Dataset Information

Community prevalence of Helicobacter pylori and dyspepsia and efficacy of triple therapy in a rural district of eastern Uganda.

ABSTRACT:

Background

Helicobacter pylori (H. pylori) infection and chronic dyspepsia represent significant medical burdens in the developing world. An accurate assessment of the prevalence of chronic dyspepsia, as well as of the effectiveness of population-based screening and eradication of H. pylori are warranted.

Objectives

We determined the prevalence of H. pylori and chronic dyspepsia within the general adult population in a region of eastern Uganda. Independent predictors of H. pylori infection were assessed. Finally, we evaluated the efficacy of standard triple therapy on H. pylori eradication.

Methods

Of 400 randomly selected adult residents in eastern Uganda, 376 were administered a validated, chronic dyspepsia questionnaire and provided a stool sample for H. pylori testing. H. pylori-positive participants were given standard triple therapy and monitored for medication adherence. The efficacy of triple therapy on H. pylori eradication was determined by fecal antigen testing after treatment. Log-linear and logistic regression analyses identified predictors of H. pylori positivity and eradication failure.

Results

H. pylori prevalence within the study population was 48%. The prevalence of chronic dyspepsia was 87%. The presence or severity of dyspepsia did not predict H. pylori infection. However, a higher level of education was an independent predictor of H. pylori infection. Standard triple therapy resulted in ∼90% eradication. Missing at least four doses of any of the triple therapy medications over the 14-day course predicted eradication failure.

Conclusions

In our study population, chronic dyspepsia did not predict H. pylori infection, though clinical suspicion for this prevalent pathogen should nonetheless remain high. Population-based screening and adherence to triple therapy are effective at eradicating H. pylori within this region.

SUBMITTER: Lee YJ

PROVIDER: S-EPMC9803786 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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Community prevalence of <i>Helicobacter pylori</i> and dyspepsia and efficacy of triple therapy in a rural district of eastern Uganda.

Lee Yang Jae YJ Ssekalo Ibrahim I Kazungu Rauben R Blackwell Timothy S TS Muwereza Peter P Wu Yuefeng Y Sáenz José B JB

Heliyon 20221223 12

<h4>Background</h4><i>Helicobacter pylori</i> (<i>H. pylori</i>) infection and chronic dyspepsia represent significant medical burdens in the developing world. An accurate assessment of the prevalence of chronic dyspepsia, as well as of the effectiveness of population-based screening and eradication of <i>H. pylori</i> are warranted.<h4>Objectives</h4>We determined the prevalence of <i>H. pylori</i> and chronic dyspepsia within the general adult population in a region of eastern Uganda. Independ ...[more]

PMID: 36593846

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