\/span><\/li>\n
      • Take samples to identify bacteria<\/span><\/li>\n
      • Antibiotic resistance testing to choose the right drug<\/span><\/li>\n<\/ul>\n

        Non-invasive tests include:\u00a0<\/span><\/p>\n

          \n
        • Urea Breath Test\u00a0\u00a0\u00a0<\/span><\/li>\n
        • Finding H.pylori antigen in stool<\/span><\/li>\n
        • Blood test for HP antibodies \u2013 less accurate, cannot distinguish between past and current infection.\u00a0<\/span><\/li>\n<\/ul>\n

          Noninvasive testing may be used when a patient has a family history of stomach cancer or to check for eradication after treatment for H. Pylori infection.<\/span><\/p>\n

          III\/ IMPORTANT NOTES WHEN TREATING H.PYLORI IN CHILDREN?<\/strong><\/h3>\n
            \n
          • Treatment should only be given when clearly indicated and should be carefully considered because:\u00a0<\/span><\/li>\n<\/ul>\n
              \n
            • The child was given a two-week course of multiple antibiotics.\u00a0<\/span><\/li>\n
            • Choosing antibiotics for children is difficult because many antibiotics cannot be used for children, and those that can be used have high resistance rates in Vietnam.<\/span><\/li>\n<\/ul>\n
                \n
              • So when deciding to treat H. pylori, parents need to help their children take the right dose of medicine at the right time.<\/span> for 2 weeks for best results.<\/span>Overdose increases the risk of treatment failure and drug resistance.<\/span><\/li>\n
              • Treatment failure rates can be as high as 20%. Re-infection rates are also high, especially in young children and in countries with high infection rates like ours.<\/span><\/li>\n
              • Need t<\/span>Follow-up visit after 4 weeks to check whether H.pylori has been eradicated by breath test or stool test.<\/span><\/li>\n<\/ul>\n

                 <\/p>\n

                \u00a0<\/span><\/p>","protected":false},"excerpt":{"rendered":"

                Nhi\u1ec5m Helicobacter pylori (H. pylori) m\u1ea1n t\u00ednh l\u00e0 nguy\u00ean nh\u00e2n quan tr\u1ecdng g\u00e2y b\u1ec7nh ti\u00eau h\u00f3a \u1edf c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em.\u00a0 Tuy nhi\u00ean, lo\u00e9t hay vi\u00eam d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng n\u1eb7ng \u1edf tr\u1ebb em \u00edt g\u1eb7p h\u01a1n nhi\u1ec1u so v\u1edbi ng\u01b0\u1eddi l\u1edbn. Khi c\u00f3 bi\u1ebfn ch\u1ee9ng th\u00ec h\u1ea7u h\u1ebft tr\u1ebb s\u1ebd c\u00f3 d\u1ea5u hi\u1ec7u […]<\/p>","protected":false},"author":2,"featured_media":1486,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[40],"class_list":["post-1481","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-homepage"],"yoast_head":"\nNHI\u1ec4M H.PYLORI \u1ede TR\u1eba EM - Charis Healthcare<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/charis.com.vn\/en\/nhiem-h-pylori-o-tre-em\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NHI\u1ec4M H.PYLORI \u1ede TR\u1eba EM - Charis Healthcare\" \/>\n<meta property=\"og:description\" content=\"Nhi\u1ec5m Helicobacter pylori (H. pylori) m\u1ea1n t\u00ednh l\u00e0 nguy\u00ean nh\u00e2n quan tr\u1ecdng g\u00e2y b\u1ec7nh ti\u00eau h\u00f3a \u1edf c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em.\u00a0 Tuy nhi\u00ean, lo\u00e9t hay vi\u00eam d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng n\u1eb7ng \u1edf tr\u1ebb em \u00edt g\u1eb7p h\u01a1n nhi\u1ec1u so v\u1edbi ng\u01b0\u1eddi l\u1edbn. 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