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Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia

Received: 21 July 2022     Accepted: 4 August 2022     Published: 10 August 2022
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Abstract

Approximately 4.4 billion people worldwide are estimated to be positive for H. pylori. In developing countries like Ethiopia supposed to be a high prevalence and exposure of H. pylori infection where bacterial transmission is facilitated by poor hygiene and sanitation conditions. In addition, many studies used serology rapid tests for the detection of H. pylori which have questionable performance in detecting acute infection. Thus this study aimed to determine Feco-prevalence and associated factors of H. pylori infection among adult dyspeptic patients attending public health centers at Adama Woreda, East Shoa zone, Oromia, Ethiopia from May to July 2021 by stool Antigen test. Methods: A cross-sectional study was conducted on 356 adult dyspeptic patients by using a systematic random sampling technique. Data on socio-demographic characteristics and potential associated factors of H. pylori infection were collected by a structured interviewer-administered questionnaire. H. pylori stool antigens were detected by Wondfo one-step H. pylori feces test kit according to the manufacturer`s instruction. Data entries were done by EPI info version 7 and analyzed using SPSS version 23.0. Binary and multiple logistic regressions were used to identify associated factors. Association between variables was considered statistically significant only if A two-sided P-value <0.05 at a 95% confidence level. Result: The overall Feco-Prevalence of H. pylori infection among dyspeptic patient accounts 23.0% (95% CI: 19.1, 27.5). Among many possible factors unable to read and write [AOR]: 6.4 (1.9, 21.3)] and elementary educational status [AOR]: 4.2 (1.3, 13.19)], being blood group O [AOR]: 33.4 (5.9, 189.8)], drinking alcohol [AOR]: 6.4 (1.1, 36.6)], eating raw vegetables and fruit [AOR]: 6.2 (2.4, 15.7)] and not hand washing habit before a meal [AOR]: 24.5 (7.4, 81.6)] were a strong predictor of H. Pylori infection. Conclusion and recommendation; this study indicated overall H. pylori Feco-prevalence was found to be 23%. Among several possible factors unable to read and write, being in blood group O, drinking alcohol, and not hand washing habit before the meal were significant determinants of H. pylori. Therefore; we recommend improving personal and environmental sanitation including water to reduce the burden of this bacterium.

Published in Frontiers in Environmental Microbiology (Volume 8, Issue 3)
DOI 10.11648/j.fem.20220803.11
Page(s) 46-54
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Feco-Prevalence, H. Pylori, Adama Woreda, Oromia, Ethiopia

References
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    Legese Lemma Zeme, Yohannes Beneberu, Girma Mulisa. (2022). Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia. Frontiers in Environmental Microbiology, 8(3), 46-54. https://doi.org/10.11648/j.fem.20220803.11

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    Legese Lemma Zeme; Yohannes Beneberu; Girma Mulisa. Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia. Front. Environ. Microbiol. 2022, 8(3), 46-54. doi: 10.11648/j.fem.20220803.11

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    AMA Style

    Legese Lemma Zeme, Yohannes Beneberu, Girma Mulisa. Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia. Front Environ Microbiol. 2022;8(3):46-54. doi: 10.11648/j.fem.20220803.11

