scholarly journals Prevalence of Helicobacter Pylori Infection and Associated Factors Among Gastritis Patents in Yekatit 12 Teaching Hospital Addis Ababa Ethiopia

Author(s):  
Awraris Hailu ◽  
Bekureamanuel Sileshi ◽  
Hazaratali Panari

Abstract Introduction: Helicobacter pylori colonize the stomach of about ~50% of the world’s human population and infection is more in clients with dyspeptic conditions and its associated with the severity of gastritis. The present study revealed that the magnitude of H. Pylori and burden of the bacterial infection as well as the contribution of H. Pylori for gastritis and also assesses the current prevalence of H. Pylori infection.Objective: To evaluate the prevalence of Helicobacter Pylori infection and associated factors among gastritis patents in Yekatit 12 Hospital.Methodology: An institutional based cross-sectional study was conducted in Yekatit 12 teaching hospital Addis Ababa city, Ethiopia. The participants were those patients come to the hospital for treatment of gastritis and send to the laboratory to confirm Helicobacter pylori infection in the data collection period. A total of 394 participants were interviewed by using a structured pre tested questionnaire. The data were coded and entered into Epi Data 3.1 version , cleaned and exported to version 20, SPSS. Multiple Logistic regression was used to estimate Adjusted (AORs) with a 95% confidence interval (CI) of positive responses to the different risk factors. P-value < 0.05 was considered as significant.Result: The total occurrence of H. Pylori in observers was 25.9%. Regarding income of family, those participants who have less income and living in rural areas were extra prone to be infected with H. Pylori (AOR=5.857, CI 95% = 1.389-24.686, P = 0.016 and AOR=3.663, CI 95% = 1.068-12.557, P =0.039) respectively. Further, the prevalence of study was significant association with participants who had experience of gastrointestinal illness, mouth to mouth kissing, unable to hand wash regularly before meal and after latrine used (AOR=4.270, 95%CI=1.785-10.21, P=0.01, AOR=53.085, 95%CI=16.185-174.114, P=0.000, AOR=7.316, 95%CI=1.944-27.536, P=0.003, AOR=3.374, 95%CI=1.024-11.114, P=0.046) respectively.Conclusion and recommendation: The finding shows that H. Pylori infection was significantly associated with occupational status,gender, smoking tobacco and hand washing regularly before meal and after toilet. I recommend making clean and saving the work place; regular hand wash, before food preparation, before feeding and after latrine. A health professional should give health education by using different media about the transition and health biro also should give emphases.

2016 ◽  
Vol 5 (2) ◽  
pp. 10-16
Author(s):  
Rishab Shrestha ◽  
Gaurav Chhetri ◽  
Arbind Deo ◽  
Rabindra Nath Das

Background In Gastroenterology practice, worldwide, the most common cause of dyspepsia is functional. Functional or non-ulcer dyspepsia is established by gastroduodenoscopy which rules out structural disorders in dyspeptic patients. Helicobacter pylori, a gram-negative bacterium in gastric mucosa is associated with non-ulcer dyspepsia, chronic gastritis, gastriculcer and cancer. Worldwide prevalence of Helicobacter pylori infection is higher but its association with non-ulcer dyspepsia is less clear.Material and Methods The aim of this study was to see the prevalence of H. pylori infection in non-ulcer dyspepsia. A cross-sectional study of 340 patients presented at Nobel Teaching Hospital in one year with dyspeptic symptoms underwent clerking, physical examination, gastroduodenoscopy and RUT. Symptomatic patients without any structural lesions were designated as functional dyspepsia. RUT when turned red indicated positive for H. pylori infection.Result Out of 340 patients, 180 (52.9%) were female and 160(47.1%) were male. Mean age of male and female patients was 35.88 ± 11.8 and 38.11 ± 11.7 respectively. Amongst all participants 150 (44.11%) were housewives and 69(20.3%) were students. Endoscopic findings showed gastritis 205(60.29%) and duodenitis 15(4.42%). RUT was found positive in 62% of gastritis and 86.7% of duodenitis patients (p value=0.001).Conclusion High prevalence of H pylori infection in present study may be one of the causative factors in producing symptomatic non-ulcer dyspepsia. Hence, early detection and complete eradication of H.pylori infection is mandatory. It will reduce usage of PPIs and also improve quality of life.Journal of Nobel Medical College Vol.5(2) 2016; 10-16


