"Screening and treatment of Helicobacter pylori infection is a problem that every parent should pay attention to. Because Helicobacter pylori infection mainly occurs in children and adolescence, it occurs relatively rarely in adulthood." Chinese Anti-Cancer Association Tian Yantao, chairman of the Cancer Prevention and Control Science Committee and director of the Pancreatic and Gastric Surgery Ward of the Cancer Hospital of the Chinese Academy of Medical Sciences, said in Beijing.
On the 15th, the "2023 National No You Day "Presentation Report on Helicobacter Pylori Screening for 120,000 People in my country" was held in Beijing. The report released this time is based on the screening and testing results of the "Healthy Huimin No. 1 Project" in Taizhou City, Jiangsu Province. The project was led by the Taizhou Municipal Government of Jiangsu Province, organized and implemented by the Pharmaceutical High-tech Zone and Gaogang District. It initiated and implemented 120,000 stool Helicobacter pylori (Hp) nucleic acid screening nationwide. Jiangsu Kangwei Century Biotechnology Co., Ltd. Provide testing technical support.
The report released this time shows that the overall positive rate of the 120,000 people tested was 40.11%. Analyzing the positive rate of the age stratification of the population, it can be seen that the positive rate under the age of 10 is 17.45%, and the positive rate of 11-20 years old is 27.03%, suggesting that the infection rate of minors living in the family scene continues to rise; starting from the age of 21, The positive rate increased significantly to 39.81%, and the positive rate of each age group between 30 and 70 years old was between 39% and 44%.
In terms of drug resistance rate, the overall population's drug resistance rate to clarithromycin was 53.77%, that of quinolone antibiotics (such as levofloxacin) was 51.57%, and that of furazolidone was 7.70%.
It is understood that Helicobacter pylori, as a pathogenic bacteria that can be transmitted among family members, can also cause diseases inside/outside the digestive system, including peptic ulcer, chronic active gastritis, unexplained iron deficiency Anemia, primary immune thrombocytopenia, vitamin B deficiency, etc.
Tian Yantao introduced at the meeting, "Helicobacter pylori is actually an 'old acquaintance' of human beings, and has coexisted with humans for tens of thousands of years." Eradication of Helicobacter pylori is recognized as the most important and controllable means of preventing gastric cancer. Adhering to the policy of putting prevention first and shifting the prevention of gastric cancer to the screening, diagnosis and radical cure of Hp is a reliable way to defeat Helicobacter pylori, a "ten thousand-year-old pathogen".
The "Sixth National Consensus Report on the Management of Helicobacter pylori Infection" pointed out that joint treatment of family members can block the transmission of Hp in the family and help reduce reinfection after eradication.
Tian Yantao said that screening and treatment of Helicobacter pylori infection is an issue that every parent should pay attention to. Because Helicobacter pylori infection mainly occurs in childhood and adolescence. In recent years, clinical observations at home and abroad have found that pathological precancerous lesions have been found in the gastric mucosa of up to 4%-10% of children and adolescents infected with Helicobacter pylori. This suggests that in areas with high infection rates, gastric precancerous lesions may occur earlier and more commonly in children and adolescents than previously thought.
Zhang Kai, deputy director of the Cancer Prevention Department of the National Cancer Center/Chinese Academy of Medical Sciences Cancer Hospital, believes that we must pay attention to the concept of preventing and controlling Helicobacter pylori infection in the family. %, when they reach the high-incidence age of gastric cancer after the age of 50, the overall incidence of gastric cancer in our country will definitely decrease.”
In order to benefit the high-risk groups of Helicobacter pylori infection in more areas, the scientific research project of "National Anti-pyloric Drug Resistance Map" was officially launched on the 15th. It is reported that this scientific research project intends to promote the experience of Hp screening and prevention in Taizhou to the whole country.
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