THE FREQUENCY OF H. PYLORI INFECTION AMONG DYSPEPTIC PATIENTS PRESENTING AT TERTIARY CARE HOSPITALS OF QUETTA

Main Article Content

Safia Sana
Gulmina Kasi
Shama Noreen
Muhammad Essa Khan
Iqra Badar
Muhammad Waseem
Samreen Sana
Bahauddin
Abdul Qadir
Muhammad Kamran Taj

Keywords

helicobacter, Pylori, Infection, Dyspepsia, Frequency.

Abstract

Background: Helicobacter pylori (H. pylori) infection is the most common cause of bacterial infection worldwide infecting more than 50% of the world's population predominantly in the developing countries. H. pylori is an important risk factor for gastritis, peptic ulcers, and gastric cancer likely due to the extensive inflammation in the stomach.


Objectives: To determine the frequency of H. Pylori infection among dyspeptic patients presenting at tertiary care hospital.


Study Design: Descriptive, cross-sectional study.


Study duration: 14th March 2023 to 13th February 2024.


Settings: Department of Gastroenterology, Bolan Medical Complex Hospital Quetta.


Methods: A study was conducted involving patients presenting with gastrointestinal symptoms. Participants were stratified into age groups (18–40 years and 41–60 years), gender (male and female), and by duration of symptoms (≤6 months and >6 months). The presence of H. pylori infection was assessed using diagnostic tests, and statistical analysis was performed to evaluate associations, with a p-value < 0.05 considered significant.


Results: In the 18–40 age group, 54 individuals tested positive and 15 negative, while in the 41–60 group, 47 were positive and 7 negative (p = 0.208), indicating no significant association with age. Among males, 52 tested positive and 17 negative while among females, 49 were positive and 5 negative. A statistically significant difference was found between genders (p = 0.027). Regarding symptom duration, 70 tested positive with symptoms ≤6 months, and 31 with symptoms >6 months (p = 0.918), showing no significant relationship.


Conclusion: The study found a statistically significant association between H. pylori infection and gender, but not with age or duration of symptoms. Gender-specific factors may influence infection prevalence and warrant further investigation.


 

