| Peer-Reviewed

Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia

Received: 21 July 2022    Accepted: 4 August 2022    Published: 10 August 2022
Views:       Downloads:
Abstract

Approximately 4.4 billion people worldwide are estimated to be positive for H. pylori. In developing countries like Ethiopia supposed to be a high prevalence and exposure of H. pylori infection where bacterial transmission is facilitated by poor hygiene and sanitation conditions. In addition, many studies used serology rapid tests for the detection of H. pylori which have questionable performance in detecting acute infection. Thus this study aimed to determine Feco-prevalence and associated factors of H. pylori infection among adult dyspeptic patients attending public health centers at Adama Woreda, East Shoa zone, Oromia, Ethiopia from May to July 2021 by stool Antigen test. Methods: A cross-sectional study was conducted on 356 adult dyspeptic patients by using a systematic random sampling technique. Data on socio-demographic characteristics and potential associated factors of H. pylori infection were collected by a structured interviewer-administered questionnaire. H. pylori stool antigens were detected by Wondfo one-step H. pylori feces test kit according to the manufacturer`s instruction. Data entries were done by EPI info version 7 and analyzed using SPSS version 23.0. Binary and multiple logistic regressions were used to identify associated factors. Association between variables was considered statistically significant only if A two-sided P-value <0.05 at a 95% confidence level. Result: The overall Feco-Prevalence of H. pylori infection among dyspeptic patient accounts 23.0% (95% CI: 19.1, 27.5). Among many possible factors unable to read and write [AOR]: 6.4 (1.9, 21.3)] and elementary educational status [AOR]: 4.2 (1.3, 13.19)], being blood group O [AOR]: 33.4 (5.9, 189.8)], drinking alcohol [AOR]: 6.4 (1.1, 36.6)], eating raw vegetables and fruit [AOR]: 6.2 (2.4, 15.7)] and not hand washing habit before a meal [AOR]: 24.5 (7.4, 81.6)] were a strong predictor of H. Pylori infection. Conclusion and recommendation; this study indicated overall H. pylori Feco-prevalence was found to be 23%. Among several possible factors unable to read and write, being in blood group O, drinking alcohol, and not hand washing habit before the meal were significant determinants of H. pylori. Therefore; we recommend improving personal and environmental sanitation including water to reduce the burden of this bacterium.

Published in Frontiers in Environmental Microbiology (Volume 8, Issue 3)
DOI 10.11648/j.fem.20220803.11
Page(s) 46-54
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Feco-Prevalence, H. Pylori, Adama Woreda, Oromia, Ethiopia

