Sero-Prevalence of <i>H. pylori</i> Antibodies among Asymptomatic Rural Population in Bauchi State, Nigeria—A Preliminary Study — Oak Academic Publishing
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Sero-Prevalence of <i>H. pylori</i> Antibodies among Asymptomatic Rural Population in Bauchi State, Nigeria—A Preliminary Study
Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
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Department of Medical Microbiology, Federal Medical Centre, Makurdi, Nigeria
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Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
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Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
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Department of Chemical Pathology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
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Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
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Department of Medicine, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
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Department of Clinical Pharmacology and Therapeutics, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
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Department of Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
1 Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
2 Department of Medical Microbiology, Federal Medical Centre, Makurdi, Nigeria
3 Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
4 Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
5 Department of Chemical Pathology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
6 Department of Internal Medicine, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
7 Department of Medicine, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
8 Department of Clinical Pharmacology and Therapeutics, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
9 Department of Microbiology, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
Helicobacter pylori infection is a major public health problem globally, with high prevalence in developing countries associated with poor sanitation, low standard of living, urban-rural disparity and increased gastrointestinal pathologies. This preliminary study determine d the seroprevalence of H. pylori infection among asymptomatic rural population and association of sociodemographic variables on the result outcome. A total of 250 asymptomatic volunteered participants were screened for H. pylori antibodies, using rapid immunochromatographic strips. 44.8% (112/250) were seropositive, and showed increased prevalence with the age group, <15 years (8.0%), 18 - 39 years (23.5%) and 40 - 65 years (12 . 0%) with no significant difference. High prevalence among males, 88 (35.2) compared to 24 (9.6) females (p < 0.228). Significant association was observed with marital status, high prevalence among married participants 63 (25.0) followed by singles, 41 (16.4) (p < 0.010). Similarly, significant prevalence was observed among participants with non-formal education, 60 (24.0) followed by primary education, 21 (8.4) (p < 0.51). While non-salary earners accounted for 79 (31.6) (p < 0.244). The H. pylori seropositivity of 44.8% is relatively low in region with previous reports of high prevalence and predisposing risk factors. Further studies are needed to evaluate the effect of environmental and occupational risk factors for better epidemiological understanding of H. pylori infection and a template for intervention measures.
Hooi, J.K.Y., Lai, W.Y., Ng, W.K., Michael, M.Y., Suen, F.E., Tanyingoh, U.D., Malfertheiner, P., et al. (2017) Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterology, 153, 420-429. https://doi.org/10.1053/j.gastro.2017.04.022
Peleteiro, B., Bastos, A., Ferro, A. and Lunet, N. (2014) Prevalence of Helicobacter pylori Infection Worldwide: A Systematic Review of Studies with National Coverage. In: Kaunitz, J. and Keeffe, M., Eds., Digestive Diseases and Sciences, Springer, Berlin, 1698-1709. https://doi.org/10.1007/s10620-014-3063-0
Riegg, S.J., Dunn, B.E. and Blaser, M.J. (1995) Microbiology and Pathogenesis of Helicobacter pylori. In: Blaser, M.J., Ed., Infections of the Gastrointestinal Tract, Raven Press, New York, 535-550.
World Gastroenterology Organization (2011) Global Guideline: Helicobacter pylori in Developing Countries. Journal of Digestive Diseases, 12, 319-326. https://doi.org/10.1111/j.1751-2980.2011.00529.x
IARC (1994) IARC Monograph on the Evaluation of Carcinogenic Risks to Humans. Schistosomes, Liver Flukes and Helicobacter pylori, 177-240.
You, W.C., Blot, W.J., Li, J.Y., et al. (1993) Precancerous Gastric Lesions in a Population at High Risk of Stomach Cancer. Cancer Research, 53, 1317-1321.
Aguemon, B.D., Struelens, M.J., Massougbodji, A. and Ouendo, E.M. (2005) Prevalence and Risk-Factors for Helicobacter pylori Infection in Urban and Rural Beninese Populations. Clinical Microbiology and Infection, 11, 611-617. https://doi.org/10.1111/j.1469-0691.2005.01189.x
Tanih, N.F., Ndip, L.M., Clarke, A.M., et al. (2010) An Overview of Pathogenesis and Epidemiology of Helicobacter pylori Infection. African Journal of Microbiology Research, 4, 426-436.
