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Sero - Prevalence of Helicobacter Pylori in HIV Positive Patients and HIV Negative Controls in St. Paul’s General Specialized Hospital, Addis Ababa, Ethiopia

Received: 7 September 2015    Accepted: 21 September 2015    Published: 17 August 2016
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Abstract

Background. Helicobacter pylori (H. pylori) is recognized as a major human pathogen. Clinical symptoms associated with H. pylori infection have been reported in patients with human immunodeficiency virus (HIV). A high, normal, and a lower sero - prevalence of H. pylori infection in HIV positive patients than negative controls was found in different studies. The aim of this study was to assess the sero - prevalence of H. pylori infection in HIV positive patients and negative controls and determine the impact of CD4 cell count in patients with H. pylori in St. Paul’s General Specialized Hospital in Addis Ababa, Ethiopia. Methods. A comparative cross sectional study was conducted in HIV positive patients and controls with gastrointestinal symptoms using Serology test kit (ACON® H. pylori, USA). All individuals who came to Voluntary Counselling and Testing and Anti - Retroviral Therapy to the Out Patient Department of the hospital were examined for complaints of dyspepsia and those with the complaint were tested for H. pylori. Results. Of the 106 HIV positive subjects, 68 (64.2%) were positive for anti - H. pylori IgG antibodies; and of the 106 HIV negative controls, 52 (49.1%) were positive for anti - H. pylori IgG antibodies (p=0.037). There was no significant difference of H. pylori seroprevalence between relatively higher and lower CD4 cell counts in the HIV positive cases (p>0.05). Conclusion. A significantly higher seroprevalence of H. pylori was demonstrated in the HIV positive subjects. There was no significant difference in the prevalence of H. pylori between different CD4+ cell counts in the HIV positive study group.

Published in Science Journal of Public Health (Volume 4, Issue 5)
DOI 10.11648/j.sjph.20160405.14
Page(s) 387-393
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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

Helicobacter Pylori, Sero - Prevalence, HIV, CD4 Count, Dyspepsia

References
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[4] Tadege T., Mengistu Y., Desta K., Asrat D. (2005). Seroprevalence of Helicobacter pylori Infection in and its Relationship with ABO Blood Groups. Ethiop.J. Health Dev. 19 (1): 55-59.
[5] Daniel T. Nevin, Christopher J. Morgan, David Y. Graham, Robert M. Genta. (2014). Helicobacter pylori Gastritis in HIV-Infected Patients: A Review. Helicobacter 19: 323–329.
[6] Romanelli F., Smith KM. and Murphy B. S. (2007). Does HIV Infection Alter the Incidence or Pathology of Helicobacter pylori Infection? AIDS patient care and STDs. 21 (12): 908-19.
[7] Marano BJ Jr., Smith F. and Bonauno C. A. (1993). Helicobacter pylori prevalence in acquired immunodeficiency syndrome. Am.J.Gastroenterology. 88: 687-690.
[8] Mach T, Skwara P, Biesiada G, Cieśla A, Macura A. (2007). Morphological changes of the upper gastrointestinal tract mucosa and Helicobacter pylori infection in HIV-positive patients with severe immunodeficiency and symptoms of dyspepsia. Med Sci Monit. 13 (1): CR14-9).
[9] Lichterfeld M., Lorenz C., Nischalke H D., Scheurlen Ch., Sauerbruch T., Rockstroh J K. (2002). Decreased Prevalence of Helicobacter pylori Infection in HIV Patients with AIDS defining Diseases. Z Gastroenterol. 40 (1): 11-14.
[10] Panos GZ., Xirouchakis E., Tzias V., Charatsis G., Bliziotis IA., Doulgeroglou V., Margetis N., Falagas ME. (2007). Helicobacter pylori infection in symptomatic HIV-seropositive and seronegative patients: a case-control study. AIDS Res Hum Retroviruses. 23 (5): 709-12.
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[12] Alimohamed F., Lule N., Nyong'o A., Bwayo J; Rana FS. (2002). Prevalence of Helicobacter pylori and endoscopic findings in HIV seropositive patients with upper gastrointestinal tract symptoms at Kenyatta National Hospital, Nairobi. East African Medical journal. 79: 5, 226-231.
[13] Nielsen H., Andersen LP. (2009). Sero-diagnosis of Helicobacter pylori infection in patients with human immunodeficiency virus infection. APMIS. 103, 7-8: 689–692.
[14] Francis N D., Logan R P H., Walker MM., Polson RJ., Boylston A W., Pinching A J., Harris J R W., Baron J H. (1990). Campylobacter pylori in the upper gastrointestinal tract of patients with HIV-1 infection. J Clin Pathol. 43: 60-62.
[15] Luo HB., Hu ZW., Guo JW., (2009). Helicobacter pylori infection in the gastric mucosa of patients with HIV/AIDS in different clinical stages. Journal of southern medical university. 29 (7): 1397-9.
[16] Brenchley JM. and Douek DC (2008). HIV infection and the gastrointestinal immune system. Mucosal Immunol.1: 23–30.
[17] Abbott TC. Prevalence of Helicobacter pylori and its relation to cytotoxin-associated gene A status in HIV positive and negative haematology patients. http://etd.uovs.ac.za/ETD-db//theses/available/etd-09042009-110536/unrestricted/AbbottTC.pdf (2007) (accessedon 4SEP2010).
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  • APA Style