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  • @article{10.11648/j.fem.20220803.11,
      author = {Legese Lemma Zeme and Yohannes Beneberu and Girma Mulisa},
      title = {Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia},
      journal = {Frontiers in Environmental Microbiology},
      volume = {8},
      number = {3},
      pages = {46-54},
      doi = {10.11648/j.fem.20220803.11},
      url = {https://doi.org/10.11648/j.fem.20220803.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.fem.20220803.11},
      abstract = {Approximately 4.4 billion people worldwide are estimated to be positive for H. pylori. In developing countries like Ethiopia supposed to be a high prevalence and exposure of H. pylori infection where bacterial transmission is facilitated by poor hygiene and sanitation conditions. In addition, many studies used serology rapid tests for the detection of H. pylori which have questionable performance in detecting acute infection. Thus this study aimed to determine Feco-prevalence and associated factors of H. pylori infection among adult dyspeptic patients attending public health centers at Adama Woreda, East Shoa zone, Oromia, Ethiopia from May to July 2021 by stool Antigen test. Methods: A cross-sectional study was conducted on 356 adult dyspeptic patients by using a systematic random sampling technique. Data on socio-demographic characteristics and potential associated factors of H. pylori infection were collected by a structured interviewer-administered questionnaire. H. pylori stool antigens were detected by Wondfo one-step H. pylori feces test kit according to the manufacturer`s instruction. Data entries were done by EPI info version 7 and analyzed using SPSS version 23.0. Binary and multiple logistic regressions were used to identify associated factors. Association between variables was considered statistically significant only if A two-sided P-value H. pylori infection among dyspeptic patient accounts 23.0% (95% CI: 19.1, 27.5). Among many possible factors unable to read and write [AOR]: 6.4 (1.9, 21.3)] and elementary educational status [AOR]: 4.2 (1.3, 13.19)], being blood group O [AOR]: 33.4 (5.9, 189.8)], drinking alcohol [AOR]: 6.4 (1.1, 36.6)], eating raw vegetables and fruit [AOR]: 6.2 (2.4, 15.7)] and not hand washing habit before a meal [AOR]: 24.5 (7.4, 81.6)] were a strong predictor of H. Pylori infection. Conclusion and recommendation; this study indicated overall H. pylori Feco-prevalence was found to be 23%. Among several possible factors unable to read and write, being in blood group O, drinking alcohol, and not hand washing habit before the meal were significant determinants of H. pylori. Therefore; we recommend improving personal and environmental sanitation including water to reduce the burden of this bacterium.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Feco-Prevalence and Associated Factors of H. Pylori Infection Among Adult Dyspeptic Patients Attending Public Health Centers at Adama Woreda, Oromia, Ethiopia
    AU  - Legese Lemma Zeme
    AU  - Yohannes Beneberu
    AU  - Girma Mulisa
    Y1  - 2022/08/10
    PY  - 2022
    N1  - https://doi.org/10.11648/j.fem.20220803.11
    DO  - 10.11648/j.fem.20220803.11
    T2  - Frontiers in Environmental Microbiology
    JF  - Frontiers in Environmental Microbiology
    JO  - Frontiers in Environmental Microbiology
    SP  - 46
    EP  - 54
    PB  - Science Publishing Group
    SN  - 2469-8067
    UR  - https://doi.org/10.11648/j.fem.20220803.11
    AB  - Approximately 4.4 billion people worldwide are estimated to be positive for H. pylori. In developing countries like Ethiopia supposed to be a high prevalence and exposure of H. pylori infection where bacterial transmission is facilitated by poor hygiene and sanitation conditions. In addition, many studies used serology rapid tests for the detection of H. pylori which have questionable performance in detecting acute infection. Thus this study aimed to determine Feco-prevalence and associated factors of H. pylori infection among adult dyspeptic patients attending public health centers at Adama Woreda, East Shoa zone, Oromia, Ethiopia from May to July 2021 by stool Antigen test. Methods: A cross-sectional study was conducted on 356 adult dyspeptic patients by using a systematic random sampling technique. Data on socio-demographic characteristics and potential associated factors of H. pylori infection were collected by a structured interviewer-administered questionnaire. H. pylori stool antigens were detected by Wondfo one-step H. pylori feces test kit according to the manufacturer`s instruction. Data entries were done by EPI info version 7 and analyzed using SPSS version 23.0. Binary and multiple logistic regressions were used to identify associated factors. Association between variables was considered statistically significant only if A two-sided P-value H. pylori infection among dyspeptic patient accounts 23.0% (95% CI: 19.1, 27.5). Among many possible factors unable to read and write [AOR]: 6.4 (1.9, 21.3)] and elementary educational status [AOR]: 4.2 (1.3, 13.19)], being blood group O [AOR]: 33.4 (5.9, 189.8)], drinking alcohol [AOR]: 6.4 (1.1, 36.6)], eating raw vegetables and fruit [AOR]: 6.2 (2.4, 15.7)] and not hand washing habit before a meal [AOR]: 24.5 (7.4, 81.6)] were a strong predictor of H. Pylori infection. Conclusion and recommendation; this study indicated overall H. pylori Feco-prevalence was found to be 23%. Among several possible factors unable to read and write, being in blood group O, drinking alcohol, and not hand washing habit before the meal were significant determinants of H. pylori. Therefore; we recommend improving personal and environmental sanitation including water to reduce the burden of this bacterium.
    VL  - 8
    IS  - 3
    ER  - 

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Author Information
  • Department of Medical Laboratory, Adama Science and Technology University, Adama, Ethiopia

  • Department of Medical Laboratory, Rift Valley Hospital, Adama, Ethiopia

  • Department of Bio-medical Science, Adama Hospital Medical College, Adama, Ethiopia

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