Upper socioeconomic status is associated with lower Helicobacter pylori infection rate among patients undergoing gastroscopy

被引:11
作者
Attila, Tan [1 ,2 ]
Zeybel, Mujdat [1 ]
Yigit, Yesim Esen [3 ]
Baran, Bulent [1 ]
Ahishali, Emel [1 ]
Alper, Emrah [1 ]
Aslan, Fatih [1 ]
Ergonul, Onder [4 ]
Mungan, Zeynel [2 ]
机构
[1] Koc Univ, Sch Med, Div Gastroenterol & Hepatol, Istanbul, Turkey
[2] Amer Hosp, Div Gastroenterol & Hepatol, Istanbul, Turkey
[3] Koc Univ, Sch Med, Istanbul, Turkey
[4] Koc Univ, Div Infect Dis, Istanbul, Turkey
关键词
Helicobacter pylori; infection; prevalence; PREVALENCE;
D O I
10.3855/jidc.11877
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Introduction: Socioeconomic factors play an important role in the prevalence of Helicobacter pylori (HP) infection. The aim of this study is to investigate HP prevalence among symptomatic patients in the upper socioeconomic segment of the population undergoing gastroscopy in an endemic urban region. Methodology: Over a 12-month period, data were collected from the first consecutive 1000 patients (500 from university hospital, 500 from community hospital) who had gastroscopy and HP evaluation. Results: Overall, 211/1000 patients (21.1 %) were found to have HP in gastric biopsies. The specificity, sensitivity, positive predictive value, negative predictive value and diagnostic accuracy of rapid urease test were 87.5%, 99.7%, 99%, 96.5%, and 96.9% respectively. Atrophic gastritis, gastric and duodenal ulcers were significantly more common in HP positive patients. Age based distribution of HP prevalence: > 6 decades (15.5%), 3rd-5th decades (26.1%), < 3rd decades (10.4%). Conclusion: In an HP endemic country, the prevalence of HP infection among symptomatic patients belonging to the upper socioeconomic segment of the population appears to be markedly lower. The lowest prevalence in young patients is expected to result in future decrease in HP prevalence.
引用
收藏
页码:298 / 303
页数:6
相关论文
共 21 条
[1]   INTERNATIONAL HEALTH CARE SYSTEMS Transforming Turkey's Health System - Lessons for Universal Coverage [J].
Atun, Rifat .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (14) :1285-1289
[2]   Epidemiological features of Helicobacter pylori infection in developing countries [J].
Bardhan, PK .
CLINICAL INFECTIOUS DISEASES, 1997, 25 (05) :973-978
[3]   The Prevalence of Helicobacter pylori Infection Decreases with Older Age in Atrophic Gastritis [J].
Chen, Shaohua ;
Ying, Lixiong ;
Kong, Mei ;
Zhang, Yu ;
Li, Youming .
GASTROENTEROLOGY RESEARCH AND PRACTICE, 2013, 2013
[4]   Healthcare in overview of Turkey [J].
Dundar, Munis ;
Uzak, Asli Subasioglu ;
Karabulut, Yesim .
EPMA JOURNAL, 2010, 1 (04) :587-594
[5]  
Eslick GD, 1999, AM J GASTROENTEROL, V94, P2373, DOI 10.1111/j.1572-0241.1999.01360.x
[6]   Burden of disease from Helicobacter pylori infection in western Canadian Arctic communities [J].
Fagan-Garcia, Katharine ;
Geary, Janis ;
Chang, Hsiu-Ju ;
McAlpine, Laura ;
Walker, Emily ;
Colquhoun, Amy ;
van Zanten, Sander Veldhuyzen ;
Girgis, Safwat ;
Archie, Billy ;
Hanley, Brendan ;
Corriveau, Andre ;
Morse, John ;
Munday, Rachel ;
Goodman, Karen J. .
BMC PUBLIC HEALTH, 2019, 19 (1)
[7]   Resistance to clarithromycin and genotypes in Helicobacter pylori strains isolated in Sicily [J].
Fasciana, Teresa ;
Cala, Cinzia ;
Bonura, Celestino ;
Di Carlo, Enza ;
Matranga, Domenica ;
Scarpulla, Giuseppe ;
Manganaro, Michele ;
Camilleri, Salvatore ;
Giammanco, Anna .
JOURNAL OF MEDICAL MICROBIOLOGY, 2015, 64 :1408-1414
[8]   Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis [J].
Hooi, James K. Y. ;
Lai, Wan Ying ;
Ng, Wee Khoon ;
Suen, Michael M. Y. ;
Underwood, Fox E. ;
Tanyingoh, Divine ;
Malfertheiner, Peter ;
Graham, David Y. ;
Wong, Vincent W. S. ;
Wu, Justin C. Y. ;
Chan, Francis K. L. ;
Sung, Joseph J. Y. ;
Kaplan, Gilaad G. ;
Ng, Siew C. .
GASTROENTEROLOGY, 2017, 153 (02) :420-429
[9]   Downward trend in the prevalence of Helicobacter pylori infections and corresponding frequent upper gastrointestinal diseases profile changes in Southeastern China between 2003 and 2012 [J].
Jiang, Jian-Xia ;
Liu, Qing ;
Mao, Xin-Yi ;
Zhang, Hai-Han ;
Zhang, Guo-Xin ;
Xu, Shun-Fu .
SPRINGERPLUS, 2016, 5
[10]  
Kim Su Young, 2015, World J Gastrointest Pharmacol Ther, V6, P183, DOI 10.4292/wjgpt.v6.i4.183