Campbell, D.I., Warren, B.F., Thomas, J.E., Figura, N., Telford, J.L. and Sullivan, P.B. (2001) The African Enigma: Low Prevalence of Gastric Atrophy, High Prevalence of Chronic Inflammation in West African Adults and Children. Helicobacter, 6, 263-267. https://doi.org/10.1046/j.1083-4389.2001.00047.x
Fallone, C.A. (1999). Determinants of Ethnic or Geographical Differences in Infectivity and Transmissibility of Helicobacter pylori. Canadian Journal of Gastroenterology and Hepatolog, 13, 251-255. https://doi.org/10.1155/1999/132197
Weyermann, M., Rothenbacher, D. and Brenner, H. (2009) Acquisition of Helicobacter pylori Infection in Early Childhood: Independent Contributions of Infected Mothers, Fathers and Siblings. American Journal of Gastroenterology, 104, 182-189. https://doi.org/10.1038/ajg.2008.61
Holcombe, C., Omotara, B.A., Eldridge, J. and Jones, D.M. (1992) Helicobacter pylori, the Most Common Infection in Africa: A Random Serological Survey. American Journal of Gastroenterology, 87, 28-30.
Holcombe, C., Tsimiri, S., Eldridge, J. and Jones, D.M. (1993) Prevalence of Antibody to Helicobacter pylori in Children in Northern Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene, 87, 19-21. https://doi.org/10.1016/0035-9203(93)90403-D
Ndip, R.N., Malange, T.A.E., Ojongokpoko, J.E.A., Luma, H.N., Malongue, A., Akoachere, J.F.K., Ndip, L.M., MacMillan, M. and Weaver, L.T. (2008) Helicobacter pylori Isolates Recovered from Gastric Biopsies of Patients with Gastro-Duodenal Pathologies in Cameroon: Current Status of Antibiogram. Tropical Medicine & International Health, 13, 848-854. https://doi.org/10.1111/j.1365-3156.2008.02062.x
Mentis, A., Lehours, P. and Mégraud, F. (2015) Epidemiology and Diagnosis of Helicobacter pylori Infection. Helicobacter, 20, 1-7. https://doi.org/10.1111/hel.12250
AL-Mashhadany, D.A., Ismael, L.Q. and Zaki, A.M. (2018) Seroprevalence of Helicobacter pylori among Human in Erbil Governorate, Kurdistan Region, Iraq. Research Journal of Life Sciences, Bioinformatics, Pharmaceutical and Chemical Sciences, 4, 268-280.
Balogun, S.T., Egwu, M.Q., Akanmu, A.O. and Okon, K.O. (2018) Sero-Prevalence of Helicobacter pylori and Pre-Hospital Medication among Nigerians with and without Symptoms Suggestive of Peptic Ulcer in Maiduguri. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 17, 22-28.
Omosor, O.H., Ibeh, I.N., Adejumo, B.I.G., Abdulkadir, U.I., Dimkpa, U., Uchuno, G.A., Oke, O.M., Abdulkadir, R.L., Hamidu, M.V. and Emmanuel, A.M. (2017) Seroprevalence of Helicobacter pylori Infection and Risk Factors among Asymptomatic Subjects in Delta State, Nigeria. Advances in Microbiology, 7, 641-652. https://doi.org/10.4236/aim.2017.79050
Wen, X., Wen, D., Yang, Y., Chen, Y., Wang, G. and Shan, B. (2017) Urban-Rural Disparity in Helicobacter pylori Infection-Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area. Annals of Global Health, 83, 444-462. https://doi.org/10.1016/j.aogh.2017.09.004
Yilmaz, Ö., Şen, N., Küpelioğlu, A.A. and Şimşek, İ. (2006) Detection of H. pylori Infection by ELISA and Western Blot Techniques and Evaluation of Anti CagA Seropositivity in Adult Turkish Dyspeptic Patients. World Journal of Gastroenterology, 12, 5375-5378. https://doi.org/10.3748/wjg.v12.i33.5375
Oliveira, A.M.R., Rocha, G.A., Queiroz, D.M.M., Barbosa, M.T. and Silva, S.C. (1999) Prevalence of H. pylori Infection in a Population from the Rural Area of Aracual, MG, Brazil. Revista de Microbiologia, 30, 59-61. https://doi.org/10.1590/S0001-37141999000100012
Oliveira, A.M.R., Queiroz, D.M.M., Rocha, G.A. and Mendes, E.N. (1994) Seroprevalence of Helicobacter pylori in Children of Low Socioeconomic Level in Belo Horizonte, Brazil. American Journal of Gastroenterology, 89, 2201-2204.
