Helicobacter pylori In Uninvestigated Dyspepsia In Primary Cares In Abakaliki, Nigeria

Abstract

There is paucity of information on the prevalence of Helicobacter pylori infection in Nigeria. Enzyme-linked immunosorbent assay (ELISA) was used to determine the prevalence of immunoglobulin G (IgG) antibodies to H. pylori in 262 consecutive patients (aged 5.5-56 years) presenting with dyspepsia in primary health cares in Abakaliki, Nigeria. Sixty-nine (26.3%) of the patients had IgG antibodies to H. pylori. Significantly higher prevalence of H. pylori was recorded in older patients than in those ≤ 20 years [29% vs11% (95%CI: 0.072-0.288%)]. Infection was comparable between males and females [28% vs 25%, (95% CI: - 0.078 – 0.138)] but inversely related to the socio-economic status of patients [30.5% vs 14%. (95% CI: 0.054-0.28) and 30.3% vs 8.3% (95% CI: 0.053-0.391) between lower and middle and between lower and upper class respectively]. The high endemicity of H. pylori infection in this study needs confirmation in different settings and/or in the general population.

Keywords

• H. pylori infection
• Prevalence
• Dyspepsia
• Ulcer