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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica

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CiteScore 2017: 1.26

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Source Normalized Impact per Paper (SNIP) 2017: 0.684

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Volume 37, Issue 3


The source of Helicobacter pylori infection in the neonatal period

Maria Elisabetta Baldassarre / Rosa Monno / Nicola Laforgia / Luciana Fumarola / Margherita Fanelli / Cinzia Sgobba / Cesare Hassan
  • Gastroenterology and Digestive Endoscopy Unit, “Nuovo Regina Margherita” Hospital, Rome, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Carmine Panella / Enzo Ierardi
Published Online: 2009-02-06 | DOI: https://doi.org/10.1515/JPM.2009.045


Aims: To investigate the transmission of Helicobacter pylori in the perinatal period.

Methods: H. pylori status of 180 women was preliminarily screened by serology and stool antigen test (SAT) within the fourth day after delivery and a positive value was confirmed by 13C-urea breath test. Infants were analyzed by SAT at 1, 6, 12 and 18 months of age. H. pylori status was also investigated in the medical and paramedical staff of the Neonatology Unit.

Results: H. pylori infection was found in 34.4% of the women. At the 1st month of age, 5 out of 172 newborns (2.9%) were H. pylori positive by SAT. Three out of the five positive infants were born to H. pylori non-infected mothers. Formula feeding (P=0.02) and admission in intermediate-risk neonatal unit (P=0.01) were significantly related to a positive H. pylori result. Medical and paramedical staff of the neonatology unit was found H. pylori positive in 34.8% of cases. All five H. pylori positive children spontaneously cleared the infection.

Conclusions: Perinatal H. pylori SAT positive status is low in our area, and it may be found both in infants from infected or non-infected mothers. Formula feeding and admission in intermediate-risk neonatal unit appear to be related with H. pylori infection.

Keywords: H. pylori; newborns

About the article

Corresponding author: Prof. Rosa Monno Section of Hygiene Department of Internal Medicine and Public Health University of Bari Policlinico, Piazza G. Cesare 11 70124 Bari Italy Tel.: +39 0805448586

Received: 2008-05-06

Revised: 2008-10-02

Accepted: 2008-11-07

Published Online: 2009-02-06

Published Online: 2009-02-06

Published in Print: 2009-05-01

Citation Information: Journal of Perinatal Medicine, Volume 37, Issue 3, Pages 288–292, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2009.045.

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