Background. Helicobacter pylori (HP) infection is extremely common worldwide, with almost half of the world’s population infected. In Uganda, no study has been done on the trends of the prevalence of H. pylori infection in the affluent population. Therefore, this retrospective cross-sectional study aimed at determining the trend of H. pylori prevalence among affluent patients presenting with gastrointestinal (GIT) symptoms whose stool samples were tested at selected AAR clinics in Kampala area. Patients were tested for Helicobacter pylori infection using the stool antigen test between January 2015 and December 2019. Results. The overall 5-year H. pylori prevalence was 35.7% (1298/3634). The prevalence was higher in males (36.0% (736/2044)) than in females (35.4% (562/1590)), although not statistically significant (OR = 0.97, p = 0.680, 95% CI: 0.84–1.11). The prevalence of H. pylori infection was significantly higher (39.4%) among patients who belonged to the age group of 19–35 years (OR = 1.49, p < 0.001 , 95% CI: 1.22–1.82). The prevalence for H. pylori among the age group of 19–35, the most productive age, could be attributed to work-related factors such as stress. The highest prevalence (43.4%) was recorded in 2018 and the lowest (21.4%) in 2015; however, the trend of H. pylori infection in the 5 years was fluctuating. Conclusion. H. pylori infestation is a preserve of not only the poor but also the elites. Stressful factors, especially in the age group of 19–35 years, should be appropriately managed.
A survey was conducted at Wambizi slaughterhouse in Kampala City, Uganda, to ascertain the prevalence of Taenia species infection in pigs via serology, as well as the role of meat inspection in control of these parasitic conditions in carcasses of slaughtered pigs. A total of 620 pigs were sampled using simple random selection during three months. Individual pig data including sex, breed, district of origin, antemortem clinical signs and postmortem lesions were recorded. Blood samples were collected for serological assays. A questionnaire was used to capture perceptions of meat inspectors and pig traders on T. solium cysticercosis. Of the 620 pig inspected carcasses, only four were observed with T. solium cysts and none had T. hydatigena cysts. Up to 67 (10.8%) pigs tested positive by B158C11A10/B60H8A4 Ag-ELISA serology. Seroprevalences were significantly different between districts (χ2 = 45.98; p < 0.001) with pigs from the Eastern districts having the highest seroprevalence. The two meat inspectors at the slaughterhouse had knowledge of pork inspection protocol for Taenia spp. infections, although they did not follow it properly because of the high number of carcasses to be inspected daily. All the 15 traders interviewed had heard about porcine cysticercosis but only five had ever seen cystic pork. T. solium cysticercosis is still prevailing in pigs in Uganda. Meat inspection is not a reliable diagnostic tool for efficient detection of T. solium cysticercosis.
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