2020 ◽  
Author(s):  
Dagaga Goboto Kenea ◽  
Mesfin Negawo ◽  
Firaol Kitila Lemessa ◽  
Solomon Tejineh

Abstract Background: Helicobacter pylori infection is the most common chronic bacterial infection and there were approximately 4.4 billion individuals with H pylori infection worldwide. Among those, hundreds of millions of people develop peptic ulcer disease during their lifetime and still tens of millions might progress to gastric cancer. Hence, early information is very important to prevent upper gastrointestinal complications. Consequently, the current study aimed to assess the magnitude and associated risk factors of Helicobacter pylori infection among adult dyspeptic patients attending Bokoji hospital, Southeast Ethiopia.Methods: A hospital-based cross-sectional study involving 348 adult dyspeptic patients attending Bokoji hospital was carried out from July 16 to October 31, 2019. About 50 mg of fresh stool and 60 µl of capillary blood were collected from each dyspeptic patient and analyzed for detection of Helicobacter pylori antigens, presence of intestinal parasites and ABO blood grouping respectively. Data were entered using Epi Info 7 and Statistical analysis was done using SPSS version 21 and a p-value less than 0.05 was considered as statistically significant.Results: The overall magnitude of Helicobacter pylori infection was 47.7%. The magnitude of H. pylori infection was almost two times higher in patients who do not have a habit of handwashing after toilet visit than those who wash their hand's habit of handwashing after visiting toilet (AOR 2.241, 95% CI (1.410, 3.563) and alcohol drinking habit (AOR 1.796, 95% CI (1.087, 2.968). Conclusions: The magnitude of H. pylori was high in the study area and associated with handwashing habits after toilet use and alcohol drinking habits. Therefore, the community could be educated on the handwashing habit to minimize H. pylori infections.


Author(s):  
Hafiz Qazi Muhammad Amir ◽  
Omaila Ikram ◽  
Muhammad Tayyab Zia ◽  
Fareha Kashan Theba ◽  
Naila Ikram ◽  
...  

Background: Helicobacter pylori infection has been associated with hyperglycemia among type 2 diabetics. The objective of this study was to compare the H. pylori infection frequency in diabetic and non-diabetic patients.Methods: This case-control study was done at Al-Tibri Medical College and Hospital from May 2019 to August 2019. After written and informed consent, patients between 18-75 years with epigastric burning, dyspepsia, regurgitation were included and with history of eradication therapy, antibiotic or NSAID use in the last 6 months or surgery of upper GI tract months were excluded. Type 2 diabetics were placed in one group and non-diabetic individuals in another. Both groups were compared for presence of H. pylori infection. Data was analysed using SPSS. Demographic variables included age, gender and status of H. pylori infection. Quantitative data was expressed as frequency and percentages. Chi-square test was applied to test for significance keeping p-value of <0.05 statistically significant.Results: From 480 patients, 355 patients showed positive H. pylori, among them 282 were diabetic and 73 non-diabetic (p-value <0.001). Amongst the 355 diabetics, 55% were male Among 73 non-diabetics, 64% were male. All the patients in the study had dyspeptic symptoms and complained of dyspepsia, epigastric burning and regurgitation.Conclusions: A substantial relationship between H. pylori infection among type 2 diabetes mellitus patients was observed compared to non-diabetics. As a result, diabetic patients having active dyspeptic symptoms should undergo further confirmatory tests for diagnosing H. pylori infection.


Author(s):  
Alonge Ivo Ebule ◽  
Valentine Ngum Ndze ◽  
Ngouana Kammalac Thierry ◽  
Guenou Etienne ◽  
Moche Mboudja Morel Ornella ◽  
...  

