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The value of iron supplementation to children with Helicobacter pylori infection in Iraq: a cross-sectional study
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| Author:
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ASAAD ALZAIDY, ALI ALZAIDY, ISRAA NADHIM ABDULSATTAR
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| Abstract:
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A number of reports have linked iron deficiency anemia to H. pylori infection. This microorganism is extremely
common worldwide and it is estimated to affect 50 % of population with some variations in the prevalence rates
attributed to geographic, sociodemographic and other factors; nevertheless, it appears to be more common in
developing countries in comparison with developed countries. In developing countries, H. pylori is estimated to
affect approximately 65 % of children.The aim of the current study was to shed light on the possible association
between H. pylori infection and iron deficiency anemia in children in our Iraqi community.The current study
included 34 children who were recruited from the pool of children visiting the consultation unit of pediatric in
Maternity and Children Teaching hospital in Al-Diwaniyah Province, Iraq. Some of patients were also recruited
from a number of private clinics. Those children were serologically diagnosed to have H. pylori infection.
Complete blood count was carried out in addition to assessment of serum ferritin. The beginning of the study is
dated back to December the 2
2019.The mean hemoglobin (Hb)
concentration was 9.64 ±1.02 g/dl and it ranged from 7.1 -10.9 g/dl; the frequency of anemic patients was 100.0 %
based on the results of Hb in comparison with reference values. Besides, the mean mean corpuscular volume
(MCV) was 71.94 ±7.82 fl and it ranged from 53.6 -84.5 fl; the frequency of patients with microcytic red blood cells
(RBC), MCV < 77 fl, was 67.6 %. In addition, the mean mean corpuscular hemoglobin (MCH) was 20.97 ±3.01 pg
and it ranged from 13.6 -27.1 pg; the frequency of patients with hypochromic RBCs, MCH < 25 pg, was 91.2 %.
Moreover, the mean mean corpuscular hemoglobin concentration (MCHC) was 229.13 ±1.49 g/dl and it ranged
from 25.4 -32.6 g/dl; the frequency of patients with hypochromic RBCs, MCHC < 31 g/dl, was 88.2 %. The mean
serum ferritin of contributing children was 28.05 ± 18.05 ng/ml and it ranged from 8.6 -71.5 ng/ml; none of
participating children had a serum ferritin level of < 7. children with iron deficiency anemia should be investigated
for H. pylori even in the albescence of significant gastrointestinal manifestation because of the apparent association
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2018 and ended on November the 15
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between this microorganism and iron deficiency anemia.
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| Keyword:
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iron supplementation;Helicobacter pylori; serum ferritin
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.02.0175
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| Download:
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