What to do about Helicobacter pylori in infants and children

In infants and children infected with H. pylori, eradication is not usually recommended. Unless there are special circumstances, treatment is required. 1. Infants and young children infected with Helicobacter pylori, the general situation does not recommend radical treatment. The reason is that H. pylori infection in infants and young children itself has a certain spontaneous clearance rate, in addition to children’s liver and kidney function is not mature enough, the drug is prone to cause liver and kidney damage in infants and young children, and infants and young children with H. pylori infection has a high rate of recurrence, the clearing of which may also be recurring again. It is important to cut off the source of infection and reduce the infection rate. 2. If peptic ulcer and gastric MALT lymphoma exist in infants and young children, they must be treated radically. Chronic gastritis, family history of gastric cancer, unexplained refractory iron-deficiency anemia, and planning to take NSAID (including low-dose aspirin) for a long period of time can be selected for radical treatment. It is usually treated with the triple therapy of omeprazole + clarithromycin + amoxicillin. When using these medications for infants and young children, it is important to use them under the supervision of a doctor in strict accordance with medical advice. In addition be careful to use special dishes to feed your child to avoid cross contamination.