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Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Prevalence of helicobacter pylori infection among children living in a rural setting in Sub-Saharan Africa

Authors: Yaw Asante Awuku, David Larbi Simpong, Ishmael Kunateh Alhassan, Derek Anamaale Tuoyire, Taiba Afaa, Patrick Adu

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Helicobacter pylori infection affects more than half of the world’s population. It is generally acquired during childhood with no symptoms but has long- term clinical sequelae. This study estimated the prevalence of H. pylori infection amongst children in a rural environment in Africa.

Methods

We conducted a cross-sectional study over a four (4)-month period within two rural communities. 240 asymptomatic children were tested using lateral flow immunochromatographic assay for the qualitative detection of H. pylori antigen in a fecal specimen. Statistical analysis and processing was done using Stata version 11.

Results

The mean age of the participants was 10.5 ± 2.7 years with the predominant age range being 8–10 years (34.6%), and a mean household size of 7.1 ± 1.7. The study population showed a female preponderance of 57.1%. 88% of the H. pylori positive children lacked pipe and borehole drinking water. All of the positive H. pylori children practiced open-air defecation. The overall prevalence of H. pylori infection among children in this study was at least 14.2%.

Conclusion

Our study demonstrated a high prevalence of H. pylori infection among children in a rural setting. Educational status of parents did not affect H. pylori prevalence but increasing household numbers, female gender, source of drinking water other than pipe and borehole, open-air defecation and younger age were associated with a higher H. pylori prevalence.
Literature
1.
go back to reference Go MF. Review article: natural history and epidemiology of Helicobacter pylori infection. Aliment Pharmacol Ther. 2002;16(Suppl 1):3–15.CrossRefPubMed Go MF. Review article: natural history and epidemiology of Helicobacter pylori infection. Aliment Pharmacol Ther. 2002;16(Suppl 1):3–15.CrossRefPubMed
2.
go back to reference Cancer, I.A.f.R.o, International Agency for Research on Cancer Working Group on the Evaluation of Carcinogenic Risks to Humans., in Helicobacter pylori. Schistosomes, Liver Flukes and Helicobacter pylori. Lyon, France: International Agency for Research; 1994. p. 177–240. Cancer, I.A.f.R.o, International Agency for Research on Cancer Working Group on the Evaluation of Carcinogenic Risks to Humans., in Helicobacter pylori. Schistosomes, Liver Flukes and Helicobacter pylori. Lyon, France: International Agency for Research; 1994. p. 177–240.
3.
go back to reference Malaty HM, et al. Age at acquisition of Helicobacter pylori infection: a follow-up study from infancy to adulthood. Lancet. 2002;359(9310):931–5.CrossRefPubMed Malaty HM, et al. Age at acquisition of Helicobacter pylori infection: a follow-up study from infancy to adulthood. Lancet. 2002;359(9310):931–5.CrossRefPubMed
4.
go back to reference Parsonnet J, Shmuely H, Haggerty T. Fecal and oral shedding of Helicobacter pylori from healthy infected adults. JAMA. 1999;282(23):2240–5.CrossRefPubMed Parsonnet J, Shmuely H, Haggerty T. Fecal and oral shedding of Helicobacter pylori from healthy infected adults. JAMA. 1999;282(23):2240–5.CrossRefPubMed
5.
go back to reference Bittencourt PF, et al. Gastroduodenal peptic ulcer and Helicobacter pylori infection in children and adolescents. J Pediatr. 2006;82(5):325–34.CrossRef Bittencourt PF, et al. Gastroduodenal peptic ulcer and Helicobacter pylori infection in children and adolescents. J Pediatr. 2006;82(5):325–34.CrossRef
6.
go back to reference Agha A, Graham DY. Evidence-based examination of the African enigma in relation to Helicobacter pylori infection. Scand J Gastroenterol. 2005;40(5):523–9.CrossRefPubMed Agha A, Graham DY. Evidence-based examination of the African enigma in relation to Helicobacter pylori infection. Scand J Gastroenterol. 2005;40(5):523–9.CrossRefPubMed
7.
go back to reference Gasbarrini A, et al. Regression of autoimmune thrombocytopenia after eradication of Helicobacter pylori. Lancet. 1998;352(9131):878.CrossRefPubMed Gasbarrini A, et al. Regression of autoimmune thrombocytopenia after eradication of Helicobacter pylori. Lancet. 1998;352(9131):878.CrossRefPubMed
8.
