Detection of Helicobacterpylori Antigens among Patients with Gastroenteritis in Erbil City, Iraq

Authors

  • Pshtewan D. Majeed Department of Nursing, Erbil Medical Technical Institute ,Erbil Polytechnic University ,Erbil, Kurdistan Region, Iraq
  • karim J. Saleh Department of Nursing, Erbil Medical Technical Institute ,Erbil Polytechnic University ,Erbil, Kurdistan Region, Iraq
  • Hussein M. Abdullah Department of Nursing, Erbil Medical Technical Institute ,Erbil Polytechnic University ,Erbil, Kurdistan Region, Iraq

DOI:

https://doi.org/10.25156/ptj.v9n2y2019.pp138-143

Keywords:

Detection, Helicobacter pylori, Gastroenteritis, Immunochromatographic assay, Erbil city

Abstract

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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References

Abdul Razaq, A. A., C. I. Ali Pambuk and Y. J. Salman. 2017. Role of Helicobacter pylori in gastro-intestinal tract disorders (GITDs) among patients in Kirkuk city, Iraq. Biosci. Biotech. Res. Asia. 14(3): 1159-1164.

Abdulridha, M. K. 2013. The Relationship between ABO blood group distribution and the incidence of upper gastric and duodenal ulcer in Iraqi patients. Iraqi J. Pharm. Sci. 22(1): 97-103.

Abu-Sbeih, R. S., A. D. Hawari, D. S. Hassawi and H. I. Al-Daghistani. 2014. Isolation and detection of Helicobacter pylori from patients suffering from peptic ulcer using biochemical tests and molecular techniques. Am. J. Biochem. Biotechnol. 10(1): 58-68.

Aitila, P., M. Mutyaba, S. Okeny, M. N. Kasule, R. Kasule, F. Ssedyabane, B. Okongo, R. O. Apecu, E. Muwanguzi and

C. Oyet. 2019. Prevalence and risk factors of Helicobacter pylori infection among children aged 1 to 15 years at holy innocents children’s hospital, Mbarara, South Western Uganda. J. Trop. Med. 2019: 6.

Akeel, M., E. Elmakki, A. Shehata, A. Elhafey, T. Aboshouk, H. Ageely and M. S. Mahfouz. 2018. Prevalence and factors associated with H. pylori infection in Saudi patients with dyspepsia. Electron. Physician. 10(9): 7279-7286.

Al-Mashhadany, D. A. 2018. Application of stool antigen test for monitoring Helicobacter pylori among human in Erbil governorate, Kurdistan region/Iraq. Int. J. Pharm. Pharm. Sci. 10(11): 49-53.

Al-Mashhadany, D. A. and S. M. Mayass. 2018. Prevalence of Helicobacter pylori in Human in Dhamar governorate/Yemen. J. Med. Pharm. Sci. Issue. 1(2): 1-18.

Alhashimi, R. A. H., R. K. A. Alsaad, H. S. Q. Alhilfi and S. M. J. Althaalibi. 2017. Helicobacter Pylori infection, epidemiology, endoscopic findings and associated socio-demographic factors in uninvestigated dyspepsia in the people of Misan, Iraq. J. Gastrointest. Disord. Liver Func. 3(2): 109-113.

Alhussaini, M. S. 2016. Prevalence of Helicobacter pylori among patients with different gastrointestinal disorders in Saudi Arabia. Med. J. Indones. 25(4): 214-220.

Ali, A. J. 2018. Prevalence of Helicobacter pylori infection in patients complaining of epigastric pain and dyspepsia, Mosul, Iraq. Sci. J. Med. Res. 2(8): 187-188.

Alim, A., M. Ataş, T. Güneş, S. Özkan and N. Dündar. 2010. Comparison of antigen and antibody detection tests used for diagnosing the Helicobacter pylori infection in symptomatic patients. Basic Clin. Sci. 1(4): 61-70.

Al-Jubori, S. S., I. M. S. Al-Kademy, M. R. Ali and A. S. M. Ali. 2016. Occur-rence of Helicobacter pylori among Iraqi patients with suspected gastric ulcer: Histopatological study for gastric mucosal biopsies. Adv. Environ. Biol. 10(7): 224-230.

Al-Mashhadany, D. A., L. Q. Ismael and A. M. Zaki. 2018. Seroprevalence of Helicobacter pylori among human in Erbil governorate, Kurdistan region, Iraq. Res. J. Life Bioinform. Pharm. Chem. Sci. 4(2): 268-280.

Al-Mossawei, M. T., W. H. Rzooqi and S. Abdulrazzaq. 2016. Detection of Helicobacter pylori IgG and IgM antibodies in Iraqi dyspeptic patients. J. Biotechnol. Res. Center. 10(1): 5-9.

Al-Sabary, A. H., M. S. A. Razzaq and M. A. WTWT. 2017. Genotyping of Helicobacter pylori isolated from Iraqi patient with upper gastrointestinal disease. J. Glob. Pharm. Technol. 09(9): 121-127.

