FREQUENCY AND FACTORS LEADING TO HELICOBACTER PYLORI INFECTION AMONG DYSPEPTIC PATIENTS. A SINGLE CENTRE STUDY

Authors

  • Saira Muhammad Ali Patel Hospital Karachi
  • Syed Zea Ul Islam Farrukh
  • Syed Afzal Ul Haq Haqqi
  • Arif Rasheed Siddiqui
  • Muneer Sadiq
  • Saad Khalid Niaz

DOI:

https://doi.org/10.55519/JAMC-03-10745

Abstract

Background: Helicobacter pylori is infecting 50 percent or more of the world's population, putting it the most ubiquitous infection on the world. This study is done with the objective to determine the frequency and risk factors of Helicobacter pylori infection among dyspepsia patients at Patel Hospital Karachi. Methods: This cross-sectional study was conducted at the gastroenterology department at the Patel Hospital in Karachi from 10th Jan to 10th July 2021. All patients with dyspepsia for at least 6 months having age 20-60 years of either gender were included. Three samples from stomach (2 from antrum,1 from corpus) for biopsies were collected from each patient. The specimen was sent to the microbiology department of the hospital and was reported as having histopathological confirmation of Helicobacter pylori infection. Results: Of 111 patients with dyspepsia, mean age of the patients was 44.19±16.41 years. Most of the patients (n=65, 58.6%) were males and 46 (41.4%) were females. The mean duration of dyspepsia was 11.48±5.53 months. Helicobacter pylori was discovered to be present in 93 percent of individuals (83.8 percent). The odds of Helicobacter pylori infection were found to be 7.99 times higher among patients over 40 years old (AOR: 7.99, 95 percent CI: 2.02-31.64, p: 0.003), 3.93 times higher among patients with >9 months of dyspepsia (AOR: 3.93, 95 percent CI: 1.09-14.16, p: 0.036), and 11.85 times higher among smokers as compared to non-smokers (AOR: 11.85, 95 percent CI: 1.42-99.08, p-value 0.023). Conclusion: The rate of Helicobacter pylori infection in patients with dyspepsia was found to be higher. Furthermore, increasing age, increase duration of dyspepsia and smoking is found to be independent risk factors.

References

Atherton JC, Blaser MJ. Coadaptation of Helicobacter Pylori and humans: Ancient history, modern implications. J Clin Invest 2009;119(9):2475–87.

Lehours P, Yilmaz O. Epidemiology of Helicobacter Pylori infection. Helicobacter 2007;12(Suppl 1):1–3.

Khan SS, Zulfiqar A, Danish KF, Sauwal M, Bashir S, Zaman S. Prevalence of H. Pylori infection in patients with gastroduodenal disease in Pakistan. Rawal Med J 2008;33(1):88–9.

Talib A, Shujai M, Mahmood K, Farooqui AN, Mustufa G. Various methods to detect Helicobacter pylori and their respective yield. Ann Abbasi Shaheed Hosp Karachi Med Dent Coll 2005;10(2):698–3.

de Martel C, Ferlay J, Franceschi S, Vignat J, Bray F, Forman D, et al. Global burden of Cancer attributable to H. pylori infection: a review and synthetic analysis. Lancet Oncol 2013;3(6):607–15.

Essawi T, Hammoudeh W, Sabri I, Sweidan W, Farraj MA. Determination of Helicobacter pylori Virulence Genes in Gastric Biopsies by PCR. ISRN Gastroenterol 2013;2013:606258.

Dixon MF. Pathology of gasitritis and peptic ulceration. In: Mobley HLT, Mendz GI, Hazell, editors. H. pylori: Physiology and Genetics. Washington DC: ASM Press; 2001.

Mehmood K, Awan AA, Muhammad N, Hasan F, Nadir A. Helicobacter pylori prevalence and histopathological findings in dyspeptic patients. J Ayub Med Coll Abbottabad 2014;26(2):182–5.

Yasir S, Moin F, Akhtar SM. Frequency of Helicobacter Pylori Infection on histopathology in patients with dyspepsia. Am J Clin Med Res 2014;2(3):53–6.

Oling M, Odongo J, Kituuka O, Galukande M. Prevalence of Helicobacter pylori in dyspeptic patients at a tertiary hospital in a low resource setting. BMC Res Notes 2015;8:256.

Farshad S, Japoni A, Alborzi A, Zarenezhad M, Ranjbar R. Changing prevalence of Helicobacter pylori in south of Iran. Iran J Clin Infect Dis 2010;5(2):65–9.

Zamani M, Ebrahimtabar F, Zamani V, Miller WH, Alizadeh-Navaei R, Shokri-Shirvani J, et al. Systematic review with meta-analysis: the worldwide prevalence of Helicobacter pylori infection. Aliment Pharmacol Ther 2018;47(7):868–76.

Oleastro M, Cabral J, Ramalho PM, Lemos PS, Paixão E, Benoliel J, et al. Primary antibiotic resistance of Helicobacter pylori strains isolated from Portuguese children: a prospective multicentre study over a 10 year period. J Antimicrob Chemother 2011;66(10):2308–11.

Nguyen TV, Bengtsson C, Yin L, Nguyen GK, Hoang TT, Phung DC, et al. Eradication of Helicobacter pylori in children in Vietnam in relation to antibiotic resistance. Helicobacter 2012;17(4):319–25.

Butenko T, Jeverica S, Orel R, Homan M. Antibacterial resistance and the success of tailored triple therapy in Helicobacter pylori strains isolated from Slovenian children. Helicobacter 2017;22(5):e12400.

Shu X, Yin G, Liu M, Peng K, Zhao H, Jiang M. Antibiotics resistance of Helicobacter pylori in children with upper gastrointestinal symptoms in Hangzhou, China. Helicobacter 2018;23(3):e12481.

Tadesse E, Daka D, Yemane D, Shimelis T. Seroprevalence of Helicobacter pylori infection and its related risk factors in symptomatic patients in southern Ethiopia. BMC Res Notes 2014;7:834.

Rasheed F, Yameen A, Ahmad T, Bilal R. Rate of active Helicobacter pylori infection among symptomatic patients of Pakistan. Malay J Pathol 2017;39(1):69–72.

Ferrucci PF, Zucca E. Primary gastric lymphoma pathogenesis and treatment: what has changed over the past 10 years? Br J Haematol 2007;136:521–38.

Ola SO, Yakubu A, Otegbayo JA, Oluwasola AO, Ogunbiyi JO, Akang EE, et al. The most appropriate site for endoscopic biopsy for the detection of H. Pylori among Nigerians in Ibadan. West Afr J Med 2006;25:269–72.

Hashemi MR, Rahnavardi M, Bikdeli B, Zahedani M. H Pylori infection among 1000 southern Iranian dyspeptic patients. World J Gastroenterol 2006;12:5479–82.

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.

Galbán E, Arús E, Periles U. Endoscopic findings and associated risk factors in primary health care settings in Havana, Cuba. MEDICC Rev 2012;14(1):30–7.

Malik MF, Hussain T, Khan MN, Mirza SA, Faroo M. Helicobacter Pylori infection in patients with dyspeptic symptoms having normal endoscopy. Pak Armed Forces Med J 2010;60(1):30–2.

Published

2022-06-21

Most read articles by the same author(s)