Introduction: Helicobacter pylori infection is associated with an atrophic gastritis peptic and duodenal ulcer and gastric cancer. Patients with chronic renal diseases usually have dyspeptic symptoms. Several investigations have demonstrated an association between H. pylori infection and chronic kidney disease, although their results are still conflicting. We therefore aimed, to clarify the prevalence of H. pylori infection in patients receiving dialysis. Materials and Methods: Patients undergoing hemodialysis were recruited at the University Teaching Hospital of Yaounde, between January and May 2019. The clinical and socio-demographic information of the patients was recorded. 5 ml of blood were collected aseptically for Pepsinogen I and II enzymes, gastrin17 hormone and IgG anti H. pylori anti-body. The test parameters were analyzed using a GastroSoft software application. The data was analyzed using Epi Info 7.0. All statistics were 95% CI. Ethical clearance was also obtained from the National Ethics Committee. Authorization was obtained atthe University Teaching Hospital. Results: A total of 60 subjects were recruited aged 25-74 years, (mean±SD 52.03 ± 12,78) years;22(45.16%) females, aged 29 to 71years(mean±SD 47,45 ± 11.46) years and 38(54.84%) males aged 25 to 74 (mean±SD 56,47±12.25) years. Female / male ratio was 1.2. Overall, 26(43.33%) subjects were positive for H. pylori infection (IgG≥30EIU). The prevalence of atrophic gastritis obtained was (23.33%)(PG1< 30µg/l). The mean H. pylori IgG antibodies were significantly higher in obese than non obese subjects (F=3.59; p=0,01). A significant increase in the mean creatinine(P=0.008), andurea (P=0,05) was observed in H. pylori positive than negative ones. Conclusion: H. pylori infection is highly prevalent amongst patients with chronic renal failure and may thus require continuous follow up.


Author(s):  
Abioye, Joshua Omoniyi Kolawole ◽  
Anarado, Kosisochukwu Sylvia ◽  
Babatunde, Seye

Helicobacter pylori infection occurs worldwide, though the burden differs greatly between countries and within populations. Studies have shown that Helicobacter pylori infection is higher in developing countries, including Nigeria and among populations of low socio-economic status. The aim of this study was to ascertain the prevalence of Helicobacter pylori infection amongst students of Bingham University, Karu, Nassarawa State, Nigeria. A total of 565 blood samples were collected from students with their consents after completing a self-administered questionnaire. Each blood sample was spun for 5 minutes at 1000 rpm to get the serum, which was used to determine the presence of H. pylori antibody using a Helicobacter pylori test cassette. Of the 565 students screened, 31 were found to be positive, giving a prevalence of 5.5% (95%CI=3.6-7.4). Prevalence among the female students was higher at 6.3% in contrast to the male 4.5%, though this difference was not statistically significant (chi-square=0.904, P-value=0.34). Students aged 26-30 years showed the highest prevalence of 8.8% above 4.2%, 5.6% of the age ranges 15-20 and 21-25 years, respectively. Seropositivity of H. pylori increased with students’ year of study, with 100 Level having 9.3%, followed by 6.3% in 200 level. The 300 and 400 Levels had 5.8% and 2.5, respectively. Also, the students who were knowledgeable about the infection and those who were not had 15.7% and 3.2% seroprevalence, respectively. The low prevalence of the infection obtained in this study did not show sex or age differencesand could be as a result of the good sanitary living conditions or good feeding habits of the students. It is recommended that infected students should eat at regular intervals, obtain adequate treatment after stool analysis to confirm the infection, and also practice good sanitary habits. The school authority should keep on improving the living conditions of the students as this will enhance lower prevalence or total elimination of the infection.


Author(s):  
Akhila M. V. ◽  
Padmasri R.

