Helicobacter pylori and Abdominal Symptoms: A Population-based Study Among Preschool Children in Southern Germany

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Population-based cross-sectional study of preschool children.


Screening examination for school fitness by physicians of the Public Health Service in Ulm, a city with 100 000 inhabitants in southern Germany.


One thousand two hundred one preschool children.

Main Outcome Measures

Infection status was determined by13 C-urea breath test. Information on gastrointestinal symptoms was collected from children's parents by a standardized questionnaire and integrated into a symptom score.


Nine hundred forty-five children participated in the study (response rate, 79%). Overall, 127 children (13.4%) were infected. H pylori infection was not positively related to specific gastrointestinal symptomatology. Infected children had even fewer symptoms when compared with uninfected children.


Our results indicate that H pylori infection in children is mostly asymptomatic and not associated with specific gastrointestinal symptoms. Pediatrics 1998;101:634-637.

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