Prevalence of Helicobacter pylori in adenotonsillar hypertrophy in children.

Conclusion: Our results encourage the notion that the pharynx could be an extragastric reservoir of Helicobacter pylori (HP). The study confirmed the presence of HP in adenotonsillar tissue in children. It could have importance in the pathophysiology of upper respiratory diseases. However, its preci...

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Publicado en:Acta Oto-Laryngologica Vol. 134; no. 1; pp. 88 - 93
Autores principales: Kraus, Jaroslav, Nártov, Eva, Pavlík, Emil, Katra, Rami, Šterzl, Ivan, Astl, Jaromír
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Prevalence of Helicobacter pylori in adenotonsillar hypertrophy in children.
      aug:
        au:
          Kraus, Jaroslav
          Nártov, Eva
          Pavlík, Emil
          Katra, Rami
          Šterzl, Ivan
          Astl, Jaromír
        affil: Department of Otorhinolaryngology, Hospital of Rudolf & Stefanie Benešov
      sug:
        subj:
          Helicobacter Pylori Immunology
          Tonsil Physiopathology
          Adenoids Physiopathology
          Hypertrophy Physiopathology
          Human
          Prospective Studies
          Child, Preschool
          Child
          Tonsillectomy
          Adenoidectomy
          Polymerase Chain Reaction
          Genotype
          Funding Source
          Female
          Male
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Female
          Male
      ab: Conclusion: Our results encourage the notion that the pharynx could be an extragastric reservoir of Helicobacter pylori (HP). The study confirmed the presence of HP in adenotonsillar tissue in children. It could have importance in the pathophysiology of upper respiratory diseases. However, its precise role in these processes remains unclear and requires further studies. Objective: A prospective study was carried out to evaluate the presence of HP in tonsillar and adenoid tissue in children. The study focused on real-time PCR analyzing CagA and VacA genotypes of HP strains. Methods: A total of 37 consecutive pediatric patients with adenotonsillar hypertrophy indicated for surgery were observed in a prospective study. Adenoidectomy and/or tonsillectomy was performed in each patient; 49 specimens were taken, 32 from adenoids and 17 from tonsils. The presence of HP and its genotype were tested in all samples by real-time PCR analysis. Results: Of 49 samples analyzed, 48 were positive for the presence of HP (98%), so only 1 sample was negative. While the genotype VacAs1bm2 was definitely dominant in adenoid tissue, wider distribution was observed in tonsillar tissue. Cag+ strains represented one-fifth of all samples (21%).
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      ougenre: Article
    language: English
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