Background: About 80% of all pregnant women experience some form of nausea and vomiting during their pregnancy. Hyperemesis gravidarum, the commonest indication for admission to hospital in the first half of pregnancy affects approximately 0.3%-2.0% of pregnancies. Helicobacter pylori infection has been implicated in the cause of nausea and occasional vomiting in early pregnancy. The objectives of this study are to determine the proportion of H. pylori seropositivity among women with hyperemesis gravidarum (HG) and determine its relation with socio-economic status.Methods: This was a prospective study conducted in a tertiary hospital in Bangalore among 60 pregnant women with HG for a period of 12 months. Venous blood samples were obtained and serum IgG for H. pylori was measured using enzyme-linked immunosorbant assay (ELISA). Details regarding socioeconomic status, recurrence of symptoms and severity were noted.Results: The proportion of H. pylori seropositivity among pregnant women with hyperemesis in our study was 70%.There was a significant increase in severity and recurrence of vomiting among seropositive cases. Women belonging to rural areas had 1.17 times the risk of infection compared to women with urban area. We also found women belonging to the lower socioeconomic status had 0.52 times more risk to develop Helicobacter pylori infection.Conclusions: This study suggests that H. pylori is an independent risk factor for vomiting in pregnancy. Effective treatment and eradication of H pylori infection may help reduce severity and recurrence of vomiting among positive cases thus reducing its adverse consequences.


2021 ◽  
Vol 15 (7) ◽  
pp. 2285-2288
Author(s):  
Rakhshinda Jabeen ◽  
Ajmaal Jami ◽  
Aiman Shahab ◽  
Armash Shahab

Background: Halitosis is a common human condition; however, the pathophysiological mechanism of halitosis is still unclear. Halitosis is mostly attributed with oral pathological conditions, in addition, halitosis resulting from gastrointestinal disorders is not rare either. Halitosis is often reported with symptoms related to Helicobacter pylori infection, epigastric pain and gastroesophageal reflux disease. Objective: Halitosis can stem from a number of gastric conditions and one of the most common causes of halitosis include the presence of a gastric infection with Helicobacter pylori. This study was conducted to evaluate the incidence ofhalitosis in patients presenting with Helicobacter pylori infection and epigastric pain. Additionally, to review whether there is a correlation between H pylori infection and halitosis; moreover, to determine whether halitosis is a valid indication for H pylori infection. Methods and Materials: This case control, comparative study was done at Medicine department of Isra University hospital and Civil hospital, Karachi during the period of January 2019 to December 2019. Participants were enrolled only after taking verbal and signed consent. Prior permission from the hospital management was taken as well. Result: Halitosis and H pylori are statistically significant with p value of 0.026. There was a clear correlation between halitosis and H pylori infection, and it may be a common contributor to halitosis.


Author(s):  
Okonkwo Lilian Okwubenata ◽  
Musa Bolanle Olufunke Priscilla ◽  
Hali Bello ◽  
Mustapha Shettima Kagu

Background Helicobacter pylori infection is prevalent in African region especially in areas with low socioeconomic status. This study aimed to determine the prevalence and risk factors for Helicobacter pylori Infection among individuals with and those without dyspepsia Materials and Methods The study was cross sectional in which individuals with and those without dyspepsia were enrolled. The prevalence for Helicobacter pylori infection was determined by the screening of Helicobacter pylori immunoglobulin G and this was compared across variables of interest. IBM SPSS was used for the data analysis. Results Overall prevalence of Helicobacter pylori immunoglobulin G was 44 (37.9 %). There was no association between H pylori infection and dyspepsia (0.894). There was statistically significant association between residing in rural areas and acquiring of Helicobacter pylori infection (P= 0.011). Study participants from rural areas had significantly higher and lower pit latrines and water closet toilets respectively than the study participants who reside in urban areas (P= 0.0001). Conclusion Modest prevalence of Helicobacter pylori infection was observed and no association between H pylori infection and dyspepsia was observed. There is a need to take strategic measures towards improving level of socio-economic status of the rural areas so as to reduce the risk of contracting Helicobacter pylori infection in people living in rural areas