References
[1] Naja F, Kreiger N, Sullivan T. Helicobacter pylori Infection in Ontario: Prevalence and Risk Factors. Can J Gastroenterol. 2007; 21 (8): 501–6.
[2] Thaker Y. Helicobacter Pylori: A Review of Epidemiology, Treatment, and Management. J Clin Gastroenterol Treat [Internet]. 2016 Jun 30 [cited 2021 May 23]; 2 (2). Available from: https://clinmedjournals.org/articles/jcgt/journal-of-clinical-gastroenterology-and-treatment-jcgt-2-019.php?jid=jcgt
[3] Borges SS, Ramos AFPL, Moraes Filho AV de, Braga CA da SB, Carneiro LC, Barbosa MS. [ARTICLE PARTIAL RETRACTION] PREVALENCE OF HELICOBACTER PYLORI INFECTION IN DYSPEPTIC PATIENTS AND ITS ASSOCIATION WITH CLINICAL RISK FACTORS FOR DEVELOPING GASTRIC ADENOCARCINOMA. Arq Gastroenterol. 2019 Mar; 56 (1): 66–70.
[4] Akushe TN, Asmah RH, Wiredu EK, Gyasi RK, Nkrumah KN, Rajakumar K. Epidemiology of Helicobacter pylori infection in dyspeptic Ghanaian patients. Pan Afr Med J [Internet]. 2015 [cited 2021 May 23]; 20. Available from: http://www.panafrican-med-journal.com/content/article/20/178/full/
[5] Feldman RA, Eccersley AJP, Hardie JM. Epidemiology of Helicobacter pylori: acquisition, transmission, population prevalence and disease-to-infection ratio. Br Med Bull. 1998 Jan 1; 54 (1): 39–53.
[6] Hooi JKY, Lai WY, Ng WK, Suen MMY, Underwood FE, Tanyingoh D, et al. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterology. 2017 Aug; 153 (2): 420–9.
[7] Agbor NE, Esemu SN, Ndip LM, Tanih NF, Smith SI, Ndip RN. Helicobacter pylori in patients with gastritis in West Cameroon: prevalence and risk factors for infection. BMC Res Notes. 2018 Dec; 11 (1): 559.
[8] Rodrigues MN, Queiroz DMM, Rodrigues RT, Rocha AMC, Braga Neto MB, Braga LLBC. Helicobacter pylori infection in adults from a poor urban community in northeastern Brazil: demographic, lifestyle and environmental factors. Braz J Infect Dis. 2005 Oct; 9 (5): 405–10.
[9] Melese A, Genet C, Zeleke B, Andualem T. Helicobacter pylori infections in Ethiopia; prevalence and associated factors: a systematic review and meta-analysis. BMC Gastroenterol. 2019 Dec; 19 (1): 8.
[10] Negash M, Wondifraw Baynes H, Geremew D. Helicobacter pylori Infection and Its Risk Factors: A Prospective Cross-Sectional Study in Resource-Limited Settings of Northwest Ethiopia. Can J Infect Dis Med Microbiol. 2018 Oct 18; 2018: 1–7.
[11] Dang BN, Graham DY. Helicobacter pylori infection and antibiotic resistance: a WHO high priority? Nat Rev Gastroenterol Hepatol. 2017 Jul; 14 (7): 383–4.
[12] Elamin EAI, Suliman MA, Azoz ME, Ali EW, Olerile LD, Jiao Y, et al. Effect of Helicobacter pylori Infection on Haematological Parameters in Kosti Teaching Hospital, Sudan. Iran Red Crescent Med J [Internet]. 2018 Feb 24 [cited 2021 Jan 20]; 20 (2). Available from: https://sites.kowsarpub.com/ircmj/articles/58276.html
[13] Seid A, Demsiss W. Feco-prevalence and risk factors of Helicobacter pylori infection among symptomatic patients at Dessie Referral Hospital, Ethiopia. BMC Infect Dis. 2018 Dec; 18 (1): 260.