Abstract 143 | PDF Downloads 29

References

1. Darko RYA, Osei V, Owusu-Ansah J, Aluze-Ele S. Changing partterns of the prevalence of Heleicobacter pylori among patients at a corporate hospital in Ghana. Ghana Med J. 2015;49(3):147–53.
2. Ayana SM, Swai B, Maro VP. Upper gastrointestinal endoscopic findings and prevalence of Helicobacter pylori infection among adult patients with dyspepsia in northern Tanzania. Tanzan J Health Res. 2014;16(1):16–22
3. Korkmaz H, Kesli R, Karabagli P, Terzi Y. Comparison of the diagnostic accuracy of five different stool antigen tests for the diagnosis of Helicobacter pylori infection. Helicobacter. 2013;18(5):384-91.
4. Thung I, Aramin H, Vavinskaya V, Gupta S, Park JY, Crowe SE. et al. The global emergence of Helicobacter pylori antibiotic resistance. AP&T. 2016 Feb;43(4):514-33.
5. Graham DY. Helicobacter pylori update: gastric cancer, reliable therapy, and possible benefits. Gastroenterology. 2015 Apr 1;148(4):719-31.
6. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet' Tieulent J, Jemal A. Global cancer statistics, 201--2-.CA: a cancer jo;urnal for cliniciari:s:a.- 2015 Mar;65(2):87-108.
7. Sugano K, Tack J, Kuipers EJ, Graham DY, El-Omar EM, Miura S, et al. Kyoto global consensus report on Helicobacter pylori gastritis. Gut. 2015 Sep 1;64(9):1353-67.
8. Cover. TL. Helicobacter pylori diversity and gastric cancer risk. MBio. 2016 Mar 2,7(1).1869-15.
9. Li Y, Xia R, Zhang B, Li C. Chronic atrophic gastritis: view. JEP Toxi & Onco. 2018;37(3).
10. Archampong TN, Asmah RH, Wiredu EK, Gyasi RK, Nkrumah KN, Rajakumar K. Epidemiology of Helicobacter pylori infection in dyspeptic Ghanaian patients. Pan Afr Med J. 2015;20(1).
11. Malfertheiner P, Megraud F, O'morain CA, Gisbert JP, Kuipers EJ, Axon AT. Et al. Management of Helicobacter pylori infection-the Maastricht V/Florence consensus report. Gut. 2017 Jan 1;66(1):6-30.
12. Wang YK, Kuo FC, Liu CJ, Wu MC, Shih HY, Wang SS, et al. Diagnosis of Helicobacter pylori infection: Current options and developments.e.9015 Oct 28;21(40):11221.
13. Kalali B, Formichella L, Gerhard M. Diagnosis of Helicobacter pylori: Changes towards the future diseases. Disease. 2015;3(3):122-35.
14. Ferwana M, Abdulmajeed I, Alhajiahmed A, Madani W, Firwana B, Hasan R, et al. Accuracy of urea breath test in Helicobacter pylori infection: meta-analysis. World J Gastroenterol. 2015;21(4):1305.
15. Delport W. The transmission of Helicobacter pylori: The effects of analysis method and study population on inference. Best Pract Res Clin Gastroenterol. 2007;21(2):215–36.
16. World Gastroenterology Organisation. World Gastroenterology Organisation Global Guideline: Helicobacter pylori in developing countries. J Clin Gastroenterol. 2011;45(5):383–8.
17. Woodward M, Morrison C, McColl K. An investigation into factors associated with Helicobacter pylori infection. J Clin Epidemiol. 2000;53(2):175–81.
18. Desta K, Asrat D, Derbie F. Seroprevalence of Helicobacter pylori infection among health blood donors in Addis Ababa, Ethiopia. Can J Gastroenterol. 2007;21:501–506.
19. Newton R, Ziegler J, Casabonne D, et al; Uganda Kaposi’s Sarcoma Study Group. Helicobacter pylori and cancer among adults in Uganda. Infect Agent Cancer. 2006;7(1):5.
20. Ayana SM, Swai B, Maro VP, Kibiki GS. Upper gastrointestinal endoscopic findings and prevalence of Helicobacter pylori infection among adult patients with dyspepsia in northern Tanzania. Tanzan J Health Res. 2014;16(1):16–22.
21. Abiodun C, Jesse A, Samuel O, et al. Prevalence of Helicobacter pylori among Nigerian patients with dyspepsia in Ibadan. Pan Afr Med J. 2011;6:18.
22. Ogutu EO, Kang’ethe SK, Nyabola L, Nyong’o A. Endoscopic findings and prevalence of Helicobacter pylori in Kenyan patients with dyspepsia. East Afr Med J. 1998;75(2):85–89.
23. Baako BN, Darko R. Incidence of Helicobacter pylori infection in Ghanaian patients with dyspeptic symptoms referred for upper gastrointestinal endoscopy. West Afr J Med. 1996;15(4):223–227.
24. Fujisawa T, Kumagai T, Akamatsu T, Kiyosawa K, Matsunaga Y. Changes in seroepidemiological pattern of Helicobacter pylori and hepatitis A virus over the last 20 years in Japan. Am J Gastroenterol. 1999;94(8):2094–2099.
25. Naja F, Kreiger N, Sullivan T. Helicobacter pylori infection in Ontario: prevalence and risk factors. Can J Gastroenterol. 2007;21(8):501–506.
26. Jackman RP, Schlinchting C, Carr W, Dubois A. Prevalence of Helicobacter pylori in United States navy submarine crews. Epidemiol Infect. 2006;134(3):460–464.
27. Jaka H, Mushi MF, Mirambo MM, Wilson L, Seni J, Mtebe M, et al. Sero-prevalence and associated factors of helicobacter pylori infection among adult patients with dyspepsia attending the gastroenterology unit in a tertiary hospital in Mwanza, Tanzania. Afr Health Sci. 2016;16:684–9.
