Molecular Identification of Cryptosporidiosis and Helicobacter pylori Infection and Delayed Growth in Children

A. Ibrahim, Wael S. Rihan, Mahmoud E. Gadalla
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Abstract

Background: Children are more susceptible to a wide range of infections. Objectives: The focus of this research was to investigate the prevalence of Helicobacter pylori (H. pylori), Cryptosporidium spp., and co-infection, as well as the magnitude of these infections and anthropometric indicators in diarrheic Egyptian children. Methods: A total of 152 diarrheic children, ranging in age from a few months to 12 years were considered as the study samples. All feces samples were examined under a microscope for parasites and molecularly for H. pylori and Cryptosporidium spp. A restriction enzyme was used to digest Cryptosporidium polymerase chain reaction products to determine the genotype. Results: Stool examinations revealed that 42 (27.6%) participants were infected with one or more parasites. Cryptosporidium 18 (11.8%), E. histolytica complex 12 (7.9%), and Giardia 9 (5.9%) were the most common parasites. The most frequent Cryptosporidium species was Cryptosporidium hominis (83%), whereas H. pylori was found in 45 (29.6%) patients. The prevalence of Cryptosporidium and H. pylori was unaffected by gender, age, socioeconomic status, or nutrition (P < 0.05). Only head circumference (P > 0.05) was observed to be linked with infection. Conclusion: The incidence of Cryptosporidium and H. pylori in diarrheic children may be of public health concern and negatively affects anthropometric indicators.
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儿童隐孢子虫病和幽门螺杆菌感染与生长迟缓的分子鉴定
背景:儿童更容易受到各种感染。目的:本研究的重点是调查幽门螺杆菌(H. pylori)、隐孢子虫(crypsporidium spp)和合并感染的流行情况,以及这些感染的程度和人体测量指标。方法:选取年龄在几个月~ 12岁的腹泻患儿152例作为研究样本。所有粪便标本在显微镜下进行寄生虫检查,幽门螺杆菌和隐孢子虫进行分子检查,并用限制性内切酶消化隐孢子虫聚合酶链反应产物确定基因型。结果:粪便检查显示42例(27.6%)参与者感染了一种或多种寄生虫。隐孢子虫18(11.8%)、溶组织芽胞杆菌复合体12(7.9%)和贾第鞭毛虫9(5.9%)是最常见的寄生虫。最常见的隐孢子虫种为人隐孢子虫(83%),幽门螺杆菌45例(29.6%)。隐孢子虫和幽门螺杆菌的患病率不受性别、年龄、社会经济地位和营养状况的影响(P < 0.05)。仅头围与感染相关(P > 0.05)。结论:腹泻儿童隐孢子虫和幽门螺杆菌的发病率可能引起公共卫生关注,并对人体测量指标产生负面影响。
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