Alsamarai, A. M., F. Thegeal and A. H. A. Alobaidi. 2017. Frequency of biomarkers positivity in Iraqi subject with gastritis. Sci. Int. 5(2): 68-83.

Al-Windi, A., A. H. Hussain and N. Salih. 2013. Seroprevalence of anti-Helicobacter pylori antibodies in population of Sulaimani governorate/Kurdistan region/Iraq. J. Zankoy Sulaimani A. 15(3): 175-185.

Amer, A. N., J. G. Hassan and I. E. Al-Saimary. 2014. Is Helicobacter pylori infections in immunocompromised children a risk factor for cancer? Med. J. Islam. World Acad. Sci. 22(1): 36-41.

Ansari, S., R. Gautam, H. P. Nepal, S. N. Subedi, S. Shrestha, F. Mandal, B. Rimal and M. R. Chhetri. 2016. Helicobacter pylori colonization in Nepal; assessment of prevalence and potential risk factors in a hospitalbased patient cohort. BMC Res. Notes. 9: 59.

Awuku, Y. A., D. L. Simpong, I. K. Alhassan, D. A. Tuoyire, T. Afaa and P. Adu. 2017. Prevalence of Helicobacter pylori infection among children living in a rural setting in Sub-Saharan Africa. BMC Public Health. 17(1): 360-365.

Ayodele, M. B. O., U. U. Aaron, G. A. Oluwatayo and K. T. Wariso. 2018. Prevalence of Helicobacter pylori infection among suspected peptic ulcer patients in Port Harcourt, South-South, Nigeria. Gaz. Med. 6(1): 602-608.

Aziz, F., X. Chen, X. Yang and Q. Yan. 2014. Prevalence and correlation with clinical diseases of Helicobacter pylori cagA and vacA genotype among gastric patients from Northeast China. Biomed. Res. Int. 2014: 7.

Baqir, G. K., A. Al-Sulami and S. S. Hamadi. 2016. Relationship between ABO blood groups and Helicobacter pylori infection among patients with dyspepsia. J. Virol. Microbiol. 2016: 1-9.

Bello, A. K., A. B. Umar and M. M. Borodo. 2018. Prevalence and risk factors for Helicobacter Pylori infection in gastroduodenal diseases in Kano, Nigeria. Afr. J. Med. Health. Sci. 17(1): 41-46.

Christian, S. G., E. M. Eze and J. E. Essor. 2018. ABO, Rhesus blood groups and hemoglobin variants distribution among individuals with Helicobacter pylori in Igwuruta-Ali, rivers state. J. Adva. Med. Med. Res. 28(10): 1-8.

Dhakal, O. P. and M. Dhakal. 2018. Prevalence of Helicobacter pylori infection and pattern of gastrointestinal involvement in patients undergoing upper gastrointestinal endoscopy in Sikkim. Indian J. Med. Res. 147(5): 517-520.

Gutef, E. H. 2016. Prevalence of Helicobacter pylori infection with peptic ulcer diseases in Iraqi patients. EJPMR. 3(4): 479-482.

Haggag, Y. N., H. A. Samaha, M. A. Nossair and S. A. Al Aswally. 2016. Epidemiological studies on Helicobacter pylori in some animals and humans. AJVS. 51(2): 275-281.

Hussen, B. M., S. S. Qader, H. F. Ahmed and S. H. Ahmed. 2013. The prevalence of Helicobacter pylori among university students in Iraq. Indian J. Sci. Technol. 6(8): 5019-5023.

Hwaid, A. H., A. S. Hasan, A. A. Al-Duliami and M. F. Al-Marjani. 2013. Seroprevalence of Helicobacter pylori infection and its relation to Abo/rhesus blood groups in Diyala, Iraq. Int. J. Curr. Res. 5(12): 4268-4271.

Jaff, M. S. 2011. Relation between ABO blood groups and Helicobacter pylori infection in symptomatic patients. Clin. Exp. Gastroenterol. 4: 221-226.

Jaka, H., M. F. Mushi, M. M. Mirambo, L. Wilson, J. Seni, M. Mtebe and S. E. Mshana. 2016. Sero-prevalence and associated factors of Helicobacter pylori infection among adult patients with dyspepsia attending the gastroenterology unit in a tertiary hospital in Mwanza, Tanzania. Afr. Health Sci. 16(3): 684-689.

Karima, T. M., S. Z. Bukhari, M. A. Ghais, M. I. Fatani and W. M. Hussain. 2006. Prevalence of Helicobacter pylori infection in patients with peptic ulcer diseases. Saudi Med. J. 27(5): 621-626.

Kouitcheu, M. L. B., N. M. L. Noundjeu and H. Leundji. 2018. Potential risk factors and prevalence of Helicobacter pylori infection among adult patients with dyspepsia symptoms in Cameroon. BMC Infect. Dis. 18(1): 278-299.

Kutaif, R. H., M. K. Abdulridha, Y. M. Kamal and A. A. Najeeb. 2017. Evaluation of H. pylori-eradication triple therapy in Iraqi peptic ulcer patients according to ABO phenotypes: A new study. UK J. Pharm. Biosci. 5(4): 12-22.

