Screening to Identify and Eradicate Helicobacter pylori Infection in Teenagers in Japan

Gastroenterol Clin North Am. 2015 Sep;44(3):667-76. doi: 10.1016/j.gtc.2015.05.008. Epub 2015 Jun 19.

Abstract

The purpose of this study was to elucidate the prevalence and effect of Helicobacter pylori infection in Japanese teenagers. The study subjects were students ages 16 to 17 from one high school studied between 2007 and 2013. Students who tested positive on this screening examination underwent esophagogastroduodenoscopy and biopsy samples to determine their H pylori status using culture and histology. Cure of H pylori infections was determined by urea breath test. The low rate of prevalence of H pylori infection in present Japanese teenagers makes it possible and cost effective to perform examinations and carry out treatment of this infection in nationwide health screenings of high school students.

Keywords: Cost-effectiveness; Gastric cancer; Health screening; Helicobacter pylori; Medical economy; Prevention; School children; Teenager.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / economics
  • Anti-Bacterial Agents / therapeutic use*
  • Cost-Benefit Analysis
  • Female
  • Helicobacter Infections / complications
  • Helicobacter Infections / diagnosis*
  • Helicobacter Infections / drug therapy*
  • Helicobacter Infections / epidemiology
  • Helicobacter pylori / isolation & purification*
  • Humans
  • Japan / epidemiology
  • Male
  • Mass Screening* / economics
  • Prevalence
  • Stomach Neoplasms / economics
  • Stomach Neoplasms / microbiology
  • Stomach Neoplasms / prevention & control*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents