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临床试验/NCT07289451
NCT07289451已完成不适用

TLR 9 (rs352140) Gene Polymorphism in Helicobacter Pylori Infection in Children

Benha University1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2023年1月1日最近更新:

试验速览

阶段
不适用
状态
已完成
入组人数
100
试验地点
1
主要终点
TLR9 rs352140 gene polymorphism correlation with of H. pylori infection and incidence of gastritis in children

研究概览

简要总结

study aimed to identify the role of TLR9 (rs352140) gene in suppressing or promoting the inflammation related to H. pylori infection in children.This cross-sectional study was conducted on 50 children with positive H. pylori infection and 50 age and sex matched, negative H. pylori children, all children undertook full history, complete clinical investigation, laboratory testing, upper digestive endoscopies and genotyping of TLR9 (rs352140).

详细描述

H. pylori infection is acknowledged as one of the major causes of gastrointestinal bacterial infections globally, imposing a substantial load on public health organizations, mostly in low-resource countries . H. pylori infection continues to pose a substantial challenge, particularly in vulnerable populations like infants, despite the significant advance made in health care organization and medicine .

The implications of H. pylori infection in minors have a profound impact on numerous aspects of health and well-being, which extend beyond the gastrointestinal tract.

In addition to its immediate effect on the gastric mucosa integrity of, H. pylori infection has systemic impacts that can have a negative impact on, growth trajectories, the nutritional status and overall health results of children who are affected .

A variety of gastrointestinal disorders, involving moderate gastritis and additional serious diseases like peptic ulcer disease, have been correlated with chronic infection by H. pylori. In addition, epidemiologic evidence indicates a potential correlation between an elevated hazard for acquiring gastric adenocarcinoma and mucosa-associated lymphoid tissue lymphoma in later life and the acquisition of H. pylori infection during childhood. These long-term effects reinforce the urgent need to address H. pylori infection in children as a major community health importance .

Currently, there are numerous invasive and non-invasive diagnostic assessments accessible to identify H. pylori infection in children. However, tissue culture and the rapid urease test or concordant-positive histopathology tests remains the gold standard results .

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
1 Year 至 18 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • children with age between 1 and 18 years with gastrointestinal symptoms that necessitates upper digestive endoscopy like:
  • persistent pain in the abdomen and/or the stomach,
  • Heartburn,
  • vomiting,
  • children who showed red flag signs like :
  • gastrointestinal hemorrhage,
  • failure to thrive,
  • increased ESR .

排除标准

  • cases on proton pump inhibitors,
  • those with substantial medical diseases,
  • those with gastrointestinal conditions that could explain their stomach discomfort (such as celiac disease, functional abdominal pain and inflammatory bowel disease).

结局指标

主要结局

TLR9 rs352140 gene polymorphism correlation with of H. pylori infection and incidence of gastritis in children

时间窗: in 1 to 3 months of complaint

determination of TLR9 (rs352140) polymorphism by using real time Polymerase chain reaction (rt PCR) technique

TLR9 rs352140 gene polymorphism with abdominal pain , H. pylori infection and incidence of gastritis in children

时间窗: in 1 -3months of symptoms

determination of TLR9 (rs352140) polymorphism by using real time Polymerase chain reaction (rt PCR) technique

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Nashwa farouk Mohamed

lecturer of pediatrics

Benha University

研究点 (1)

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