Miftahussurur, M. and Y. Yamaoka. 2016. Diagnostic Methods of Helicobacter pylori infection for epidemiological studies: Critical importance of indirect test validation. Biomed Res. Int. 24: 1-14.

Mohamed, H. K., K. S. Sarkis and H. I. Awatif. 2010. Isolation of CagA and VacA genes from H. pylori infected patients with various gastroduodenal lesions. Bas. J. Surg. 16(1): 31-38.

Mohammed, M. O., H. H. Bayz and F. B. Maarouf. 2017. Clinical, endoscopic and urea breath test among dyspeptic patients referred to Kurdistan center for gastroenterology and hepatology in sulaimani. Kurdistan J. Appl. Res. 2(2): 89-95.

Mojarrad, R. and A. Chow. 2017. Case of H. Pylori in a patient with chronic diarrhea. Proc. UCLA Health. 21(1): 1-2.

Muhemmed, F. R. and K. B. Mohammed. 2016. Association of chronic urticaria with Helicobacter pylori infection in Erbil: A case-control study. Zanco J. Med. Sci. 20(2): 1376-1384.

Nawaz, R. M., S. Shams, A. Khan, H. Hassan, M. Shah and A. S. Gul. 2018. Frequency distribution and risk factors of Helicobacter pylori infection in patients with gastric problems in Mardan Pakistan. Biomed J. Sci. Tech. Res.

(1): 2-5.

Niknam, R., M. Seddigh, M. Fattahi, A. Dehghanian and L. Mahmoudi. 2014. Prevalence of Helicobacter pylori in patients with dyspepsia. Jundishapur J. Microbiol. 7(10): e12676.

Omosor, K. I., O. H. Omosor, B. I. G. Adejumo, I. N. Ibeh and U. Dimkpa. 2018. Comparative evaluation of stool antigen immunoassay and blood antibody test methods for the screening of Helicobacter pylori infection in asymptomatic adult population in Delta State, Nigeria. J. Mol. Microbiol. 2(1): 3-9.

Paull, B., S. Adimoolam, M. J. Quereshi and J. J. Eva. 2017. Current status of H. pylori infection treatment 2017. J. Appl. Pharm. Sci. 7(10): 190-195.

Qibi, E. M. and Z. A. Abdulla. 2008. Detection of Helicobacter pylori infection in dyspeptic patients by different sero-bacteriological methods. Qatar Med. J. 17(2): 17-21.

Reiisi, S., H. Shahi, S. Shahi and M. S. Damavandi. 2017. Determination of ABO/Rh blood group, sex and age with

severity of Helicobacter pylori infection in Iranian gastrointestinal patients. Iran. J. Med. Microbiol. 11(2): 81-86.

Samson, E. S., O. J. Okeleke, A. Y. Richard, F. T. Gideon, A. L. Olutoyosi and O. Damilola. 2018. Screening for Helicobacter pylori infection among undergraduate students of a tertiary institution using serum antibody and stool antigen detection methods. Biomed. J. Sci. Tech. Res. 3(2): 1-10.

Shaldoum, F. M. 2015. Helicobacter pylori and Egyptian blood group types. Curr. Sci. Int. 4(4): 714-723.

Tawfeeq, W. F., M. F. Ibraheem and Z. G. Kadhem. 2013. Clinicoepidemiological study of peptic ulcer disease among children in three tertiary health care centres in Baghdad. Iraqi J. Med. Sci. 11(4): 381-387.

Tdege, T., Y. Mengistu, K. Desta and D. Asrat. 2005. Seroprevalence of Helicobacter pylori infection in and its relationship with ABO blood groups. Ethiop. J. Health Dev. 19(1): 55-60.

Tsongo, L., J. Nakavuma, C. Mugasa and E. Kamalha. 2015. Helicobacter pylori among patients with symptoms of

gastroduodenal ulcer disease in rural Uganda. Infect. Ecol. Epidemiol. 5: 26785.

Yahya, N. B. 2018. Helicobacter pylori seropositivity among children in Duhok city, Iraq. Sci. J. Univ. Zakho. 6(3): 82-84.

Zaidi, S. F. 2016. Helicobacter pylori associated Asian enigma: Does diet deserve distinction? World J. Gastrointest. Oncol. 8(4): 341-350.

Zhubi, B., Z. Baruti-Gafurri, Y. Mekaj, M. Zhubi, I. Merovci, I. Bunjaku, V. Topciu and E. Devoli-Disha. 2011. Helicobacter pylori infection according to ABO blood group among blood donors in Kosovo. J. Health Sci. 1(2): 83-89.

Published

2019-12-01

How to Cite

Majeed, P. D., Saleh, karim J., & Abdullah, H. M. (2019). Detection of Helicobacterpylori Antigens among Patients with Gastroenteritis in Erbil City, Iraq. Polytechnic Journal, 9(2), 138-143. https://doi.org/10.25156/ptj.v9n2y2019.pp138-143

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Section

Research Articles