[14] Getachew Mesfun M. Five Years Trend of Helicobacter pylori Infection Among Dyspeptic Patients in Asella Teaching and Referral Hospital, Arsi University, Ethiopia. Sci J Clin Med. 2018; 7 (5): 37.
[15] Kifle D, Azale T, Gelaw YA, Melsew YA. Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study. Reprod Health. 2017 Dec; 14 (1): 6.
[16] Shiferaw G, Abera D. Magnitude of Helicobacter pylori and associated risk factors among symptomatic patients attending at Jasmin internal medicine and pediatrics specialized private clinic in Addis Ababa city, Ethiopia. BMC Infect Dis. 2019 Dec; 19 (1): 118.
[17] Almeida Cunha RP, Alves FP, Rocha AMC, Rocha GA, Camargo LMA, Nogueira POP, et al. Prevalence and risk factors associated with Helicobacter pylori infection in native populations from Brazilian Western Amazon. Trans R Soc Trop Med Hyg. 2003 Jul; 97 (4): 382–6.
[18] Hashemi MR. H pylori infection among 1000 southern Iranian dyspeptic patients. World J Gastroenterol. 2006; 12 (34): 5479.
[19] Ozaydin N, Turkyilmaz SA, Cali S. Prevalence and risk factors of helicobacter pylori in Turkey: a nationally-representative, cross-sectional, screening with the 13C-Urea breath test. BMC Public Health. 2013 Dec; 13 (1): 1215.
[20] Myint T. Prevalence of Helicobacter pylori infection and atrophic gastritis in patients with dyspeptic symptoms in Myanmar. World J Gastroenterol. 2015; 21 (2): 629.
[21] Department of Microbiology, Theodor Bilharz Research Institute, Giza, Egypt., Diab M, Shenawy A, Department of Microbiology, Theodor Bilharz Research Institute, Giza, Egypt., Shemis M, Department of Biochemistry, Theodor Bilharz Research Institute, Giza, Egypt, et al. HELICOBACTER PYLORI INFECTION IN EGYPTIAN PATIENTS WITH DYSPEPSIA: DIAGNOSTIC, DEMOGRAPHIC, ENDOSCOPIC AND CLINICAL CHARACTERISTICS. Int J Adv Res. 2018 Jun 30; 6 (6): 226–34.
[22] 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 Oct 17; 16 (3): 684.
[23] 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 Dec; 8 (1): 256.
[24] Abebaw W, Kibret M, Abera B. Prevalence and Risk Factors of H. pylori from Dyspeptic Patients in Northwest Ethiopia: A Hospital Based Cross-sectional Study. Asian Pac J Cancer Prev. 2014 Jun 15; 15 (11): 4459–63.
[25] Kasew D, Abebe A, Munea U, Deressa T, Tegegne Y, Alemayehu M, et al. Magnitude of Helicobacter pylori among Dyspeptic patients attending at University of Gondar Hospital, Gondar, Northwest Ethiopia. Ethiop J Health Sci. 2017 Nov 6; 27 (6): 571.
[26] Getnet Hailu H. Prevalence and Risk Factors of Helicobacter pylori among Adults at Jinka Zonal Hospital, Debub Omo Zone, Southwest Ethiopia. Autoimmune Infect Dis Open Access ISSN 2470-1025 [Internet]. 2016 [cited 2021 May 23]; 2 (2). Available from: https://www.sciforschenonline.org/journals/autoimmune-infectious/AIDOA-2-113.php
[27] Syam AF, Miftahussurur M, Makmun D, Nusi IA, Zain LH, Zulkhairi, et al. Risk Factors and Prevalence of Helicobacter pylori in Five Largest Islands of Indonesia: A Preliminary Study. Ahmed N, editor. PLOS ONE. 2015 Nov 23; 10 (11): e0140186.
Cite This Article
  • APA Style