Alizadeh, A.H.M., Ansari, S., Ranjbar, M., Shalmani, H.M., Habibi, I., Firouzi, M. and Zali, M.R. (2009) Seroprevalence of Helicobacter pylori in Nahavand: A Population Based Study. Eastern Mediterranean Health Journal, 15, 129-135. https://doi.org/10.26719/2009.15.1.129
Kawasaki, M., Kawasaki, T., Ogaki, T. Itoh, K., Kobayashi, S., Yoshimizu, Y., Aoyagi, K., Iwakawa, A., Takahashi, S., Sharma, S. and Acharya, G.P. (1998) Seroprevalence of Helicobacter pylori Infection in Nepal: Low Prevalence in an Isolated Rural Village. European Journal of Gastroenterology & Hepatology, 10, 47-50. https://doi.org/10.1097/00042737-199801000-00009
Abongwa, L.E., Samje, M., Antoine, K.S., Elvis, M., Benardette, L., Kuchonde, P. and Ronald, F. (2017) Knowledge, Practice and Prevalence of Helicobacter pylori in the North West Region of Cameroon. Clinical Biotechnology and Microbiology, 4, 135-143.
González-Pons, M., Soto-Salgado, M. and Sevilla, J. (2018) Seroprevalence of Helicobacter pylori in Hispanics Living in Puerto Rico: A Population-Based Study. Helicobacter, 23, e12453. https://doi.org/10.1111/hel.12453
Smith, S., Fowora, T.J.M., Palamides, P., Ngoka, F., Bamidele, M. and Lesi, O. (2018) Clinical and Socio-Demographic Risk Factors for Acquisition of Helicobacter pylori Infection in Nigeria. Asian Pacific Journal of Cancer Prevention, 19, 1851-1857.
Al-Sinani, S., Al-Mulaabed, S.W., Al-Naamani, K. and Al-Sharji, H. (2017) Helicobacter pylori Infection in Omani Children. Helicobacter, 22, 306-311. https://doi.org/10.1111/hel.12379
Awuku, A.Y., Simpong, D.L., Alhassan, I.K., Tuoyire, D.A., Afaa, T. and Adu, P. (2017) Prevalence of Helicobacter pylori Infection among Children Living in a Rural Setting in Sub-Saharan Africa. BMC Public Health, 17, Article No. 360. https://doi.org/10.1186/s12889-017-4274-z
Kivi, M., Tindberg, Y. and Sorberg, M. (2003) Concordance of Helicobacter pylori Strains within Families. Journal of Clinical Microbiology, 41, 5604-5608. https://doi.org/10.1128/JCM.41.12.5604-5608.2003
Konno, M., Fujii, N., Yokota, S., Sato, K., Takahashi, M. and Sato, K. (2005) Five-Year Follow-Up Study of Mother-to-Child Transmission of Helicobacter pylori Infection Detected by a Random Amplified Polymorphic DNA Fingerprinting Method. Journal of Clinical Microbiology, 43, 2246-2250. https://doi.org/10.1128/JCM.43.5.2246-2250.2005
Escobar, M.L. and Kawakami, E. (2004) Evidence of Mother-Child Transmission of Helicobacter pylori Infection. Arquivos de Gastroenterologia, 41, 239-244. https://doi.org/10.1590/S0004-28032004000400008