2013 ◽  
Vol 12 (1) ◽  
Author(s):  
Dr. Reda M. Al-Badawy

Introduction: Helicobacter pylori are associated with severe gastrointestinal pathologies. Moreover, it is associated with other conditions such as atherosclerosis, insulin resistance, diabetes mellitus and some autoimmune diseases. The purpose of this study is to search the relation between Helicobacter pylori infection and Insulin Resistance. Methods: Ninety patients complaining of dyspepsia was selected from Gastroenterology, Hepatology and Infectious Diseases Department, Benha University Hospital. The patients were divided into two groups with matching age, sex and the basic laboratory investigations results. Group (A) patients were Helicobacter pylori-positive. Group (B) patients were Helicobacter pylori negative based on endoscopic findings and confirmed by histopathological diagnosis and exclusion of other causes of dyspepsia. Insulin resistance was compared between the two groups. Results: In the present study, there was statistically significant association between Helicobacter pylori positive patients (51/90; 56.7%) and insulin resistance (IR) compared to Helicobacter pylori negative patients (39/90; 43.3%) (P value <0.001). The mean value of IR was 3.6 ± 0.58, 2.2 ± 0.36 respectively for Helicobacter pylori positive and Helicobacter pylori negative patients. There was no statistical significant difference between Helicobacter pylori positive and Helicobacter Pylori negative patients as regard to other investigations (P value >0.05). Conclusion: Insulin resistance has a role in the chronicity of H. pylori infection and the reduction of IR will lead to a better response of therapy in these patients.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Abbasali Zeraati ◽  
Ladan Goshayeshi ◽  
Zahra Kazemi ◽  
Ali akbar Hekmat ◽  
Tina Zeraati ◽  
...  

Abstract Background and Aims Patients suffering from end stage renal disease usually cope with many problems due to their lengthy illness and its complications. Renal transplantation is the most effective therapeutic strategy in these patients. One of the post transplantation complications is gastrointestinal bleeding due to peptic ulcers and other upper gastrointestinal diseases which can affect the morbidity and mortality of these patients. The present research aims to shed lights on prevalence of gastrointestinal lesions and Helicobacter pylori infection using upper endoscopy in asymptomatic candidates for renal transplantation. Method The present cross-sectional research was performed on renal transplant candidates suffering chronic renal failure referred to Montaserie organ transplantation center in the time period of January 2016, to January 2018. Eighty five ESRD patients, 45 male and 40 female, mean age 39.09 ± 11.09 years, enrolled in the study. Hypertension and diabetes were the most common causes of kidney failure in the patients. In the present research about 90.6% of patients had been on chronic dialysis,. Mean duration of vintage time on dialysis was 20.46 ±16.12 months, and hemodialysis (87%) was the most common dialysis method. Including criteria were patients candidature for renal transplant and consent for involvement in the research. Excluding criteria were patients with apparent dyspeptic symptoms, patients with known upper gastrointestinal diseases, and patients who have been using PPIs (proton pump inhibitors), NSAIDs(non-steroid anti-inflammatory drug), H2 blockers or antibiotics over the past two weeks preceding the enrollment in study . Patients who met criteria underwent endoscopy and were classified according to endoscopic findings, Helicobacter pylori infection and pathologic findings. Chi-square statistics was used for evaluating the correlation between categorical endoscopic or pathologic findings with categorical demographic and dialysis characteristics parameters. The Statistical Package for the Social Sciences software (SPSS version 20.0, SPSS Inc., Chicago, IL, USA) was used for data analyses. A P &lt;0.05 was considered significant. Results Sixty two patients (72%) had significant endoscopic findings; erosive gastroduodenitis (32.5%) was the most common findings. There was not a significant correlation between endoscopic findings and: age (p = 0.5), cause of renal failure (p-value = 0.9), dialysis type (p-value = 0.08), gender (p-value = 0.9), infection with H. Pylori (p-value = 0.2) and mean duration of vintage dialysis time (p = 0.4).All the patients with significant endoscopic findings, had also significant abnormal pathologic findings on endoscopic obtained biopsied samples. Helicobacter pylori infection was seen in, 36 patient(42%)s. Significant association between H. Pylori infection and abnormal pathology was found (p=0.04) . Conclusion Asymptomatic gastrointestinal lesions and Helicobacter pylori infection are prevalent in renal transplant candidates, so routine upper endoscopy in these patients is strongly recommended.


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