    Legese Lemma Zeme, Yohannes Beneberu, Girma Mulisa. (2022). Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia. Frontiers in Environmental Microbiology, 8(3), 46-54. https://doi.org/10.11648/j.fem.20220803.11

    Copy | Download

    ACS Style

    Legese Lemma Zeme; Yohannes Beneberu; Girma Mulisa. Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia. Front. Environ. Microbiol. 2022, 8(3), 46-54. doi: 10.11648/j.fem.20220803.11

    Copy | Download

    AMA Style

    Legese Lemma Zeme, Yohannes Beneberu, Girma Mulisa. Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia. Front Environ Microbiol. 2022;8(3):46-54. doi: 10.11648/j.fem.20220803.11

    Copy | Download

  • @article{10.11648/j.fem.20220803.11,
      author = {Legese Lemma Zeme and Yohannes Beneberu and Girma Mulisa},
      title = {Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia},
      journal = {Frontiers in Environmental Microbiology},
      volume = {8},
      number = {3},
      pages = {46-54},
      doi = {10.11648/j.fem.20220803.11},
      url = {https://doi.org/10.11648/j.fem.20220803.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.fem.20220803.11},
      abstract = {Approximately 4.4 billion people worldwide are estimated to be positive for H. pylori. In developing countries like Ethiopia supposed to be a high prevalence and exposure of H. pylori infection where bacterial transmission is facilitated by poor hygiene and sanitation conditions. In addition, many studies used serology rapid tests for the detection of H. pylori which have questionable performance in detecting acute infection. Thus this study aimed to determine Feco-prevalence and associated factors of H. pylori infection among adult dyspeptic patients attending public health centers at Adama Woreda, East Shoa zone, Oromia, Ethiopia from May to July 2021 by stool Antigen test. Methods: A cross-sectional study was conducted on 356 adult dyspeptic patients by using a systematic random sampling technique. Data on socio-demographic characteristics and potential associated factors of H. pylori infection were collected by a structured interviewer-administered questionnaire. H. pylori stool antigens were detected by Wondfo one-step H. pylori feces test kit according to the manufacturer`s instruction. Data entries were done by EPI info version 7 and analyzed using SPSS version 23.0. Binary and multiple logistic regressions were used to identify associated factors. Association between variables was considered statistically significant only if A two-sided P-value H. pylori infection among dyspeptic patient accounts 23.0% (95% CI: 19.1, 27.5). Among many possible factors unable to read and write [AOR]: 6.4 (1.9, 21.3)] and elementary educational status [AOR]: 4.2 (1.3, 13.19)], being blood group O [AOR]: 33.4 (5.9, 189.8)], drinking alcohol [AOR]: 6.4 (1.1, 36.6)], eating raw vegetables and fruit [AOR]: 6.2 (2.4, 15.7)] and not hand washing habit before a meal [AOR]: 24.5 (7.4, 81.6)] were a strong predictor of H. Pylori infection. Conclusion and recommendation; this study indicated overall H. pylori Feco-prevalence was found to be 23%. Among several possible factors unable to read and write, being in blood group O, drinking alcohol, and not hand washing habit before the meal were significant determinants of H. pylori. Therefore; we recommend improving personal and environmental sanitation including water to reduce the burden of this bacterium.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia
    AU  - Legese Lemma Zeme
    AU  - Yohannes Beneberu
    AU  - Girma Mulisa
    Y1  - 2022/08/10
    PY  - 2022
    N1  - https://doi.org/10.11648/j.fem.20220803.11
    DO  - 10.11648/j.fem.20220803.11
    T2  - Frontiers in Environmental Microbiology
    JF  - Frontiers in Environmental Microbiology
    JO  - Frontiers in Environmental Microbiology
    SP  - 46
    EP  - 54
    PB  - Science Publishing Group
    SN  - 2469-8067
    UR  - https://doi.org/10.11648/j.fem.20220803.11
    AB  - Approximately 4.4 billion people worldwide are estimated to be positive for H. pylori. In developing countries like Ethiopia supposed to be a high prevalence and exposure of H. pylori infection where bacterial transmission is facilitated by poor hygiene and sanitation conditions. In addition, many studies used serology rapid tests for the detection of H. pylori which have questionable performance in detecting acute infection. Thus this study aimed to determine Feco-prevalence and associated factors of H. pylori infection among adult dyspeptic patients attending public health centers at Adama Woreda, East Shoa zone, Oromia, Ethiopia from May to July 2021 by stool Antigen test. Methods: A cross-sectional study was conducted on 356 adult dyspeptic patients by using a systematic random sampling technique. Data on socio-demographic characteristics and potential associated factors of H. pylori infection were collected by a structured interviewer-administered questionnaire. H. pylori stool antigens were detected by Wondfo one-step H. pylori feces test kit according to the manufacturer`s instruction. Data entries were done by EPI info version 7 and analyzed using SPSS version 23.0. Binary and multiple logistic regressions were used to identify associated factors. Association between variables was considered statistically significant only if A two-sided P-value H. pylori infection among dyspeptic patient accounts 23.0% (95% CI: 19.1, 27.5). Among many possible factors unable to read and write [AOR]: 6.4 (1.9, 21.3)] and elementary educational status [AOR]: 4.2 (1.3, 13.19)], being blood group O [AOR]: 33.4 (5.9, 189.8)], drinking alcohol [AOR]: 6.4 (1.1, 36.6)], eating raw vegetables and fruit [AOR]: 6.2 (2.4, 15.7)] and not hand washing habit before a meal [AOR]: 24.5 (7.4, 81.6)] were a strong predictor of H. Pylori infection. Conclusion and recommendation; this study indicated overall H. pylori Feco-prevalence was found to be 23%. Among several possible factors unable to read and write, being in blood group O, drinking alcohol, and not hand washing habit before the meal were significant determinants of H. pylori. Therefore; we recommend improving personal and environmental sanitation including water to reduce the burden of this bacterium.
    VL  - 8
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Medical Laboratory, Adama Science and Technology University, Adama, Ethiopia

  • Department of Medical Laboratory, Rift Valley Hospital, Adama, Ethiopia

  • Department of Bio-medical Science, Adama Hospital Medical College, Adama, Ethiopia

  • Sections