go back to reference Franchini M, et al. Effect of Helicobacter pylori eradication on platelet count in idiopathic thrombocytopenic purpura: a systematic review and meta-analysis. J Antimicrob Chemother. 2007;60(2):237–46.CrossRefPubMed Franchini M, et al. Effect of Helicobacter pylori eradication on platelet count in idiopathic thrombocytopenic purpura: a systematic review and meta-analysis. J Antimicrob Chemother. 2007;60(2):237–46.CrossRefPubMed
9.
go back to reference Malaty HM, et al. Natural history of Helicobacter pylori infection in childhood: 12-year follow-up cohort study in a biracial community. Clin Infect Dis. 1999;28(2):279–82.CrossRefPubMed Malaty HM, et al. Natural history of Helicobacter pylori infection in childhood: 12-year follow-up cohort study in a biracial community. Clin Infect Dis. 1999;28(2):279–82.CrossRefPubMed
10.
go back to reference Pounder RE, Ng D. The prevalence of Helicobacter pylori infection in different countries. Aliment Pharmacol Ther. 1995;9(Suppl 2):33–9.PubMed Pounder RE, Ng D. The prevalence of Helicobacter pylori infection in different countries. Aliment Pharmacol Ther. 1995;9(Suppl 2):33–9.PubMed
11.
go back to reference Archampong TN, Asmah RH, Wiredu E, Gyasi RK, Nkrumah KN, Rajakumar K. Epidemiology of Helicobacter pylori infection in dyspeptic Ghanaian patients. Pan Afr Med J. 2015;20:178.PubMedPubMedCentral Archampong TN, Asmah RH, Wiredu E, Gyasi RK, Nkrumah KN, Rajakumar K. Epidemiology of Helicobacter pylori infection in dyspeptic Ghanaian patients. Pan Afr Med J. 2015;20:178.PubMedPubMedCentral
12.
go back to reference Megraud F, European Paediatric Task Force on Helicobacter pylori. Comparison of non-invasive tests to detect Helicobacter pylori infection in children and adolescents: results of a multicenter European study. J Pediatr. 2005;146(2):198–203.CrossRefPubMed Megraud F, European Paediatric Task Force on Helicobacter pylori. Comparison of non-invasive tests to detect Helicobacter pylori infection in children and adolescents: results of a multicenter European study. J Pediatr. 2005;146(2):198–203.CrossRefPubMed
13.
go back to reference Gisbert JP, Pajares JM. Stool antigen test for the diagnosis of Helicobacter pylori infection: a systematic review. Helicobacter. 2004;9(4):347–68.CrossRefPubMed Gisbert JP, Pajares JM. Stool antigen test for the diagnosis of Helicobacter pylori infection: a systematic review. Helicobacter. 2004;9(4):347–68.CrossRefPubMed
14.
go back to reference Segal I, Ally R, Mitchell H. Helicobacter pylori--an African perspective. QJM. 2001;94(10):561–5.CrossRefPubMed Segal I, Ally R, Mitchell H. Helicobacter pylori--an African perspective. QJM. 2001;94(10):561–5.CrossRefPubMed
15.
go back to reference Bourke B, et al. Canadian Helicobacter Study Group Consensus Conference: Update on the approach to Helicobacter pylori infection in children and adolescents--an evidence-based evaluation. Can J Gastroenterol. 2005;19(7):399–408.CrossRefPubMed Bourke B, et al. Canadian Helicobacter Study Group Consensus Conference: Update on the approach to Helicobacter pylori infection in children and adolescents--an evidence-based evaluation. Can J Gastroenterol. 2005;19(7):399–408.CrossRefPubMed
16.
go back to reference Perez-Perez GI, Rothenbacher D, Brenner H. Epidemiology of Helicobacter pylori infection. Helicobacter. 2004;9(Suppl 1):1–6.CrossRefPubMed Perez-Perez GI, Rothenbacher D, Brenner H. Epidemiology of Helicobacter pylori infection. Helicobacter. 2004;9(Suppl 1):1–6.CrossRefPubMed
18.
go back to reference Brown LM. Helicobacter pylori: epidemiology and routes of transmission. Epidemiol Rev. 2000;22(2):283–97.CrossRefPubMed Brown LM. Helicobacter pylori: epidemiology and routes of transmission. Epidemiol Rev. 2000;22(2):283–97.CrossRefPubMed
20.
go back to reference Weaver LT. Royal Society of Tropical Medicine and Hygiene Meeting at Manson House, London, 16 February 1995. Aspects of Helicobacter pylori infection in the developing and developed world. Helicobacter pylori infection, nutrition and growth of West African infants. Trans R Soc Trop Med Hyg. 1995;89(4):347–50.CrossRefPubMed Weaver LT. Royal Society of Tropical Medicine and Hygiene Meeting at Manson House, London, 16 February 1995. Aspects of Helicobacter pylori infection in the developing and developed world. Helicobacter pylori infection, nutrition and growth of West African infants. Trans R Soc Trop Med Hyg. 1995;89(4):347–50.CrossRefPubMed
21.
go back to reference Rothenbacher D, Brenner H. Burden of Helicobacter pylori and H. pylori-related diseases in developed countries: recent developments and future implications. Microbes Infect. 2003;5(8):693–703.CrossRefPubMed Rothenbacher D, Brenner H. Burden of Helicobacter pylori and H. pylori-related diseases in developed countries: recent developments and future implications. Microbes Infect. 2003;5(8):693–703.CrossRefPubMed
