Helicobacter Pylori Infection among Dyspeptic and non-dyspeptic HIV Patients at Yeka Health Center, Addis Ababa, Ethiopia
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Date
2017-06
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Addis Ababa University
Abstract
Background: Helicobacter pylori is a potent producer of urease. HIV infected patientsexperience many form of opportunistic infections including gastrointestinal symptoms. The exactrole of H. pylori infection among HIV infected patients in causing gastrointestinal symptomssuch as dyspepsia remains unclear. There are limited data regarding H. pylori infection in HIV-positive patients in relation to CD4 count in our region and country.
Objectives: To assess the prevalence of Helicobacter pylori infection using stool antigen amongdyspeptic and non -dyspeptic HIV patients at Yeka health center, Addis Ababa, Ethiopia.
Methods: A case control study enrolling 370 study participantswas conducted from January-June 2017. Socio-demographic and clinical data were collected and3 milliliter blood was drawnaseptically for CD4+T cell count and complete blood count. Stool samples were collected forH. pylori stool antigen test. All necessary data were recorded on questionnaires and data sheet.Data entry and analysis was done using SPSS version 20.Logistic regression analysis was used tosee the relation between dependent and independent variables.
Results: Of the 370 (185 dyspeptic and 185 non-dyspeptic) study participants, H. pyloriantigenwas detected in 117 (31.62%) participants. The prevalence of H. pylori infection was slightlyhigher in dyspepsia patients 60/185 (32.43%) than non-dyspepsia 57/185 (30.81%) individuals[AOR=1.097, 95% CI: 0.689-1.747, p=0.697]. The infection was significantly associated withgender in non dyspepsiapatients [AOR=2.612, 95% CI: 1.338-5.099, p=0.015] whilein non-dyspepsia patients the association was not significantly [AOR=0.805, 95% CI: 0.393-1.648),p=0.639]. In both patient groups, no significant association was observed in the prevalence of H.pylori with age, family size, educational status, marital status, toilet use habit, occupation,alcoholdrinking, cigarette smoking and khat chewing (p>0.05). In both case and control group H.pyloriinfection was higher in patients with CD4T cell count greater than 200cells/μl.
Conclusion: The prevalence of H. pylori infection was slightly high among symptomatic thannon-symptomatic patients. The infection was not significantly associated with socio-demographic and behavioral factors while it was higher in patients with higher CD4 T cellcount.The observed prevalence of H. pylori stool antigen positivity necessitates the need todesign and apply intervention measures that could decrease transmission and thus minimize the clinical consequences of infection.
Key words: Dyspepsia, Non-dyspepsia, Helicobacter pylori, Prevalence, Stool Antigen Test
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Keywords
Dyspepsia Non-dyspepsia Helicobacter pylori Prevalence,