Research Article
Prevalence and Associated Symptoms of Helicobacter pylori
Infection among Schoolchildren in Kassala State, East of Sudan
Mohammed Abbas,
1,2
Faiza A. Sharif,
3
Shamselfalah M. Osman,
2,4
Abdallah M. Osman,
2
Sulieman M. El Sanousi,
5
Mamoun Magzoub,
6
and Mutasim E. Ibrahim
7
1
Department of Pediatrics, College of Medicine, University of Bisha, Bisha, Saudi Arabia
2
Department of Pediatrics, Faculty of Medicine & Health Sciences, University of Kassala, Kassala, Sudan
3
Department of Microbiology, Faculty of Medicine & Health Sciences, University of Kassala, Kassala, Sudan
4
Department of Pediatrics, King Saud Medical City, Riyadh, Saudi Arabia
5
Department of Microbiology, Faculty of Veterinary Medicine, University of Khartoum, Khartoum, Sudan
6
Department of Parasitology, Faculty of Medical Laboratory Science, International University of Africa, Khartoum, Sudan
7
Department of Clinical Microbiology and Parasitology, College of Medicine, University of Bisha, Bisha, Saudi Arabia
Correspondence should be addressed to Mutasim E. Ibrahim; mutasimhadi87@hotmail.com
Received 30 August 2017; Revised 10 November 2017; Accepted 17 December 2017; Published 15 January 2018
Academic Editor: Subhada Prasad Pani
Copyright © 2018 Mohammed Abbas et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Tis study aimed to determine the prevalence of H. pylori infections among schoolchildren and investigate the associations between
H. pylori seropositivity and existence of gastrointestinal symptoms. Methods. A prospective cross-sectional study was conducted
during a period from January to December 2012 at Kassala state, east of Sudan. Schoolchildren from diferent primary schools
were enrolled in the study. Sociodemographic characteristics and gastrointestinal symptoms were recorded from each child. A
rapid immunochromatographic test was performed for the detection of H. pylori IgG antibodies. Data on patient demographic
characteristics, clinical diagnosis, and fndings of H. pylori infection were analyzed by simple descriptive statistics. Results. Among
431 schoolchildren, H. pylori seropositivity was found to be 21.8%. Te majority of children (79; 84%) had BMI below the normal
range. Te most frequent symptoms associated with H. pylori infections were nausea (25.5%), followed by gastric pain (24.5%) and
heart pain (20.2%). Tere were statistically signifcant diferences in H. pylori seropositivity between boys and girls ( = 0.003).
Conclusions. Te prevalence of H. pylori infection among schoolchildren in Kassala city has been documented. Although the
majority of the disease was associated with several gastrointestinal symptoms, the role of infection in the etiology of abdominal
symptoms needs further investigations.
1. Introduction
Helicobacter pylori (H. pylori) is a gram-negative bacterium
colonizing human stomach and associated with numerous
gastrointestinal diseases [1]. It is quite a frequent infection
all over the world; more than half of the population in both
developed and developing countries are infected with this
microorganism [2, 3]. Most of the people acquire H. pylori
infection during their early childhood [4]. H. pylori has been
reported as a common cause of chronic gastritis, peptic ulcer
diseases, and gastric cancer in adults [5].
Most of H. pylori infections usually are symptomless and
without clinical manifestation, particularly in poor commu-
nities [6]. However, signs and symptoms associated with the
disease are primarily due to gastric or peptic ulcer illness or
duodenal infammation. Furthermore, other symptoms such
as nausea, vomiting, and abdominal pain may be attributed
to other gastrointestinal diseases [7].
H. pylori infection developed during early childhood is
considered as a signifcant risk factor for gastric carcinoma
in the adult individual [8]. It is well known that H. pylori
Hindawi
Interdisciplinary Perspectives on Infectious Diseases
Volume 2018, Article ID 4325752, 5 pages
https://doi.org/10.1155/2018/4325752