Background: More than half of the world's population is influenced by Helicobacter pylori infection. The infection is commonly obtained during childhood but may stay asymptomatic, with long-term clinical consequences such as gastritis, peptic ulcer illness, and stomach cancer. Objective: To determine the prevalence rate of Helicobacter pylori infection and related variables such as age, gender, residency, blood group, Rhesus factors and previous infection among patients presenting with gastroduodenal disorders in Erbil city. Patients and Methods: Out of 240 blood samples from patients with gastroduodenal disorders admitted to Rzgary Teaching Hospital in Erbil, Iraq from July to August 2019 were collected and screened for anti-Helicobacter pylori antibodies by rapid immunochromatographic assay, and blood groups of patients were determined by using hemagglutination test. For each study subject, a questionnaire sheet was prepared and used. Results: The overall prevalence rate of Helicobacter pylori infection among 240 patients with gastroduodenal disorders was 128 (53.3%). A significant relationship between Helicobacter pylori infection and gender (male 43.75% and female 59.72%) was recorded (P<0.05). The highest rate of Helicobacter pylori infection was founded among the age group over 50 years, but there were no significant differences between them (P>0.05). Prevalence was significantly higher among rural areas (60.4%) than the urban areas (48.6%) (P<0.05). There was a significant association between Helicobacter pylori infection and ABO blood group phenotypes (P<0.05), but there is no significant association between Helicobacter pylori infection and the type of Rhesus factor (P>0.05). Prevalence was significantly higher among the previous infection (78.5%) than non-previous infection (23.6%) (P<0.05). Conclusion: We found that in Erbil city, the seropositivity of anti-Helicobacter pylori antibody was high among patients with the gastroduodenal disorder. The high prevalence of Helicobacter pylori was founded in the women, elderly, rural area, O blood group, positive Rhesus factor and patients with the previous infection.
Helicobacter pylori is a significant pathogen of the gastrointestinal tract infection connected with gastritis, peptic ulcers, and gastric carcinoma. Its infection influence more than half of the world’s inhabitants. This study aims to reveal the prevalence rate of H. pylori infection among patients with gastroenteritis and to investigate the risk factors such as age, gender, residency, blood group and rhesus factors related to this infection in Erbil city. Of 300 stool specimens from patients presenting with gastroenteritis who were admitted to Rizgary Teaching Hospital, Erbil, Iraq, from September 2018 to February 2019 were collected and screened for the presence of H. pylori antigens using rapid immunochromatographic assay (Camp Medica Group, Bucharest, Romania). A questionnaire sheet was prepared and used for each study subject. Of 300 samples examined, H. pylori were detected in 79 samples (26.33%). The highest rate of H. pylori infection was founded among the age group 21–30 years, but there were no significant differences between them (P > 0.05). A significant relationship between H. pylori infection and gender (male 19.05% and female 33.33%) was recorded (P < 0.05). There was a significant association between H. pylori infection and ABO blood group among patients (P < 0.05), but there is no significant association between H. pylori infection and the type of rhesus factor (P > 0.05) that H. pylori infection was higher in rhesus factor negative compared to rhesus factor positive. The prevalence was significantly higher among rural area (55.56%) than urban area (23.44%) (P < 0.05). We concluded that the spread of H. pylori positive rate was high among patients with gastroenteritis in Erbil city. The great prevalence of H. pylori was founded in the patients with O blood group, urban area, and females. There was no significant association between H. pylori infection and age groups and rhesus factor.
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