22.
go back to reference Bassily S, et al. Seroprevalence of Helicobacter pylori among Egyptian newborns and their mothers: a preliminary report. AmJTrop Med Hyg. 1999;61(1):37–40. Bassily S, et al. Seroprevalence of Helicobacter pylori among Egyptian newborns and their mothers: a preliminary report. AmJTrop Med Hyg. 1999;61(1):37–40.
23.
go back to reference Frenck RW Jr, et al. Sensitivity and specificity of various tests for the diagnosis of Helicobacter pylori in Egyptian children. Pediatrics. 2006;118(4):e1195–202.CrossRefPubMed Frenck RW Jr, et al. Sensitivity and specificity of various tests for the diagnosis of Helicobacter pylori in Egyptian children. Pediatrics. 2006;118(4):e1195–202.CrossRefPubMed
24.
go back to reference Abd El-Latif AM, Ali ASA, Abdel-Hady M, Borai MBM. Seroprevalence of Helicobacter Pylori in Secondary Immunocompromised Children. J Am Sci. 2011;7(9):592–5. Abd El-Latif AM, Ali ASA, Abdel-Hady M, Borai MBM. Seroprevalence of Helicobacter Pylori in Secondary Immunocompromised Children. J Am Sci. 2011;7(9):592–5.
25.
go back to reference de Martel C, Parsonnet J. Helicobacter pylori infection and gender: a meta-analysis of population-based prevalence surveys. Dig Dis Sci. 2006;51(12):2292–301.CrossRefPubMed de Martel C, Parsonnet J. Helicobacter pylori infection and gender: a meta-analysis of population-based prevalence surveys. Dig Dis Sci. 2006;51(12):2292–301.CrossRefPubMed
26.
go back to reference Woodward M, Morrison C, McColl K. An investigation into factors associated with Helicobacter pylori infection. J Clin Epidemiol. 2000;53(2):175–81.CrossRefPubMed Woodward M, Morrison C, McColl K. An investigation into factors associated with Helicobacter pylori infection. J Clin Epidemiol. 2000;53(2):175–81.CrossRefPubMed
27.
go back to reference Breuer T, et al. Prevalence of and risk factors for Helicobacter pylori infection in the western part of Germany. Eur J Gastroenterol Hepatol. 1996;8(1):47–52.CrossRefPubMed Breuer T, et al. Prevalence of and risk factors for Helicobacter pylori infection in the western part of Germany. Eur J Gastroenterol Hepatol. 1996;8(1):47–52.CrossRefPubMed
28.
go back to reference Cherian S, et al. The epidemiology of Helicobacter pylori infection in African refugee children resettled in Australia. Med J Aust. 2008;189(8):438–41.PubMed Cherian S, et al. The epidemiology of Helicobacter pylori infection in African refugee children resettled in Australia. Med J Aust. 2008;189(8):438–41.PubMed
29.
go back to reference Lopes AI, Vale FF, Oleastro M. Helicobacter pylori infection - recent developments in diagnosis. World J Gastroenterol. 2014;20(28):9299–313.PubMedPubMedCentral Lopes AI, Vale FF, Oleastro M. Helicobacter pylori infection - recent developments in diagnosis. World J Gastroenterol. 2014;20(28):9299–313.PubMedPubMedCentral
30.
go back to reference Darko R, et al. Changing Patterns of the Prevalence of Helicobacter Pylori Among Patients at a Corporate Hospital in Ghana. Ghana Med J. 2015;49(3):147–53.CrossRefPubMedPubMedCentral Darko R, et al. Changing Patterns of the Prevalence of Helicobacter Pylori Among Patients at a Corporate Hospital in Ghana. Ghana Med J. 2015;49(3):147–53.CrossRefPubMedPubMedCentral
32.
33.
go back to reference Mendall MA, et al. Childhood living conditions and Helicobacter pylori seropositivity in adult life. Lancet. 1992;339(8798):896–7.CrossRefPubMed Mendall MA, et al. Childhood living conditions and Helicobacter pylori seropositivity in adult life. Lancet. 1992;339(8798):896–7.CrossRefPubMed
34.
35.
go back to reference Banda K, et al. Water handling, sanitation and defecation practices in rural southern India: a knowledge, attitudes and practices study. Trans R Soc Trop Med Hyg. 2007;101(11):1124–30.CrossRefPubMed Banda K, et al. Water handling, sanitation and defecation practices in rural southern India: a knowledge, attitudes and practices study. Trans R Soc Trop Med Hyg. 2007;101(11):1124–30.CrossRefPubMed
36.
go back to reference Aziz RK, Khalifa MM, Sharaf RR. Contaminated water as a source of Helicobacter pylori infection: A review. J Adv Res. 2015;6(4):539–47.CrossRefPubMed Aziz RK, Khalifa MM, Sharaf RR. Contaminated water as a source of Helicobacter pylori infection: A review. J Adv Res. 2015;6(4):539–47.CrossRefPubMed
Metadata
Title
Prevalence of helicobacter pylori infection among children living in a rural setting in Sub-Saharan Africa
Authors
Yaw Asante Awuku
David Larbi Simpong
Ishmael Kunateh Alhassan
Derek Anamaale Tuoyire
Taiba Afaa
Patrick Adu
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4274-z

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