    Brhanu Teka, Solomon Gebre - Selassie, Tamrat Abebe. (2016). Sero - Prevalence of Helicobacter Pylori in HIV Positive Patients and HIV Negative Controls in St. Paul’s General Specialized Hospital, Addis Ababa, Ethiopia. Science Journal of Public Health, 4(5), 387-393. https://doi.org/10.11648/j.sjph.20160405.14

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    ACS Style

    Brhanu Teka; Solomon Gebre - Selassie; Tamrat Abebe. Sero - Prevalence of Helicobacter Pylori in HIV Positive Patients and HIV Negative Controls in St. Paul’s General Specialized Hospital, Addis Ababa, Ethiopia. Sci. J. Public Health 2016, 4(5), 387-393. doi: 10.11648/j.sjph.20160405.14

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    AMA Style

    Brhanu Teka, Solomon Gebre - Selassie, Tamrat Abebe. Sero - Prevalence of Helicobacter Pylori in HIV Positive Patients and HIV Negative Controls in St. Paul’s General Specialized Hospital, Addis Ababa, Ethiopia. Sci J Public Health. 2016;4(5):387-393. doi: 10.11648/j.sjph.20160405.14

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  • @article{10.11648/j.sjph.20160405.14,
      author = {Brhanu Teka and Solomon Gebre - Selassie and Tamrat Abebe},
      title = {Sero - Prevalence of Helicobacter Pylori in HIV Positive Patients and HIV Negative Controls in St. Paul’s General Specialized Hospital, Addis Ababa, Ethiopia},
      journal = {Science Journal of Public Health},
      volume = {4},
      number = {5},
      pages = {387-393},
      doi = {10.11648/j.sjph.20160405.14},
      url = {https://doi.org/10.11648/j.sjph.20160405.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160405.14},
      abstract = {Background. Helicobacter pylori (H. pylori) is recognized as a major human pathogen. Clinical symptoms associated with H. pylori infection have been reported in patients with human immunodeficiency virus (HIV). A high, normal, and a lower sero - prevalence of H. pylori infection in HIV positive patients than negative controls was found in different studies. The aim of this study was to assess the sero - prevalence of H. pylori infection in HIV positive patients and negative controls and determine the impact of CD4 cell count in patients with H. pylori in St. Paul’s General Specialized Hospital in Addis Ababa, Ethiopia. Methods. A comparative cross sectional study was conducted in HIV positive patients and controls with gastrointestinal symptoms using Serology test kit (ACON® H. pylori, USA). All individuals who came to Voluntary Counselling and Testing and Anti - Retroviral Therapy to the Out Patient Department of the hospital were examined for complaints of dyspepsia and those with the complaint were tested for H. pylori. Results. Of the 106 HIV positive subjects, 68 (64.2%) were positive for anti - H. pylori IgG antibodies; and of the 106 HIV negative controls, 52 (49.1%) were positive for anti - H. pylori IgG antibodies (p=0.037). There was no significant difference of H. pylori seroprevalence between relatively higher and lower CD4 cell counts in the HIV positive cases (p>0.05). Conclusion. A significantly higher seroprevalence of H. pylori was demonstrated in the HIV positive subjects. There was no significant difference in the prevalence of H. pylori between different CD4+ cell counts in the HIV positive study group.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Sero - Prevalence of Helicobacter Pylori in HIV Positive Patients and HIV Negative Controls in St. Paul’s General Specialized Hospital, Addis Ababa, Ethiopia
    AU  - Brhanu Teka
    AU  - Solomon Gebre - Selassie
    AU  - Tamrat Abebe
    Y1  - 2016/08/17
    PY  - 2016
    N1  - https://doi.org/10.11648/j.sjph.20160405.14
    DO  - 10.11648/j.sjph.20160405.14
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 387
    EP  - 393
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20160405.14
    AB  - Background. Helicobacter pylori (H. pylori) is recognized as a major human pathogen. Clinical symptoms associated with H. pylori infection have been reported in patients with human immunodeficiency virus (HIV). A high, normal, and a lower sero - prevalence of H. pylori infection in HIV positive patients than negative controls was found in different studies. The aim of this study was to assess the sero - prevalence of H. pylori infection in HIV positive patients and negative controls and determine the impact of CD4 cell count in patients with H. pylori in St. Paul’s General Specialized Hospital in Addis Ababa, Ethiopia. Methods. A comparative cross sectional study was conducted in HIV positive patients and controls with gastrointestinal symptoms using Serology test kit (ACON® H. pylori, USA). All individuals who came to Voluntary Counselling and Testing and Anti - Retroviral Therapy to the Out Patient Department of the hospital were examined for complaints of dyspepsia and those with the complaint were tested for H. pylori. Results. Of the 106 HIV positive subjects, 68 (64.2%) were positive for anti - H. pylori IgG antibodies; and of the 106 HIV negative controls, 52 (49.1%) were positive for anti - H. pylori IgG antibodies (p=0.037). There was no significant difference of H. pylori seroprevalence between relatively higher and lower CD4 cell counts in the HIV positive cases (p>0.05). Conclusion. A significantly higher seroprevalence of H. pylori was demonstrated in the HIV positive subjects. There was no significant difference in the prevalence of H. pylori between different CD4+ cell counts in the HIV positive study group.
    VL  - 4
    IS  - 5
    ER  - 

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Author Information
  • Department of Microbiology, Immunology and Parasitology, Addis Ababa University, Addis Ababa, Ethiopia

  • Department of Microbiology, Immunology and Parasitology, Addis Ababa University, Addis Ababa, Ethiopia

  • Department of Microbiology, Immunology and Parasitology, Addis Ababa University, Addis Ababa, Ethiopia

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