28. Workineh M, Andargie D. A 5-year trend of helicobacter pylori seroprevalence among dyspeptic patients at Bahir Dar Felege Hiwot referral hospital, Northwest Ethiopia. Res Rep Trop Med. 2016;7:17–22.
29. Mathewos B, Moges B, Dagnew M. Seroprevalence and trend of helicobacter pylori infection in Gondar University hospital among dyspeptic patients, Gondar, north West Ethiopia. BMC Res Notes. 2013;6:346.
30. Abongwa LE, Samje M, Sanda AK, Signang A, Elvis M, Bernadette L, et al. Knowledge, practice and prevalence of helicobacter pylori infection in the north west region of Cameroon. Clin Biotechnol Microbiol. 2017;1:135–43.
31. Andoulo FA, Noah DN, Tagni-Sartre M, Ndam EC Blackett KN. Epidémiologie de l’infection à Helicobacter pylori à Yaoundé: de la particularité à l’énigme Africaine. Pan Afr Med J. 2013;16:115.
32. Ankouane F, Noah DN, Enyime FN, Ndjollé CM, Djapa RN, Nonga BN, et al. Helicobacter pylori and precancerous conditions of the stomach: the frequency of infection in a cross-sectional study of 79 consecutive patients with chronic antral gastritis in Yaoundé, Cameroon. Pan Afr Med J. 2015;20:52.
33. Andoulo FA, Kowo M, Ngatcha G, Ndam AN, Awouoyiegnigni B, Sida MB, et al. Prevalence of helicobacter pylori prevalence and upper gastrointestinal endoscopy in HIV/AIDS patients with gastrointestinal symptoms in the university teaching hospitals in Cameroon. Med Sante Trop. 2016;26:278–82.
34. Ndip RN, Malange AE, Akoachere JFT, MacKay WG, Titanji VPK, Weaver LT. Helicobacter pylori antigens in the faeces of asymptomatic children in the Buea and Limbe health districts of Cameroon: a pilot study. Tropical Med Int Health. 2004;9:1036–40.
35. Longo-Mbenza B, Nsenga JN, Ngoma VD. Prevention of metabolic syndrome insulin resistance and atherosclerotic in diseases in Africans infected by Helicobacter pylori infection and treated with antibiotics. Inter J Cardiol. 2007;121:229–38.
36. Samie A, Obi CL, Barrett LJ, Powell SM, Guerrant RL. Prevalence of Campylobacter species, Helicobacter pylori and Arcobacter species in stool samples from the Venda region, Limpopo, South Africa: studies using molecular diagnostic methods. J Inf Secur. 2007;54:558–66.
37. Dowsett AS, Archila L, Segreto AV, Gonzalez RC, Silva A, Vastola AK, Bartizek DR, Kowolik JM. Helicobacter pylori infection in indigenous families of central America: Serostatus and oral and fingernail carriage. J Clin Microbiol. 1999;37(8):2456–60.
38. Seyda T, Derya C, Füsun A, Meliha K. The relationship of Helicobacter pylori positivity with age, sex, and ABO/rhesus blood groups in patients with gastrointestinal complaints in Turkey. Helicobacter. 2007;12:244–50.
39. Khan MA, Ghazi HO. Helicobacter pylori infection in asymptomatic subjects in Makkah, Saudi Arabia. J Pak Med Assoc. 2007;57:114–7.
40. Alazmi WM, Siddique I, Alateeqi N, Al-Nakib B. Prevalence of Helicobacter pylori infection among new outpatients with dyspepsia in Kuwait. BMC Gastroenterol. 2010;10:14.
41. Farshad SH, Japoni A, Alborzi A-V, Zarenezhad M, Ranjbar R. Changing prevalence of Helicobacter pylori in south of Iran Iranian. J. Clin Infect Dis. 2010;5:65–9.
42. Massarrat S, Saberi-Firoozi M, Soleimani A, Himmelmann GW, Hitzges M, Keshavarz H. Peptic ulcer disease, irritable bowel syndrome and constipation in two populations in Iran. Eur J Gastroenterol Hepatol. 1995;7:427–33.
43. de Mattos LC, Cintra JR, Sanches FE, et al. ABO, Lewis, secretor and non-secretor phenotypes in patients infected or uninfected by the Helicobacter pylori bacillus. Sao Paulo Med J. 2002;120:55–8.
44. Kidd M, Louw JA, Mark NI. Helicobacter pylori in Africa: observation on an ‘enigma within an enigma. J Gastroenterol Hepatol. 1999;14:851–8.
45. Carrilho C, Modcoicar P, Cunha L, Ismail M, Guisseve A, Lorenzoni C, Fernandes F, Peleteiro B, Almeida R, Figueiredo C, David L, Lunet N. Prevalence of Helicobacter pylori infection, chronic gastritis, and intestinal metaplasia in Mozambican dyspeptic patients. Virchows Arch. 2009;54:153–60.
46. Zhang B, Hao GY, Gao F, et al. Lack of association of common polymorphisms in MUC1 gene with Helicobacter pylori infection and non-cardia gastric cancer risk in a Chinese population. Asian Pac J Cancer Prev. 2013;14(12):7355–7358.
47. Dorji D, Dendup T, Malaty HM. Epidemiology of Helicobacter pylori in Bhutan: the role of environment and geographic location. Helicobacter. 2013;19(1):69–73.
48. Wizla-Derambure N, Michaud L, Ategbo S, et al. Familial and community environmental risk factors for Helicobacter pylori infection in children and adolescents. J Pediatr Gastroenterol Nutr. 2001;33(1):8–63.

Most read articles by the same author(s)

1 2 > >>